VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Helena Narisson
2841 Windsor Drive, Apt. 203
Falls church, VA 22042
(571) 723-5759

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: March 2, 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 8VAC20-770 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

Comments:

A monitoring inspection was initiated on 3/2/2023 and concluded on 3/2/2023. There were a total of 2 children ( 6 points) observed with 1 caregiver present. The children were coming back from the park upon the inspectors arrival. The home, 2 child records, 1 caregiver record, evacuation drills, attendance and emergency supplies were inspected. The provider stated she has never been informed about having a carbon monoxide detector but will purchase one immediately. The provider also stated that she does not use the mesh sided crib for any of the children, one child uses a cot the other sleeps in the crib where all the toys are stored. The inspector observed a towel rack that was broken off from the wall and the metal towel bars were laying on the bathroom floor. This was absently not discussed with the provider so not cited but the provider will repair the towel bars in the bathroom immediately. 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 Margaret.allworth@doe.virginia.gov or 703-209-3521.

Violations:

Standard #:	8VAC20-800-830-C
Description:	Based on a review of emergency evacuation drills, the provider has not maintained emergency evacuation and shelter in place drills. Evidence: There was no documentation that emergency drills or shelter in place drills have been conducted. The provider showed me the fire drill form where 1 fire drill was documented for 1/10/2023. The provider could not provide the inspector the drills from the past 6 months.
Plan of Correction:	I will conduct monthly fire drills and record them on the form that the inspector reviewed with me. Shelter in place drills will be completed 2 times a year and recorded on the same form.
Standard #:	8VAC20-800-50-A
Description:	Based on record review and provider interview, the provider is not keeping a written record of children's attendance each day. Evidence: There was no written record of attendance for the 2 children in care. There was no documentation of attendance for the month of March or February. The provider showed me an attendance record that had the 2 children written for 1 day in January.
Plan of Correction:	The inspector showed me how to take daily attendance, I will record the daily attendance on the form for each child.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of 2 children records, the provider has not obtained all the required information for each child in attendance. Evidence: Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of 2 emergency contact name, address and phone number. Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of proof of child's age and identity.
Plan of Correction:	The parent will provide the emergency contact information and proof of identity. I will write this information on the child registration form.
Standard #:	8VAC20-800-70-A
Description:	Based on a review of 2 children records, before the child's first day of attendance the provider has not obtained in writing whether or not their is liability insurance and provisions of the family day home emergency preparedness and response plan. Evidence: Child #1 and #2, first day of attendance 10/17/2022 does not have documentation that the parent has been provided information whether the provider has liability insurance. Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of the provisions of the family day home emergency preparedness and response plan.
Plan of Correction:	The parents will read and sign the liability insurance form and provisions of the emergency preparedness and response plan form, these forms will be placed in each of the child's record.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of 2 children records, the provider has not obtained documentation that the child has been adequately immunized before a child may attend the family day home. Evidence: Child #1, first day of attendance 10/17/2022, does not have documentation of immunization record.
Plan of Correction:	A copy of the child's immunization record will be put in the child's record.