VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Feliza Choque
1913 Hillside Drive
Falls church, VA 22043
(571) 502-6887

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: Nov. 15, 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

Comments:

An unannounced monitoring inspection was conducted 11/15/2022 from 9:50 am-11:37 am. There were 8 children (22 points) supervised by 3 direct caregivers. The home, 3 staff records, 5 children?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 #:	22.1-289.035-B-2
Description:	Based on a record review and interview, the Provider did not obtain criminal fingerprints for a caregiver prior to the caregiver?s first day. Evidence: Caregiver #3 (date of hire 11/3/2022) did not have fingerprinting results on file during the inspection on 11/15/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview, a caregiver of the family day home did not have a completed sworn statement prior to their first day. Evidence: There was no documentation of a sworn statement on file for Caregiver #3 (date of hire 11/3/2022) prior to their first day.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-B
Description:	Based on record review and interview, the Provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed in 9/2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
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. The evacuation drill for October 2022 was not documented. 2. The Provider stated that the October 2022 evacuation drill had been completed, but, not documented.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child?s attendance or within 30 days after the first day of attendance. Evidence: Child #2 did not have documentation of a physical examination prior to or within 30 days after the child?s first day of attendance. The child?s start date was 5/28/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-A
Description:	Based on record review and interview, the Provider did not maintain a record for each caregiver. Evidence: Caregiver #3 (date of hire 11/3/2022) did not have a record on file during the inspection on 11/15/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	Based on record review and interview, the Provider did not keep a written record of children in attendance each day. Evidence: At approximately 9:57 am on 11/15/22, the attendance record did not contain documentation of attendance for the day.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on records review, the children's records were not complete. Evidence: Child #2's record was missing the name, address, and telephone number of one designated person to contact in case of an emergency if the parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview, the Provider did not review with the parent the emergency contact information to ensure the information is correct and did not obtain the parent?s signed acknowledgment of the review, annually. Evidence: 1. Child #1 emergency contact information was last reviewed on 05/12/2020. 2. Child #3 emergency contact information was last reviewed on 8/17/2021. 3. Child #5 emergency contact information was last reviewed on 7/20/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, the Provider did not provide in writing the following information to parents before the child?s first day of attendance. Evidence: Child #2 did not have written documentation of the family day home's medication administration policy or emergency preparedness and response plan prior to the child?s first day of attendance. The child?s start date was 5/28/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.