VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Noor Arman
8970 Hooes Road
Lorton, VA 22079
(703) 843-5759

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Sept. 12, 2022

Complaint Related: No

Areas Reviewed:

Areas of Standards 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 ?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:

A renewal inspection was conducted on September 12, 2022, There were 10 children present, with 2 staff 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 6 child records and 2 provider/caregiver records were reviewed. 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. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation, the family day home was not equipped with at least one carbon monoxide detector. Evidence The family day home was not equipped with a carbon monoxide detector.
Plan of Correction:	I will get a carbon monoxide detector.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of 2 caregiver records one does not have a central registry finding within 30 days of employment. Evidence Caregiver #1 (date of hire 2/1/22) does not have a central registry finding within 30 days of employment.
Plan of Correction:	I sent it in, I will follow up and send the results to my inspector when it is received. I will make sure the CPS is submitted within 10 days of first day and if not received within 30 days I will follow up.
Standard #:	8VAC20-800-780-B
Description:	Based on review of 6 children's records, the provider did not annually review with the parent the emergency contact information to ensure the information is correct for 2 records. Evidence The emergency contact information for child #3 and #6 was not annually reviewed with the parent to ensure the information is correct.
Plan of Correction:	I will have the parents review, update and sign off that the emergency contacts have been reviewed.
Standard #:	8VAC20-800-800-B
Description:	Based on review of the emergency plan, it is not being reviewed at least annually and updated annually. Documentation of each review and updates must be noted on the plan. Evidence The emergency plan has not been reviewed and updated annually. The last review was completed 9/14/2019.
Plan of Correction:	I will annually review the emergency plan, make any updates and sign off that I reviewed it.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, bottles were not labeled with the child's full name and the date. Evidence Four bottles were observed on the counter without the child's full name or date.
Plan of Correction:	I will make sure all bottles are labeled with the child's full name and current date
Standard #:	8VAC20-800-100-A
Description:	Based on review of 6 children's records, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence Child #1, #2, #4 and #5 do not have documentation in their record of a physical examination prior to their child's attendance or within 30 days after their first day of attendance.
Plan of Correction:	I will get the missing physicals for the children and make sure to get them within 30 days of child's first day of attendance.
Standard #:	8VAC20-800-120-B
Description:	Based on review of caregiver records, one record does not contain the required information. Evidence The record for caregiver #1 does not contain emergency contact information. The record for caregiver #1 does not contain documentation that two or more references were checked.
Plan of Correction:	I will get an emergency contact and make sure to check references for all employees before I hire them.
Standard #:	8VAC20-800-50-A
Description:	Based on review of daily attendance, the provider is not keeping a written record of all children in attendance each day. Evidence The daily attendance sheet is not complete. There is no record of all children in attendance each day. Current record lists only a few children each day.
Plan of Correction:	I will begin immediately keeping attendance for all children in care as they arrive and depart.
Standard #:	8VAC20-800-60-B
Description:	Based on review of 6 children's records, 3 do not contain emergency contact information. Evidence The records for children # 1, #2, and #3 do not contain any emergency contact information.
Plan of Correction:	I will get the emergency contact information that is missing. Going forward I will make sure all required information is obtained before the child starts care.
Standard #:	8VAC20-800-70-A
Description:	Based on review of 6 children's records, 2 did not contain the policies for the administration of medications. Evidence There was no documentation on the administration of medications for child #4 and #6.
Plan of Correction:	I will redo all the medication administration paperwork. I accidently checked the wrong box.
Standard #:	8VAC20-800-90-A
Description:	Based on review of 6 children's records, the provider did not obtain documentation that the child has been adequately immunized before their first day of attendance. Evidence Child # 3 and #4 do not have documentation that they have been adequately immunized before their first day of attendance.
Plan of Correction:	I will contact the families and get the missing immunization records. I will make sure to get the immunization records for all children before their first day.
Standard #:	8VAC20-800-140-B-3
Description:	Based on review of caregiver records, one caregiver does not have a current certification in cardiopulmonary resuscitation (CPR). Evidence Caregiver #2 does not have a current certification in CPR. The certificate in the record expired 3/17/2021.
Plan of Correction:	I will attend a CPR class as soon as I can. I will make sure I recertify before I expire.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review of caregiver records, one does not contain a current certification in first aid. Evidence Caregiver #2 does not have a current certification in first aid. The certification on record expired 3/17/2021.
Plan of Correction:	I will attend a first aid class as soon as I can. I will recertify before I expire.
Standard #:	8VAC20-800-210-A
Description:	Based on review of caregiver records, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to the job responsibilities. Evidence Caregiver #2 does not have any documentation of annual training hours.
Plan of Correction:	We will complete 16 hours of job related training. We will put the certificates in our record.
Standard #:	8VAC20-800-220-A
Description:	Based on review of records, the provider has agreed to administer prescription and non prescription medication without having someone trained in Medical Administration (MAT). Evidence On the medical administration form in the children's records it states the provider will administer prescription and non prescription medications. Provider is not trained in MAT.
Plan of Correction:	I do not want to administer medication and will have the parents sign a new paper disclosing that.
Standard #:	8VAC20-800-510-A
Description:	Based on observation cribs and cots are not labeled for individual use. Evidence Cots and cribs were not labeled for individual use.
Plan of Correction:	I will label all cots and cribs with the child's name and make sure the names are always on there.
Standard #:	8VAC20-800-600-B
Description:	Based on observation, an infant spent more than 30 minutes of consecutive time during waking hours, confined to a piece of equipment. Evidence Child #4 was in a swing for 58 consecutive minutes.
Plan of Correction:	The child was happy in the swing, but we will make sure that the children are not kept in one spot for more than 30 minutes at a time.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface is not being cleaned and sanitized after each diapering. Evidence The diapering surface was cleaned with soap and water the day of the inspection. A bottle of bleach and water was not available and not used after a diaper change. The diapering surface must be cleaned with a solution of soap and water and patted dry with a single use towel, then sanitized with a solution of bleach and water and allow to air dry.
Plan of Correction:	We will use clean and sanitize the diapering surface using soap and water and then bleach and water after each diaper change.