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Mary Ugarte
187 Alpine Drive
Leesburg, VA 20175
(703) 581-0248

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: July 7, 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 Medication Administration
?8VAC20-800 Emergencies
?8VAC20-800 Nutrition
?8VAC20-800 Transportation
?8VAC20-800 Nighttime Care
?8VAC20-820 THE LICENSE.
?8VAC20-820 THE LICENSING PROCESS.
?8VAC20-820 HEARINGS PROCEDURES.
?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
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:
Discussion that the additional changing pad in the home had a small rip on its surface.

Discussion that an additional out-of-state family member may be joining the household. A list of documentation that would be needed and the out-of-state website was provided.

A copy of the FDH license will be sent to the provider.

Comments:
This monitoring inspection was initiated by licensing staff and concluded on 07/10/2022, between the hours of 9 am to 12 pm. There were 9 children present (24 points), ranging from infant to preschool-age, with 3 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication; special care and emergencies; and nutrition. A total of 9 children records, 1 household record, and 3 staff records were reviewed.

Information gathered during the inspection determined that there were 7 non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations:
Standard #: 8VAC20-770-60-B
Description: Based on review, 1 of 3 staff files indicated that an employee of a licensed Family Day Home (FDH) does not have a completed sworn statement or affirmation form (SDS) on site.

Evidence -
1. On the date of inspection (07/07/2022), a SDS was not available for review for Staff #2.
2. The start date for Staff #2 was listed as - 03/30/2022.

Plan of Correction: l documentation will be completed and/or obtained.

Standard #: 8VAC20-800-800-B
Description: Based on review, the Provider did not document in writing each annual review (and update as needed) to the Emergency Preparedness and Response Plan (EP&RP).

Evidence -
1. On the date of inspection (07/07/2022), the last written documentation of a review for the EP&RP was dated - 01/07/2020.
2. This was confirmed on the date of inspection by the Provider.

Plan of Correction: l documentation will be completed, if need updated, signed, and dated.

Standard #: 8VAC20-800-120-A
Description: Based on review, 1 of 3 staff files indicated that 1 of 2 references was on file for Staff #2.

Evidence -
1. On the date of inspection (07/07/2022), only 1 reference was reviewed for Staff #2.
2. The start date for Staff #2 was listed as 03/30/2022.

Plan of Correction: l documentation will be completed and/or obtained.

Standard #: 8VAC20-800-60-A
Description: Based on review, 1 of 9 enrolled children did not have an up-to-date record at the Family Day Home (FDH).

Evidence -
1. On the date of inspection (07/07/2022), Child #9 was without a complete child's record.
2. The start date for Child #9 was listed as 06/30/2022.

Plan of Correction: All documentation will be completed and/or obtained.

Standard #: 8VAC20-800-90-C
Description: Based on review, 1 of 9 children files indicated that the FDH did not obtain additional immunizations for a child (who was not exempt from the immunization requirements) under two years of age, every 6 months.

Evidence -
1. On the date of inspection (07/07/2022), the immunization page on file for Child #8 was dated - 11/29/2021.
2. This was confirmed on the date of inspection by the Provider.

Plan of Correction: l documentation will be completed and/or obtained.

Standard #: 8VAC20-800-200-A
Description: Based on review, 1 of 3 staff files indicated that documentation of an orientation training was not available for Staff #2.

Evidence -
1. On the date of inspection (07/07/2022), documentation of the orientation training for Staff #2 was not available for review.
2. The start date for Staff #2 was listed as - 03/30/2022.

Plan of Correction: l documentation will be completed and/or obtained.

Standard #: 8VAC20-800-500-C
Description: Based on observation, the outdoor playground equipment was stationed over a hard surface.

Evidence -
1. On the date of inspection (07/07/2022), the two structures of playground equipment located in the backyard of the FDH was located over hard decking.
2. The children in care were observed playing over it on the date of inspection.

Plan of Correction: The playground equipment will moved to the rubber surface on the upper level.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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