VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nattaya Cleary
4010 Elizabeth Lane
Fairfax, VA 22032
(571) 309-7061

Current Inspector: Alyssa Simons (571) 423-6392

Inspection Date: Aug. 23, 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

Comments:

An unannounced monitoring inspection was conducted today between 2:30pm and 4:00pm. There were 9 children (25 points) present with the Substitute Provider and 2 assistants within the supervision guidelines. The Provider was not available or present during the inspection. The children were observed taking a nap, being held, and being fed snack. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, evacuation drill log, menu, attendance and emergency materials 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 shahana.green@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of caregiver records, 1 out of 3 caregivers did not submit to fingerprinting as required. Evidence: 1. Caregiver #3 (doh: 8/8/2022) did not have fingerprints results on file during the time of the inspection.
Plan of Correction:	We will get these done and on file.
Standard #:	22.1-289.035-B-4
Description:	Based on a review of caregiver records, the Provider did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years for 2 out of 3 caregivers. Evidence: 1. Caregiver #2 (doh: 8/9/2022) did not have documentation of a search of the child abuse and neglect registry or equivalent registry for state #1 in which the caregiver resided in the preceding 5 years. 2. Carevier #3 (doh: 8/8/2022) did not have documentation of a search of the child abuse and neglect registry or equivalent registry for state #2 in which the caregiver resided in the preceding 5 years.
Plan of Correction:	We will get these completed.
Standard #:	22.1-289.036-A
Description:	Based on a review of caregiver and household member records, all caregivers and household members did not complete the central registry background check every five years after the initial background check. Evidence: 1. Caregiver #4's most recent central registry background check was dated 8/4/2017 at the time of the inspection. 2. Household Member #1's most recent central registry background check on file was dated 8/2/2017 at the time of the inspection.
Plan of Correction:	We will complete these as soon as possible.
Standard #:	8VAC20-800-120-B
Description:	Based on a review of caregiver records, Assistant's records did not contain the required information. Evidence: 1. Caregiver #3 (doh: 8/8/2022) did not have documentation on file that two or more references as to character and reputation, as well as competency, were checked before employment during the time of the inspection.
Plan of Correction:	The references have been completed.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of caregiver records, all caregivers did not have a Tuberculosis screening, documenting the absence of tuberculosis in a communicable form, at the time of hire and prior to coming into contact with children. Evidence: 1. Caregiver #3 (doh: 8/8/2022) did not have documentation of a tuberculosis screening on file at the time of the inspection.
Plan of Correction:	The caregiver will submit a tuberculosis screening asap.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas and furnishings of the family day home, outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. Deteriorating wood was observed on the wooden deck leading to the backyard from the house. There were broken/splintering pieces of wood in multiple areas of the deck.
Plan of Correction:	We called someone to come and repair the wood on the deck.
Standard #:	8VAC20-800-530-F
Description:	Based on observation, soft bedding was used around infants in their cribs. Evidence: 1. Child #1 (dob: 11/21/2021) was observed sleeping in a crib with 2 small, soft stuffed animals in the crib. 2. Child #2 (dob: 11/21/2021) was observed sleeping in a crib with a blanket on the infant and 2 small, soft stuffed animals in the crib. 3. Child #3 (dob: 12/29/2021) was observed sleeping in a crib with bumper pillows around the infant and soft toys in the crib with the infant.
Plan of Correction:	We will not put any soft furnishings in the crib moving forward.