VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandra Vergara
7707 Erie Street
Annandale, VA 22003
(703) 785-4436

Current Inspector: Tameika King (804) 629-7486

Inspection Date: Aug. 25, 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 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Discussed with the provider: completing shelter-in-place drills before the year is over, obtaining updated MAT certification, updated sworn disclosure form, topical skin product authorization requirement

Comments:

An unannounced monitoring inspection was conducted on 08/25/2022 between the hours of approximately 9:40 a.m. and 11:40 a.m. There were 10 children present, between the ages of 10 months and 2 years, with the Provider and 2 assistants for a total of 27 points within the supervision guidelines. The children were observed playing on the playground, creating a pig craft, participating in water play and napping. Positive interactions were observed during this inspection. A complete inspection of the physical plant and playground and walk through of the home was conducted. Children and caregiver records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Thank you for your cooperation. If you have any questions, please e-mail me at tameika.king@ doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-750-A
Description:	Based on observation and record review, when topical skin products were used, not all requirements were met. Evidence: 1. Written parent authorization was not obtained for Child #3 and Child #5?s sunscreen. 2. Written parent authorization was not obtained for Child #3?s lotion. 3. Written parent authorization was not obtained for Child #5?s insect repellant. 4. One insect repellant, three sunscreens and one petroleum jelly were not labeled with the child?s name.
Plan of Correction:	I will get them from the parents and label.
Standard #:	8VAC20-800-750-B
Description:	Based on observation, topical skin products were accessible to children. Evidence: Two insect repellants, three sunscreens, one eczema cream, one petroleum jelly and one baby cologne were on a plastic 3-drawer cart, accessible to children.
Plan of Correction:	I will move them today.
Standard #:	8VAC20-800-830-A
Description:	Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: An emergency evacuation procedure was not practiced in February 2022.
Plan of Correction:	We will do them every month.
Standard #:	8VAC20-800-900-B
Description:	Based on observation, children were allowed to drink while walking and playing. Evidence: Child #5, Child #6 and Child #7 were observed walking around and playing outside while drinking from sippy cups.
Plan of Correction:	I will talk with the teachers today.
Standard #:	8VAC20-800-940-B
Description:	Based on observation, the provider did not have an operable thermometer available to monitor refrigerator temperatures. Evidence: The thermometer located in the refrigerator was inoperable.
Plan of Correction:	I will get new batteries.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider did not obtain all required information for children?s records. Evidence: 1. Child #2?s record did not contain the name, address and telephone number for emergency contact #1 and emergency contact #2. 2. Child #3?s record did not contain the name, address and telephone number for emergency contact #2. 3. Child #2?s record did not contain the name and policy number of the child?s medical insurance. 4. Child #3?s record did not contain the policy number of the child?s medical insurance.
Plan of Correction:	We will get the information from the parents.
Standard #:	8VAC20-800-80-A
Description:	Based on record review, within seven business days of each child?s first day of attendance, the provider did not obtain from the parent verification of the identity and age of the child. Evidence: The provider did not obtain parent verification of the identify and age of Child #2 (start date: 04/04/2022)
Plan of Correction:	We will get the information from the parents.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening. Evidence: 1. The most recent Report of Tuberculosis Screening form for Caregiver #2 was dated 02/15/2019. 2. The most recent Report of Tuberculosis Screening form for Caregiver #3 was dated 02/5/2019.
Plan of Correction:	We are going to redo it today.
Standard #:	8VAC20-800-530-F
Description:	Based on observation, stuffed toys were used around infants in a crib. Evidence: A stuffed toy was observed in the crib as Child #3 napped.
Plan of Correction:	I will talk to the child?s mother.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, caregivers did not ensure that children?s hands were washed with liquid soap and warm running water after diapering. Evidence: 1. Caregiver #3 did not ensure that Child #2?s hands were washed after diapering. 2. Caregiver #2 did not ensure that Child #1?s hands were washed after diapering.
Plan of Correction:	I will talk with the teachers.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not cleaned after each use. Evidence: 1. After diapering Child #2, Caregiver #3 did not clean the diapering surface with soap and water or detergent solution before sanitizing. 2. After diapering Child #1, Caregiver #2 did not clean the diapering surface with soap and water or detergent solution before sanitizing.
Plan of Correction:	I will talk with the teachers.