VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elizabeth Houde
17006 Lakewood Court
Purcellville, VA 20132
(540) 338-4807

Current Inspector: Lisa Hudson (571) 389-2459

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 8VAC20-800 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 online provider portal with the provider. Discussed best practice regarding resilient surfacing and the trajectory of fall zones.

Comments:

An unannounced Renewal inspection was conducted this date. A total of 11 children (29pts) with the Provider and 1 Assistant was onsite today. The children were having lunch at the beginning of the inspection. Younger children were secured in high chairs and the older children were sitting calmly at the table. One infant was observed napping in a nearby crib and another infant was being held by one staff. Lunch today consisted of fish sticks, french fries, blueberries and strawberries with milk to drink. Cookies were offered after lunch. Ample amount of food to provide second helpings if requested. Walk through of all 3 levels of the home was conducted. All cribs were observed. Mulch was recently delivered for the outside play areas. After lunch, hand washing procedures were observed and the children transitioned to nearby toys to play with under the supervision of the assistant, while the provider guided the children in small groups to their nap areas. A total of 4 children's records, both staff and 1 household record was reviewed. The previous violations found during the November inspection were reviewed and corrective actions were verified. This inspection occurred approximately between 11:50am and 1:30pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on child record review, documentation of one physical examination was not obtained within 30 days of a child's attendance. Evidence: Child # 2 started care on 12/07/2022. Documentation of a physical examination has not bee obtained.
Plan of Correction:	The parent will provide a completed health exam within one week.
Standard #:	8VAC20-800-90-A
Description:	Based on child record review, documentation that a child has been adequately immunized was not obtained before one child began care. Evidence: Child #2 began care on 12/07/2022. Documentation of immunizations was not obtained until 12/19/2022.
Plan of Correction:	I will require that parents provide a copy of immunizations before the child begins.
Standard #:	8VAC20-800-250-C
Description:	Based on observation of the cribs, items were found across the top and hung from the sides of one crib. Evidence: Child #1 (9 months) was observed sleeping in a crib that had a mobile hanging form the top of the crib and a toy which was hanging on one of the sides of a crib.
Plan of Correction:	I will remove these items from the crib today.
Standard #:	8VAC20-800-530-F
Description:	Based on observation of cribs, a soft toy was found inside one crib. Evidence: A stuffed animal was found in a crib occupied by Child #1.
Plan of Correction:	I will remove this toy today.