VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sushma Pandey Bista
23132 Dunlop Heights Terrace
Ashburn, VA 20148
(703) 380-4296

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Oct. 20, 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 ?8VAC20-800 Transportation ?8VAC20-800 Nighttime Care ?8VAC20-820 THE LICENSE. ?8VAC20-820 THE LICENSING PROCESS. ?8VAC20-820 HEARINGS PROCEDURES. ?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 ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

An unannounced monitoring inspection was conducted today between the hours of 9:15 am through 10:30 am. There were a total of nine children (22points) observed with two caregivers. A total of five children's files and two staff/household member's files were reviewed. The children were engaged in the following: toy play, breakfast, circle time, bathroom breaks, hand washing, outside time and other organized activities. Areas of on-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-920
Description:	Based on observation, when meals or snacks are provided by the family day home, the menu for the current one-week period was not dated. Evidence: 1. The posted menu on the parent board was not dated for the current week.
Plan of Correction:	The provider will date the menu for the current week.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #4's record (Start date-07/20/2022) did not contain documentation of a physical examination.
Plan of Correction:	The provider will ask the parents for a copy of the physical examination and document the record.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain required information. Evidence: 1. Child #4's record (Start date-07/20/2022) did not contain documentation of the medical insurance policy number and written authorization for emergency medical care should an emergency occur. 2. Child #5's record (Start date-10/11/2022) was missing documentation of one name, address and telephone number of an emergency contact.
Plan of Correction:	The provider will get the missing information from the parents and document the record.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, the parents of one child were not provided the required written information before the child's first day of attendance. Evidence: 1. Child #5's record (Start date-10/11/2022) was missing medication administration policies and the provisions of the family day home's emergency preparedness and response plan.
Plan of Correction:	The provider will give the parents a copy of the provisions of the Emergency Plan and policies for administration of medication and have them to review and sign the document. The record will be documented.