VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cynthia Lynch
20 Pickos Place
Stafford, VA 22556
(540) 220-4298

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Aug. 18, 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:

Discussed: 1) Standard 80 ? proof of age and identity (within 7 days of first attendance) 2) Standard 210 ? annual training (16 hours of documented training required annually) 3) Standard 500C ? stationary outdoor playground equipment shall be placed at least six feet from the perimeter of other play structures or obstacles. 4) Standard 560 ? monitoring sleeping infants by in-person checks at least once every 15 minutes ?cleaned? means treated in such a way as to remove dirt and debris by scrubbing and washing with soap and water or detergent solution and rinsing with water. ?sanitized? means treated in such a way as to remove bacteria and viruses from inanimate surfaces through first cleaning and secondly using a solution of one tablespoon of bleach mixed with one gallon of water and prepared fresh daily or using a sanitizing solution approved by the US EPA. The surface of the item is sprayed into the sanitizing solution and then allowed to air dry.

Comments:

An unannounced renewal inspection was conducted from 11:30 am ? 1:30 pm with the provider and two assistants. There were ten children, ranging from two months to five years of age, for a total of 26 points. Children were observed preparing for and eating lunch and napping. Lunch served today: turkey meatloaf, candied beets, green beans, rolls and milk. Three children's records, three provider records, the emergency drill log, daily attendance, and annual training were reviewed. The first aid kit, battery operated flashlight, weather band radio and carbon monoxide detector were observed and in compliance. The provider is not Medication Administration Training (MAT) certified and cannot administer medication to children in care. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on a review of three children's records, the provider did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within 30 days after attendance. Evidence: the record for child #3 (date of first attendance: 3/21/22) did not contain documentation of a physical examination.
Plan of Correction:	Child's parent was contacted during the inspection and documentation of the physical was requested.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, not all caregivers washed their hands as required. Evidence: caregiver #2 was observed changing a diaper and then helping two children into a high chair before washing their hands.
Plan of Correction:	Will retrain all caregivers on diapering and handwashing procedures.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, caregivers did not ensure that all children?s hands were washed with liquid soap and warm running water as required. Evidence: after an infant had a diaper change they were placed directly into a play area without washing their hands. A second infant was observed being fed a bottle and did not have their hands washed beforehand.
Plan of Correction:	Will retrain all caregivers on diapering and handwashing procedures.
Standard #:	8VAC20-800-690-D
Description:	Based on observation and interview, the provider failed to ensure that the diapering surface was cleaned and sanitized as required. Evidence: after an infant was changed the diapering surface was not cleaned and then sanitized as required afterwards.
Plan of Correction:	Will retrain all caregivers on diapering procedures.