VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Denise Green
5648 Northton Court
Woodbridge, VA 22193
(571) 229-0058

Current Inspector: Cathy Aylor (540) 222-6352

Inspection Date: June 7, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Provided consultation on: 1) ensuring that there are extra batteries on hand for the battery operated weather band radio 2) ensuring that parents complete all information on the registration form or use N/A 3) refer to the standards for a complete list of required items in the first aid kit; more than one triangular bandage is required 4) document all caregiver training in records 5) document submission of background check requests in caregiver records; follow up required if not received within time frame

Comments:

An unannounced monitoring inspection was conducted from 10:15 - 11:30 am with the provider. There was one child in care, age 14 months, for a total of four points. The child was observed napping, waking, having a diaper change and having free play with a variety of age-appropriate toys. One child record, two caregiver records, written attendance, weekly menu and the first aid kit were reviewed. Required information was posted. The last emergency escape drill was conducted: 5/12/22 and the last shelter-in-place drill was conducted: 4/6/22. The provider is not Medication Administration Training (MAT) certified and cannot administer medication to children in care. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of two caregiver records, it was determined that not all caregivers had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) did not have an OBI determination letter.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.058
Description:	Based on observation, and an interview with the provider, it was determined that the home did not have a carbon monoxide detector as required. Evidence: the provider stated that the home does not have a carbon monoxide detector.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-730-D
Description:	Based on observation, and an interview with the provider, it was determined that not all medication was kept in a locked place, using a safe locking method that prevents access by children. Evidence: three medications were observed inside an open grocery-type bag sitting on the floor.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on review of documentation and an interview with the provider, not all records contained all required information. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) did not contain the job title, date of hire, name, address and phone number of a person to be notified in an emergency, or documentation that two references as to character and reputation as well as competency were checked before employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on review of two caregiver records, the provider did not have documentation of a tuberculosis (TB) test/screening for a caregiver at the time of hire and prior to coming into contact with children. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) had a TB test/screening dated: 2/19/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-A
Description:	Based on review of documentation, and an interview with the provider, not all caregivers received orientation by the end of their first week of assuming job responsibilities. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) did not contain documentation of orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.