VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Omayma Eltayeb
42828 Vestals Gap Drive
Broadlands, VA 20148
(703) 858-5535

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Dec. 12, 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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-820 HEARINGS PROCEDURES 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

Technical Assistance:

Discussed the requirements of background searches/results. No staff are permitted onsite without obtaining a criminal record result from the National Fingerprint search. Monthly evacuation drills are required to ensure that all staff and children are familiar with the emergency procedures and evacuation routes.

Comments:

An unannounced Monitoring Inspection was conducted today. A total of 8 children (21pts) with 2 staff were onsite. The Provider was present in the home but not in the programming area. The children had just finished lunch and was transitioning to nap time. Observation of both program rooms, crib room and bathroom was made. Home improvements such as flooring and new cabinetry was installed. The home was found maintained and organized. Observation of hand washing and diapering procedures were observed, improvements are necessary to ensure proper hygiene and cleanliness. No new cribs onsite, no medication needs at this time and no food allergies identified. A total of 4 children's records, all staff records that were available and current certifications were reviewed. This inspection occurred between 12pm and 2pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of recordation background checks were not obtained as required. Evidence: 1. Staff #2 began employment on 12/12/2022 results of a criminal record check has not been obtained. .
Plan of Correction:	All background checks will be requested immediately. This staff will no longer be present in the family day home until the results of the fingerprints are received. All background results will be forwarded to the Licensing Inspector for review within 1 week.
Standard #:	8VAC20-770-60-B
Description:	Based on review of recordation, background checks were not obtained as required. Evidence: Staff #2 start date was 12/12/2022, A Sworn Statement or affirmation was not obtained prior to the staff's first day.
Plan of Correction:	A sworn statement will be completed and signed immediately. The completed form will be forwarded to the Licensing Inspector for review.
Standard #:	8VAC20-800-830-A
Description:	Based on review of the family day home's evacuation drills, monthly drills were not conducted. Evidence: An evacuation drill was not conducted during the months of September and November 2022. This is a repeated issue from the March 2022 inspection.
Plan of Correction:	A fire drill will be completed this month and every month. Provider will determine a way to set a monthly reminder.
Standard #:	8VAC20-800-120-A
Description:	Based on review of staff records, one record was not maintained. Evidence: A record was not found for Staff #2.
Plan of Correction:	A record will be established and all required information will be obtained in the record.
Standard #:	8VAC20-800-120-B
Description:	Based on review of staff records, records were incomplete. Evidence: The following information was not obtained for Staff #2 who started on 12/12/2022: Two references, age verification, address, emergency contact, date of employment, job title, background checks and experience/education,
Plan of Correction:	A record will be established and all required information will be obtained in the record.
Standard #:	8VAC20-800-280
Description:	Based on observation of the programming space, a hazardous substance was accessible to children. Evidence: A sanitizing product was found on a shelf on the right side of the door leading to the crib room.
Plan of Correction:	This was removed and moved to an area out of reach.
Standard #:	8VAC20-800-290
Description:	Based on observation of the programming space, sharp objects were accessible to children in care. Evidence: A pair of adult scissors and a box of tacks were found inside drawers located to the right of the sink in the main programming room.
Plan of Correction:	Both these items were moved to a cabinet above the counter.
Standard #:	8VAC20-800-680-A
Description:	Based on observation of diapering procedures, hand washing did not occur. Evidence: 1. Staff #2 failed to wash their hands after diapering a child. 2. Staff #2 was observed wearing the same gloves used to diaper a child and proceeded to open the exterior door of the home to dispose of a diaper. 3. Staff #2 was observed changing another child's diaper without washing hands and changing gloves worn to diaper another child.
Plan of Correction:	This staff will be trained on the handwashing requirements.
Standard #:	8VAC20-800-680-B
Description:	Based on observation of diapering procedures, staff failed to ensure children's hands were washed. Evidence: Staff #2 did not ensure that Child #2 and child #8's hands were washed after diaper changing.
Plan of Correction:	This staff will be properly trained on handwashing procedures.
Standard #:	8VAC20-800-690-D
Description:	The diapering surface used was not non-absorbent. Evidence: 1. Staff #2 was observed changing a child's diaper. The diapering surface used was made of cloth. A barrier from the child and the cloth was not found. 2. Staff #2 failed to clean and sanitize the diaper surface between two children's diaper changes.
Plan of Correction:	We will always use a barrier that can be disposed of or obtain a non-absorbent surface that can be cleaned and sanitized after each use. The staff will be trained on the proper diapering procedures.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation of the family day home, the findings of the most recent inspection was not found Evidence: The March 2022 inspection findings were not maintained in the family day home.
Plan of Correction:	We will establish a staff record for this staff.