VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mary Ugarte
187 Alpine Drive
Leesburg, VA 20175
(703) 581-0248

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Jan. 10, 2023

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 8VAC20-770 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:

We discussed caregiver forms and where to find the model forms. We visited the website to see the forms and printed out background check forms.

Comments:

A monitoring inspection was conducted on 1/10/2023. There were a total of 8 children (21 points) observed with 3 caregivers present. The children were engaged in the following: playing outside and diapering procedures. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 5 child records and 5 caregiver/household member 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. Please contact me if you have any questions at Ariel.Hayes@doe.virginia.gov or 804-629-7124.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of caregiver files, all employees did not submit to fingerprinting background check in accordance with subdivison B prior to employment. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have fingerprinting results on file during the inspection.
Plan of Correction:	We will schedule fingerprints for her.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of caregiver files, all employees did not complete a sworn statement or affirmation prior to becoming employed. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a sworn statement on file during the inspection.
Plan of Correction:	She will fill out a sworn statement.
Standard #:	8VAC20-800-830-C
Description:	Based on a review of the family day home and provider interview, documentation was not maintained of emergency evacuation and shelter-in-place drills. Evidence: There was no drill log available during the inspection. The provider confirmed that they have completed the drills but they could not find the log that contained documentation.
Plan of Correction:	I will print a new form and look for the old form. I will make sure not to misplace the documentation.
Standard #:	8VAC20-800-120-A
Description:	Based on a review of files, 1 of 3 files indicated that the provider did not maintain a record for each caregiver. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a file available during the inspection.
Plan of Correction:	I will get the file for the employee.
Standard #:	8VAC20-800-120-B
Description:	Based on a review of caregiver files, assistants' records did not contain the required information. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have references available during the inspection.
Plan of Correction:	I will get references.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of child files, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #8 did not have a file available during the inspection.
Plan of Correction:	I will get an up to date file for the child.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of child files, a child's record did not contain the required information. Evidence: Child #1 was missing 1 of 2 emergency contacts. Child #8 was missing 2 of 2 emergency contacts.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of child files, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia. Evidence: Child #8 (start date 1/6/2023) did not have immunizations on file during the inspection.
Plan of Correction:	I will have the mom fill out emergency contact.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of caregiver files, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have documentation of a Tuberculosis test/screening during the inspection.
Plan of Correction:	I will have her get the TB test.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of caregiver and household members the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician. Evidence: 1. Caregiver #1 had a Tuberculosis test dated 09/16/2018. 2. Household member #1 had a Tuberculosis test dated 9/26/2018.
Plan of Correction:	I will schedule TB tests today.