VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Ramos Vigil
8116 Norwood Drive
Alexandria, VA 22309
(571) 699-9336

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: July 27, 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 8VAC20-820 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.

Comments:

An unannounced monitoring inspection was conducted today between 10:50am and 12:30pm. There were 6 children present with the Provider and 1 assistant within the supervision guidelines. The children were observed transitioning from water play outside, playing in the playroom, eating lunch and other organized activities. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, 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 #:	8VAC20-770-40-D-4-a
Description:	Based on record review and interview, the provider has not obtained a sworn disclosure statement for each household member over 18 years old. Evidence: Household member #1, Household member #2 and household member #3's records do not contain sworn disclosure statements. The provider confirmed that the household members have not completed the background check.
Plan of Correction:	We'll get them done today.
Standard #:	8VAC20-770-40-D-5-a
Description:	Based on interview, the provider did not obtain a central registry background check for a person residing in the home within 30 days of becoming 14 years old. Evidence: The provider confirmed that a Household member #4 turned 14 years old in April 2022. The provider stated that they did not complete a central registry background check for the household member.
Plan of Correction:	I'll have them fill out the form and I think we can get it notarized and in the mail this weekend.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview, each employee has not completed a sworn disclosure statement. Evidence: The provider's record does not contain a sworn disclosure statement. The provider confirmed that they had not completed the background check.
Plan of Correction:	I can fill it out today.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider has not obtained documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #1 (date of enrollment: 3/2/2021), Child #2 (date of enrollment: 3/2/2021), Child #3 (date of enrollment: 4/26/2021) and Child #5's (date of enrollment: 7/29/2021) records do not contain documentation of a physical exam.
Plan of Correction:	I'll request the health form from the parents.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1. Child #1, Child #2 and Child #3's records did not contain a second emergency contact. 2. Child #1, Child #2 and Child #3's records did not contain an address for their emergency contact.
Plan of Correction:	I can update my forms and get it corrected. I'll have the parents give me the missing information.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, parents were not provided in writing all required information. Evidence: 5 out of 5 children's records did not contain documentation signed by parents whether or not the family day home has liability insurance.
Plan of Correction:	I'll create the form and have the parents sign and return it.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently. Evidence: 1. Caregiver #1's most recent TB screening is dated 3/10/2020. 2. Household member #1's most recent TB screening is dated 3/10/2020. 3.Household member #2's most recent TB screening is dated 3/10/2020. 4. Household member #3's most recent TB screening is dated 3/10/2020.
Plan of Correction:	We'll make the appointments and we'll all get them updated.
Standard #:	8VAC20-800-320-A
Description:	Based on observation, small electrical appliances were not unplugged when not being used by the caregiver or with children under close supervision.
Plan of Correction:	I didn't know. I'll unplug them.