VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Milvia Santillan
204 N. Furman Street
Alexandria, VA 22304
(703) 855-6926

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: March 15, 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:

The emergency preparedness plan and medication authorization model forms will be emailed as a resource. 2 cribs were inspected and met the CPSC guidelines/ manufactured on 02/10/2022. Additional cribs were observed disassembled and will be disposed of. You are reminded those cribs are not to be used for children in care. Discussed the Conditional licensing period of 6 months, a follow up inspection during the first 2 months of operation and a full renewal at the end of the 6 month licensing period. A review of the local Fire Marshall's inspection was completed. One smoke detector in the home at this time. Discussed the recommendation to place a smoke detector on each level of the home. Please contact your assigned Licensing Inspector once all background search results are received. The issuance of the license will remain pending until verification of required background checks are completed.

Comments:

An unannounced Initial Inspection was completed today. Two children (5points) with the Applicant was present during the inspection. The children were napping in cribs on the lower level of the home which is the main programming space. The space was furnished with toys and equipment that were determined age appropriate for the children that are currently in care. A walk thru of all 3 levels of the home was made and the back deck and backyard. No food allergies identified at this time, some medication onsite and were reviewed along with topical ointments. Recordation was found organized. Both children's records, applicant and 4 household member records were reviewed. The applicant is currently a Subsidy Vendor and has a general understanding on maintaining records for children and staff. This inspection occurred between 12pm and 2:20pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions or concerns.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on review of household records, a fingerprint background search was not completed. Evidence: Household #2 has not had a fingerprint background search request completed.
Plan of Correction:	All background checks will be completed and provided to the Licensing Inspector for review within 10 working days.
Standard #:	22.1-289.058
Description:	Based on observation of the family day home, the home was not equipped with at least one carbon monoxide detector. Evidence: A carbon monoxide detector was not found in the family day home.
Plan of Correction:	I will purchase a carbon monoxide detector.
Standard #:	8VAC20-770-40-C-1-a
Description:	Based on staff record review, one background check was not maintained. Evidence: A Central Registry search result has not been obtained for the Applicant.
Plan of Correction:	All background checks will be completed and provided to the Licensing Inspector for review within 10 working days.
Standard #:	8VAC20-770-40-C-1-c
Description:	Based on review of records for household members, background checks were not obtained upon application for licensure. Evidence: Central Registry results were not obtained for household members #1, 2 and 3.
Plan of Correction:	All background checks will be completed and provided to the Licensing Inspector for review within 10 working days.
Standard #:	8VAC20-770-40-C-1-c
Description:	Based on review of household records, a background check was not completed. upon licensure as a family day home. Evidence: Household member #2 has not completed a Sworn Statement.
Plan of Correction:	All background checks will be completed and provided to the Licensing Inspector for review within 10 working days.
Standard #:	8VAC20-770-40-D-5-a
Description:	Based on review of household records, background check was not obtained. Evidence: A Central Registry search result was not obtained for Household member #4.
Plan of Correction:	All background checks will be completed and provided to the Licensing Inspector for review within 10 working days.
Standard #:	8VAC20-800-700-C
Description:	Based on review of children's medications onsite, authorizations for medication were not renewed. Evidence: Child #1 and #2 have medications onsite. The parent authorizations have expired and have not been renewed.
Plan of Correction:	New medication authorizations will be completed for both children.
Standard #:	8VAC20-800-810
Description:	Based on review of the evacuation procedures, evacuation routes were not found. Evidence: The provider's emergency preparedness plan and posted evacuation plan did not include primary and secondary evacuation routes.
Plan of Correction:	The map was updated to include primary and secondary routes along with the shelter in place area.
Standard #:	8VAC20-800-170-A
Description:	Based on record review for household members, a TB screening was not obtained. Evidence: Household members #1, 2 and 3 have not had a TB risk assessment completed.
Plan of Correction:	TB screening appointments are scheduled for 3/24/23.
Standard #:	8VAC20-800-240-A
Description:	Based on observation of the family day home, areas and furnishings were not maintained in a safe condition. Evidence: 1. Splintered wood, and metal gardening equipment with sharp points were laying in the backyard and accessible to children. 2. An area under the deck was open and accessible to children in care. 3. Bookshelves approximately 4 feet in height located downstairs in the program area were not anchored to the wall and presented a hazard to children.
Plan of Correction:	The wood will be removed and taken to the recycle place. The rest of the hazards will be removed from the yard.
Standard #:	8VAC20-800-320-B
Description:	Based on observation of the family day home, child-resistant protective covers were not installed on all unused electrical outlets that are accessible to children under five years of age. Evidence: 1. Protective covers were not installed in all electrical outlets located on the main floor of the family day home. 2. The main floor of the family day home is accessible to children.
Plan of Correction:	All outlets were covered with outlet covers. A picture was provided to the inspector.
Standard #:	8VAC20-800-320-H
Description:	Based on observation of the family day home, flammable materials were found in an area accessible to children. Evidence: 1. Aerosol cans were found in an outdoor shed located in the backyard. This shed was unlocked and accessible to children. 2. Paint cans were found in a closet located on the main level of the home. This closed was unlocked and accessible to children.
Plan of Correction:	All hazardous things will be stored in an area not accessible to children.
Standard #:	8VAC20-800-430-A
Description:	Based on observation of the family day home, children under the age of 2 have access to stairs. Evidence: 1. The stairs located from the backyard play area leading to the basement is accessible to children. 2. The stairs located on the main level leading to the upstairs is accessible to children.
Plan of Correction:	Gates will be purchased and installed in both of these areas.