VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shabnam Farhad
21372 Springwell Drive
Ashburn, VA 20148
(703) 473-7354

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: Oct. 4, 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. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted on 10/4/2022 from 10:30 am-12:44 pm. There were 12 children (31 points) supervised by 3 direct caregivers. The home, 3 staff records, 5 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed engaging freely. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackoivic@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on interview and record review, a central registry check for a caregiver was not completed by the end of 30 days of employment. Evidence: Caregiver #3 did not have a central registry check completed by the end of 30 days of employment. The Provider stated that she mailed the central registry, but has not received the results. Date of employment for Caregiver #3 is 5/3/22.
Plan of Correction:	Will ask them to send it to me. I called and I'm waiting on someone to call me back while I wait I will resend it again.
Standard #:	8VAC20-800-830-C
Description:	Based on record review and interview, the provider did not ensure that monthly evacuation drills were documented. Evidence: 1. December 2021 and September 2022 evacuation drills (fire drills) were not documented. 2. The provider stated that the evacuation drills had been completed each month, however, they were not documented.
Plan of Correction:	Corrected during inspection.
Standard #:	8VAC20-800-120-B
Description:	Based on record review and interview, caregiver records were missing two references. Evidence: 1. Caregiver #2 and caregiver #3 records are missing documentation that two or more references as to character and reputation, as well as competency, were checked before employment. Caregiver #2's start date was 11/2021 and caregiver #3's start date was 5/2022. 2. The Provider stated that caregiver #2 and caregiver #3's references were checked prior to employment, but were not documented.
Plan of Correction:	I verbally did a reference check but I will document it.
Standard #:	8VAC20-800-200-A
Description:	Based on record review and interview, the provider did not ensure all caregivers had obtained by the end of their first week of assuming job responsibilities the required orientation. Evidence: 1. There was no documentation showing that caregivers #2 and #3 had received orientation training by the end of their first week. 2. The provider stated that caregiver #2 (start date: 11/2021) and caregiver #3 (start date: 5/2022) had orientation by the end of their first week, but it was not documented.
Plan of Correction:	I verbally gave an orientation but I will document it.
Standard #:	8VAC20-800-320-B
Description:	Based on observation and interview, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: There were 8 electrical outlets without protective covers installed. 1. In the Infant room, 2 electrical outlets did not have protective covers. 2. 4 electrical outlets near the diaper changing table and 2 electrical outlets near the computer area did not have protective covers.
Plan of Correction:	All outlets will be covered right now on 10/4/2022.
Standard #:	8VAC20-800-690-D
Description:	Based on observation and interview, the family day home did not ensure that the diapering surface was nonabsorbent and that it could be cleaned and sanitized after each use. Evidence: The diapering surface was made of a plush-like absorbent material that cannot be cleaned or sanitized after each diaper change.
Plan of Correction:	I will order right away on 10/4/2022.