VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Ligia Pavon
2113 Patrick Street
Woodbridge, VA 22191
(703) 398-2836

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Jan. 26, 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 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes 8VAC20-820 The License 8VAC20-820 The Licensing Process 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

1. FIles and recordkeeping needs to be better organized, which may help with overall compliance. 2. No caregiver can be employed prior to obtaining the sworn disclosure and the fingerprint background checks. 3. Pillows when used for children over 2 shall be assigned for individual use and covered with pillow cases. 4. Chairs should not be stored in the cribs used by the children.

Comments:

An unannounced renewal inspection was conducted today from 12:30 pm to 2:15 pm with the substitute provider and an assistant. Eight children, ranging in age of 13 months to 4 years were present during the inspection. The children were napping during the inspection. There were no medications on site and the caregivers reported there have been no injuries/accidents requiring documentation. Eight children and six caregiver/household member's files were reviewed today. The areas of non compliance are outlined on the violation notice.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on observation and interview, it was determined that one staff did not have the fingerprint background checks prior to employment. Evidence: Staff A was caring for the daycare children but there was no fingerprint background check on file. There was no information provided as to staff A's date of employment however interview revealed it has been intermittently and over a month.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on observation and interview, it was determined that there was no sworn disclosure background check on file prior to employment for staff A. Staff A was providing care to the children during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on observation and interview, it was determined that staff A did not have a central registry finding on file within 30 days of employment. Although there was no date provided as to staff A's employment date, interview revealed that staff A has been helping in the family day home intermittently and over a month.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	Based on a review of children's files, it was determined that the provider has not obtained annual updates on emergency contacts to include the parent's signed acknowledgement of the updates for 3 children. Evidence: 1. Child B enrolled in 12/21, child C enrolled in 9/20 and child D enrolled in 8/21. There was no documentation that updated information had been obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-B
Description:	Based on a review of the children's files, it was determined that child E did not have a physical on file within 30 days of enrollment. Child E enrolled on 9/20/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-A
Description:	Based on interview, observation and a review of documentation, it was determined that there was no file on staff A, who was present and providing supervision and care to the children during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	Based on observation, interview and a review of the attendance log, it was determined that the family day home did not have an accurate written record of children in attendance each day. Evidence: Interview and observation revealed that there were 8 children present however there were only 7 children on the attendance log.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of 8 children's files and interview with the staff, it was determined that there were missing components in the children's files. Evidence: 1. Child A did not have an enrollment date. 2. Child B did not have the name of their physician. Child B enrolled on 12/1/21. 3. Child E did not have the address of their physician on file at the time of enrollment. Child E enrolled on 9/20/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-140-D
Description:	Based on interview and observation, it was determined that the substitute provider ( Staff B) was present for the entire week as the provider was on vacation. There was no record maintained as to the time of arrival and departure each day that the substitute provider worked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of files and interview, it was determined that Staff C's tuberculosis test has not been updated every two years. Staff C's tuberculosis test is dated 1/29/20.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, it was determined that the family day home was not maintained ina clean and operable condition. Evidence: The Licensing Inspector observed in the bathroom used by the children a missing covering for the baseboard heating unit, which exposed the heating element and pipes.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation, it was determined that hazardous substances were accessible to the children. Evidence: The Licensing Inspector (LI) observed a can of disinfectant spray on the shelf in the main room and an all purpose cleaner on a shelf near the tv. These cleaning agents were in reach of the children.
Plan of Correction:	Not available online. Contact Inspector for more information.