VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Zeinab Salem
305 Jade Court, NW
Vienna, VA 22180
(703) 762-6595

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Dec. 5, 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 Emergencies 8 VAC 20-800 Nutrition 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 63.2 Child abuse and neglect

Technical Assistance:

Discussion of TB documentation in regards to the health concerns of Household Member #3. Please obtain written documentation from their doctor to be placed on file stating the medical reason as a substitute for the TB documentation.

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 12/05/2022, between the hours of 9:30 am to 11:30 am. There were 9 children present (20 points), ranging from infant to preschool-age, with 2 caregivers supervising and 1 volunteer present. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 9 children records, 3 household records, and 2 staff records were reviewed. Information gathered during the inspection determined that there were (5) non-compliances with the applicable standards, and code. These violations were documented on the Violation Notice issued to the center or 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 #:	8VAC20-770-40-D-4-a
Description:	Based on review and interview, 1 of 3 Household records indicated that not all adult household members had a search of the central registry (CPS check) within 30 days of residing in the home. Evidence - 1. On the date of inspection (12/05/2022), a CPS check for Household Member #3 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that this adult Household Member moved into the home within the past year (more than 30 days).
Plan of Correction:	A CPS check shall be completed and the request sent for Household Member #3.
Standard #:	8VAC20-800-780-B
Description:	Based on review, 1 of 9 children files indicated that a review with the parent of the emergency contact information (required in 8VAC20-800-60 B 2) to ensure the information is correct had not been conducted within the past year. Evidence - 1. On the date of inspection (12/05/2022), it was determined that the last signed review of the emergency information for Child #2 was dated - 02/28/2021. 2. This signature and date appeared at the bottom of the Child's Record form for Child #2. Obtain the parent's signed acknowledgment of the review.
Plan of Correction:	The parent of Child #2 will review the listed emergency information and sign-off as an acknowledgement. Updates will be noted as needed.
Standard #:	8VAC20-800-60-B
Description:	Base on review, 1 of 9 children files indicated that not all of the required information was on file. Evidence - 1. On the date of inspection (12/06/2022), both the action for the listed allergy, and the policy number for the listed insurance policy for Child #8 were not available for review. 2. The start date for Child #8 was listed as 03/29/2021.
Plan of Correction:	All missing information will be obtained and placed on file for Child #8.
Standard #:	8VAC20-800-70-B
Description:	Based on review, 1 of 9 children files indicated that the Provider did not obtain the parent's written acknowledgement of the receipt of the information provided to them prior to the start of their child in care. Evidence - 1. On the date of inspection (12/05/2022), the Family Day Home (FDH) Policy for the Administration of Medication form for Child #7 was not signed by the child's parent. 2. The start date for Child #7 was listed as 11/15/2021.
Plan of Correction:	The unsigned documentation will be signed by the parent of Child #7, and then placed on file.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 9 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 (12/05/2022), the most current immunization documentation on file for Child #7 was dated - 05/23/2022. This documentation would have needed to be updated by 11/23/2022. 2. Based on information on file, on the date of inspection, Child #7 was under the age of two years.
Plan of Correction:	An updated immunization page will be obtain from the parent of Child #7, and then placed on file.