VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Gissela Medina Maldonado
3212 Gary Court
Falls church, VA 22042
(703) 388-6169

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Oct. 20, 2022

Complaint Related: No

Areas Reviewed:

8 VAC 20-800 Administration 8 VAC 20-800 Personnel 8 VAC 20-800 Household Members 8 VAC 20-800 Physical Health of Caregivers and Household members 8 VAC 20-800 Caregiver Training 8 VAC 20-800 Physical Equipment and Environment 8 VAC 20-800 Care of Children 8 VAC 20-800 Preventing the Spread of Disease 8 VAC 20-800 Medication Administration 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 8 VAC 20-800 Transportation 8 VAC 20-820 THE LICENSE. 8 VAC 20-820 THE LICENSING PROCESS. 8 VAC 20-770 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

Technical Assistance:

Discussion of a future housemate (resident) and what documentation will be required. Documentation will be checked during the next unannounced inspection.

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 10/20/2022, between the hours of 10 am to 1 pm. There were 7 preschool children present (14 points) with 2 caregiver 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 10 children records, and 2 staff records were reviewed. Information gathered during the inspection determined that there were/was (10) non-compliances with the applicable standards, code, and/or law. These violations were documented on the Violation Notice issued to the home. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	8VAC20-800-790
Description:	Based on observation, the required emergency telephone numbers were not posted at the FDH. Evidence - The following emergency telephone numbers were not posted: 1. A 911 or local dial number for police, fire, and emergency medical responders. 2. The responsible person for emergency backup care (as required in 8VAC20-800- 800 A 3). 3. The regional poison control center.
Plan of Correction:	Will post.
Standard #:	8VAC20-800-830-C
Description:	Based on interview, documentation was not maintained of the emergency evacuation (fire drills) and shelter-in-place drills for the FDH. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 10/20/22) that the emergency drill log could not be located. 2. The actual conducting of these drill could not be determined.
Plan of Correction:	Will post.
Standard #:	8VAC20-800-100-A
Description:	Based on review, 5 of 10 children files indicated that documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance was not available. Evidence - 1. On the date of inspection (10/20/22), documentation of a physical examination was not available for review for: Child #2, #3, #4, #5, and #6. 2. The start dates for these children were listed as: Child #2 (03/03/22), Child #3 (02/28/22), Child #4 (02/28/22), Child #5 (not available), Child #6 (01/13/22).
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-30-A
Description:	Code of Virginia 22.1-(14.1)-289.011 - Based on observation and interview, the current license issued by the Office of Child Care Health and Safety was not posted. Evidence - 1. On the date of inspection (10/20/22), the current FDH license was not posted and available for observation. 2. The Provider stated (during an interview on the date of inspection) that she did not realize that the digital copy received was what was required to be posted and was expecting an actual license to be mailed to the FDH.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-60-A
Description:	Based on review and interview, 1 of 10 enrolled children did not have an up-to-date record available for review. Evidence - 1. On the date of inspection (10/20/22), a record for Child #5 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that the file was not ready.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 9 of 10 children records reviewed indicated that not all of the required information and/or documentation was contained within each file. Evidence - The following information and/or documentation was not available for review: 1. Parent's Name/Address/Phone for: Child #2, #3, #7,#8, #9, and #10. 2. Parent's Workplace/Address/Phone for: Child #2, #3, #7, #8, #9, and #10. 3. Name/Address/Phone of at least 2 emergency contacts for: Child # 1, #2, #3, #4, #7, #8, #9, and #10. 4. Insurance Name and Policy Number for: Child #2, #3, #4, #7, #8, #9, and #10; Child #6 was missing the Policy Number only. 5. Emergency Medical Authorization for: Child # 1, #2, #3, #4, #6, #7, #8, #9, and #10.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-70-B
Description:	Based on review, 3 of 10 children files indicated that not all documentation was on file with a written acknowledgement from the child's parent. Evidence - The following documentation was not available for review: 1. The Policy for the Administration of Medications form for: Child #3, and Child #4. 2. The PROVISIONS OF THE EMERGENCY PREPAREDNESS AND RESPONSE PLAN form for: Child #3, and Child #4. 3. The LIABILITY INSURANCE DECLARATION form for: Child 1, Child #3, and Child #4.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-80-A
Description:	Based on review, 3 of 10 children records indicated that the verification of each child's proof of identification was not available. Evidence - 1. On the date of inspection (10/20/22), verification of the review of the child's proof of identification was not available for: Child #7, #8, and #9. 2. Their start dates were listed as - Child #7 (start date - not listed), Child #8 (start date - 11/02/20), and Child #9 (start date - 11/02/20).
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-90-A
Description:	Based on review, 2 of 10 children files indicated that not obtained documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before each child attends the family day home (FDH). Evidence - 1. On the date of inspection (10/20/22), documentation of an immunization record was not available for review for: Child #5, and Child #6. 2. Both children were in attendance on the date of inspection.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 10 children files indicated that the family day home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (10/20/22), the immunization documentation on file for Child #10 was dated - 03/24/2022). 2. Based on the information on file, Child #10 was under the age of two years on the date of inspection.
Plan of Correction:	All missing information / documentation will be obtained.