VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Juliana Opoku
8222 McClelland Place
Alexandria, VA 22309
(703) 360-0088

Current Inspector: Tameika King (804) 629-7486

Inspection Date: June 30, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 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 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Technical Assistance:

The licensing inspector had discussions with the provider regarding the following topics: - use of electronics should be limited to 2 hours per day - the provider must obtain a central registry background check for an anticipated new household member within the first 30 days of residence The next anticipated inspection will be the providers renewal inspection. Provider was reminded to have all renewal application documents completed and sent into licensing office 45 days prior to expiration for processing. The renewal application is available on the VDOE website.

Comments:

An unannounced monitoring/renewal inspection was conducted today between 11:10am and 12:45pm. There were 3 children present with the Provider with a total of 10 points within the supervision guidelines. The children were observed playing on their tablets, kicking balls and watching TV. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-800-A
Description:	Based on interview, the family day home does not have a written emergency preparedness and response plan. Evidence: When asked for the emergency preparedness plan, the provider confirmed that they did not have one.
Plan of Correction:	Once I receive the blank plan, I will fill it in.
Standard #:	8VAC20-800-830-A
Description:	Based on record review and interview, emergency evacuation procedures were not practiced monthly. Evidence: The most recent documented evacuation drills was practiced in March 2022. The provider stated that they had knee surgery in April 2022 and hasn't been able to practice evacuating the house with the children.
Plan of Correction:	I'll start doing them again.
Standard #:	8VAC20-800-920
Description:	Based on observation, menu requirements were not met when meals and snacks are provided by the family day home. Evidence: The food menu that is posted is not dated.
Plan of Correction:	I don't write the date because I use the same menu. I will start filling the date in with pencil so that I can erase the date and continue to use the same menu.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #3 (date of enrollment: 7/19/2021) file does not contain documentation of a physical exam.
Plan of Correction:	I will talk to the parents today or tomorrow. If they cannot provide the missing documents, I will give the family a 2 week notice.
Standard #:	8VAC20-800-50-A
Description:	Based on record review and interview, the family day home has not kept a written record of children in attendance each day. Evidence: Attendance records indicate that attendance has not been documented since April 15, 2022. The provider confirmed that they has not been documenting attendance.
Plan of Correction:	I always do it but I haven't been doing it. I'll start doing it again next week.
Standard #:	8VAC20-800-80-A
Description:	Based on record review, the provider did not obtain documentation to verify a child's age and identity within the first seven days of attendance. Evidence: Child #3 (date of enrollment: 7/19/2021) record does not contain documentation of the child's age and identity.
Plan of Correction:	I will talk to both of the parents today or tomorrow. If they cannot provide the proof of birth I will give the family a 2 week notice.
Standard #:	8VAC20-800-210-A
Description:	Based on record review, caregivers have not obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider did not have any training documented in 2021.
Plan of Correction:	I will register for 2022 trainings and will make sure I print the certificates.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas of the family day home were not maintained in a clean, safe and operable condition. Evidence: There were food wrappers, food crumbs and dirt debris on the floors on the main level and in the basement play area. The children were observed sitting, playing and laying on the floors.
Plan of Correction:	I will get the floors cleaned up.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances, such as cleaning agents and disinfectants were not kept inaccessible to children. Evidence: At the start of the inspection, there was one can of spray disinfectant observed sitting on the floor next to the couch upstairs, and one can of spray disinfectant observed on the side table next to the couch downstairs.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, child-resistant protective covers were not installed on all unused electrical outlets. Evidence: One unused outlet without a protective cover was observed upstairs and four unused outlets without protective covers were observed downstairs.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, children under two years of age had access to stairs. Evidence: 1. At the start of the inspection, the children were observed playing freely with the door to the basement open; there is no gate at the top of the stairs. 2. During the inspection, the children moved to the basement area; there is a gate at the bottom of the stairs, however the gate was left open. 3. Child #3 is 18 months old. Child #4 is 19 months old.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is posted at the providers home is dated 6/3/2020. The providers most recent inspection was 10/14/2021.
Plan of Correction:	I will print and post this one.