VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hilda Bustamante
1531 Coat Ridge Rd.
Herndon, VA 20170
(703) 409-8222

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: March 23, 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 8VAC20-820 THE LICENSE 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 with the Provider: Capacity, annual training, and outdoor resilient surfacing.

Comments:

An unannounced monitoring inspection was conducted on 3/23/2023 from 9:45 am-11:00 am. There were 13 children (28 points) directly supervised by 3 caregivers. The home, 3 caregiver records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. The children were observed playing outside. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kristy Atanackovic at kristy.atanackovic@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-810
Description:	Based on record review and interview, the family day home evacuation procedures did not include a designated relocation site. Evidence: A designated relocation site was not included in the family day home's emergency preparedness and response plan.
Plan of Correction:	I will put the address on the form and have the parents' initials and will add the relocation site to the emergency prep and response plan today.
Standard #:	8VAC20-800-830-C
Description:	Based on record review and interview, documentation was not maintained of emergency evacuation drills. Evidence: There was no documentation of emergency evacuation drills from 9/2022-12/2022.
Plan of Correction:	Moving forward, I will keep it with my other files.
Standard #:	8VAC20-800-40-A
Description:	Based on observation and interview, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. On 3/23/2023, at 9:45 am, there were 13 children present in the direct care of 3 staff members. 2. The license allows for a capacity of 12.
Plan of Correction:	I will talk with the parents today 3/23/2023 that they will need to move to keep me in my 12 capacity.
Standard #:	8VAC20-800-50-A
Description:	Based on record review and interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. Attendance sheets were reviewed at 9:53 am during the time of the inspection. 2. There were 13 children present but only 12 were checked in on the attendance sheet. 3. Child #1 was not checked in on the attendance sheet at the time the inspector reviewed it.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-800-80-A
Description:	Based on record review and interview, proof of identity was not obtained within 7 days. Evidence: Child #1 does not have signed documentation of viewing the proof of identity for the child. The start date for child #1 is 2/13/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the provider failed to post on the premises the most recent inspection of the home. Evidence: The provider did not post all required pages of the most recent home inspection. The inspection summary was posted, but the violation notice was not.
Plan of Correction:	I will put it up on the board by tomorrow 3/24/2023.