VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elede Abubaker
7644 Summerhill Court
Lorton, VA 22079
(571) 228-6203

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Nov. 3, 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 ?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:

A renewal inspection was conducted on November 3, 2022. There were 7 children present, with 2 caregivers 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 3 child records and 3 household member/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 #:	8VAC20-770-40-D-1-a
Description:	Based on review of household member (HHM), records, one HHM did not have a signed sworn statement before the first day of moving in. HHM did not have a search of central registry before the end of 30 days of moving in. Evidence Household member #2 (date of birth 9/22/1982), moved into the family day home over 30 days ago and does not have a signed sworn statement or search of central registry results on record.
Plan of Correction:	I will have her sign the sworn statement. I submitted the central registry a while ago. I will call and follow up where it is. I will send my inspector the central registry documentation when it is received.
Standard #:	8VAC20-770-60-B
Description:	Based on review of caregiver records, one does not have a signed sworn statement on record. Evidence Caregiver #1 (date of hire 10/15/22) does not have a signed sworn statement on record.
Plan of Correction:	I will have them sign the sworn statement and make sure its always signed before the first day of work.
Standard #:	8VAC20-800-760-A-1
Description:	Based on observation, the first aid kit did not contain all the required medical supplies. Evidence The first aid kit did not contain adhesive tape, triangular bandages, or first aid instructional manual.
Plan of Correction:	I will put the missing items in the first aid kit and inventory my kit yearly to make sure it is complete.
Standard #:	8VAC20-800-780-B
Description:	Based on review of children's records, the provider did not review with the parent the emergency contact information to ensure it was correct. Evidence The provider did not annually review with the parent the emergency contact information for child #1.
Plan of Correction:	I will contact the parent and review the emergency contact information for their child. I will have them sign and date it was reviewed.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, bottles were not labeled with date. Evidence Bottles were labeled with child's name, but no date was documented.
Plan of Correction:	The bottles have the child's name and are sent home every day so I know they are from the current day. I will make sure to put the date on the bottle by the name.
Standard #:	8VAC20-800-100-A
Description:	Based on review of children's, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence For child #2 and #3, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance.
Plan of Correction:	I will contact the parents and get the missing physical. I will make sure all my records contain the required documents.
Standard #:	8VAC20-800-120-A
Description:	Based on review of caregiver documentation, the provider did not maintain a record for each caregiver. Evidence There is no record for caregiver #1. There is no documentation of name, address, verification of age, date of employment, emergency contact, two reference checks, and tuberculosis screening.
Plan of Correction:	I will make a record for each caregiver and put all their required documents in the record.
Standard #:	8VAC20-800-50-A
Description:	Based on observation, the family day home did not keep a written record of children in attendance each day. Evidence There was no current written record of children in attendance each day.
Plan of Correction:	I will make sure to take attendance everyday and document.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children's records, not all records are complete. One child's record does not contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached, medication policy or provider liability insurance policy. Evidence Child #3 does not have an address for emergency contact #1, or any information for contact #2, acknowledgment that the parent was informed of the providers medication policy or the liability insurance policy.
Plan of Correction:	I will give the parents all the missing policy documents to review and sign. I will make sure all my records contain the required documents.
Standard #:	8VAC20-800-90-A
Description:	Based on review of children's records, the provider did not obtain documentation that the child has been adequately immunized before the child's first day of attendance. Evidence Child #3, (first day of attendance 9/8/2020) does not have a documentation of being adequately immunized.
Plan of Correction:	I will contact the parents and get the missing shot record. I will make sure all my records contain the required documents.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review of the caregiver records, the provider does not have a current certification in first aid. Evidence Provider #1 does not have a current certification in first aid.
Plan of Correction:	I didn't realize the CPR didn't cover the first aid part. I will find and take a first aid class.
Standard #:	8VAC20-800-170-A
Description:	Based on review of household member records, the provider did not obtain from each household member prior to moving into the home a current report of tuberculosis screening form. Evidence Household member #2 does not have a current report of tuberculosis screening form on record.
Plan of Correction:	She will go get her TB and I will put the results in her record.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances, were not stored in areas inaccessible to children. Evidence Potentially poisonous substances (Scrubbing Bubbles), was stored on the counter in the bathroom the children have access to.
Plan of Correction:	Corrected during the inspection. I will always make sure anything hazardous is out of reach of the children.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision have access to stairs. Evidence There is no gate blocking the stairs going upstairs, making the stairs accessible to the children.
Plan of Correction:	I bought a new gate and it pulled out of the wall. I have someone coming on Saturday to re-attach it.
Standard #:	8VAC20-800-480-D
Description:	Based on observation, equipment is not being used in accordance with the manufacture's instructions. Evidence The high chairs manufacturers instructions state they shall not be used by children age 3 and above. Child #1 and child #4 (0ver 3 years of age) were observed sitting in the high chairs.
Plan of Correction:	I didn't know they couldn't be in the high chairs. I will put any child 3 years and older or more than 33 pounds at a table to eat.
Standard #:	8VAC20-800-510-A
Description:	Based on observation, the provider did not provide an individual crib or cot for each child. Evidence The cribs and cots were not identified for individual use.
Plan of Correction:	I will label the cribs and cots with the child's name. I will make sure to always have them labeled.
Standard #:	8VAC20-800-600-B
Description:	Based on observation, an infant spent more than 30 minutes of consecutive time during waking hours confined in a confining piece of equipment. Evidence Child #5 was in confined space #1 when inspector arrived, after 35 minutes child #5 was observed in confined space #2. Child #5 was then fed in confined space. After another 30 minutes child #5 was observed still in confined space #2.
Plan of Correction:	I know a child can't be in one spot for more than 30 minutes. We move the children around all the time and never leave them. We will make sure they have an hour in between being in the swing and chair.
Standard #:	8VAC20-800-690-D
Description:	Based on observation and discussion with provider, the diapering surface is not being cleaned and sanitized according to the licensing standards. Evidence The diapering surface is being cleaned with water and wiped with a Clorox wipe after a diaper change. The standards state the surface needs to be sprayed or dipped with a solution of soap and water, patted dry, then sprayed or dipped with a solution of bleach and water and allow to air dry.
Plan of Correction:	I will begin using the soap/water, bleach/water solution to clean and sanitize all surfaces.