VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kanak Asthana
1522 Goldenrain Court
Reston, VA 20190
(703) 973-8450

Current Inspector: Tameika King (804) 629-7486

Inspection Date: Nov. 1, 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 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Discussed with the provider: menu, emergency preparedness plan

Comments:

An unannounced renewal inspection was conducted on 11/01/2022 between the hours of approximately 11:25 a.m. and 1:15 p.m. There were 12 children present with the Provider and 2 assistants for a total of 29 points within the supervision guidelines. The children were observed playing outside, eating lunch and preparing for nap. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and caregiver records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. 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. Thank you for your cooperation. If you have any questions, please e-mail me at tameika.king@ doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment. Evidence: 1. The provider obtained results of fingerprinting after employing Caregiver #2 (start date: 06/21/2022). The fingerprinting results were dated 07/19/2022. 2. Caregiver #5 (rehire date: 10/17/2022) did not have valid results of fingerprinting on file before working at the family day home. 3. Caregiver #5 had fingerprinting results that were dated 08/07/2019. The provider stated that Caregiver #5 began a leave of absence from the family day home on 12/23/2020 and returned 10/17/2022. 4. The Background Checks for Child Welfare Agencies states that a background check remains valid at a facility if no more than 12 consecutive months have passed from when a person begins a leave of absence. Since more than 12 months passed during Caregiver #5?s leave of absence, the fingerprinting results on file are no longer valid and new fingerprinting results were required.
Plan of Correction:	I will have them get the fingerprints done again and will make sure everyone has them before they start.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and provider interview, an employee of the family day home was employed before the family day home received the person?s completed sworn statement or affirmation. Evidence: 1. Caregiver #2 (start date: 06/21/2022) was employed before the family day home received the Sworn Statement. The Sworn Statement dated 07/07/2022. 2. Caregiver #5 (rehire date: 10/17/2022) did not have a valid sworn statement or affirmation on file. 3. Caregiver #5 had a sworn statement dated 06/25/2019. The provider stated that Caregiver #5 began a leave of absence from the family day home on 12/23/2020 and returned 10/17/2022. 4. The Background Checks for Child Welfare Agencies states that a background check remains valid at a facility if no more than 12 consecutive months have passed from when a person begins a leave of absence. Since more than 12 months passed during Caregiver #5?s leave of absence, the Sworn Statement on file is no longer valid and a new Sworn Statement was required.
Plan of Correction:	I will have them complete it again and make sure everyone does it before they start.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination prior to a child?s attendance or within 30 days after the first day of attendance. Evidence: Child #1 (start date: 08/17/2020) did not have documentation of a physical examination on file.
Plan of Correction:	I will talk to the parents today.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (TB) Screening form. Evidence: The provider obtained a TB screening form for Caregiver #2 (hire date: 06/21/2022) after their hire date. The TB screening form was dated 07/27/2022.
Plan of Correction:	I will make sure everyone has it before they start.
Standard #:	8VAC20-800-170-B
Description:	Based on record review, not all Report of Tuberculosis (TB) Screening forms were completed within the last 30 days of the caregiver?s start date. Evidence: The TB screening form for Caregiver #5 (start date: 10/17/2022) was dated 12/08/2021.
Plan of Correction:	I will have them do it again and make sure everyone has it before they start.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas of the family day home, inside, were not maintained in a safe condition. Evidence: There was an electric kettle that contained hot water, plugged in and sitting on top of the microwave, in the room where children are changed. The cord was hanging off of the side of the microwave within reach of children.
Plan of Correction:	I will move it.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, caregivers did not ensure that children?s hands were washed with liquid soap and warm running water after diapering. Evidence: 1. Caregiver #3 did not ensure that Child #2?s hands were washed after diapering. 2. Caregiver #3 did not ensure that Child #4?s hands were washed after diapering. 3. Caregiver #3 did not ensure that Child #5?s hands were washed after diapering.
Plan of Correction:	Provider spoke to assistants during the inspection to remind them to wash all children?s hands.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: Caregiver #3 did not clean and sanitize the diapering surface after diapering Child #2, Child #4 and Child #5. Caregiver #3 was observed wiping the diapering surface with a baby wipe
Plan of Correction:	Provider spoke to assistants during the inspection and let them know that they will need to use a soap/water solution to clean the changing table instead of baby wipes.