VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Roxana Nelson-Snaith
39 New Bedford Ct
Stafford, VA 22554
(540) 659-9470

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Oct. 25, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Provided consultation on standard: 1) 790: the following phone numbers shall be posted in a visible area close to the telephone: a) 911 or local dial number for police, fire, and emergency medical responders, b) the responsible person for emergency backup care as required, and c) the regional poison control center. 2) 870: the family day home shall schedule snacks or meals so there is no more than three hours between each meal or snack. 3) 920: Please ensure the menu reflects what will be served, and is provided to parents in advance, so that parents have the opportunity to provide a different item if necessary. 4) Discussed form and content for attendance and emergency drills.

Comments:

An unannounced monitoring inspection was conducted from 11:10 am - 12:00 noon with the provider. There were five children, ranging from four months to five years of age, for a total of 12 points. Children were observed playing with age-appropriate toys. Four child records, two caregiver/household member records, the emergency drill log, menu and daily attendance were reviewed. The provider is not currently certified in Medication Administration Training (MAT) and cannot administer medication to children in care. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on a review of four child records, the provider did not obtain documentation that each child has received a physical examination by or under the direction of a physician prior to the child's first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 7/19/2021) and child #4 (date of first attendance: 8/22/2022) did not have documentation of a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, children under two years of age had access to stairs. Evidence: When the LI arrived a 17 month old child was observed playing on the stairs. The provider stated that the group of children had been upstairs playing in a nearby room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-E
Description:	Based on observation, not all diapers were disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver?s hand nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: 1) the provider stated that the trash can in the bathroom was used for soiled diapers, however there was not a liner in the can, 2) The provider stated that she takes the diapers outside to dispose of them.
Plan of Correction:	Not available online. Contact Inspector for more information.