VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kawthar Abdulla
13629 America Drive
Bristow, VA 20136
(571) 535-9105

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: March 29, 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 NIGHTIME CARE 8VAC20-820 THE LICENSE 8VAC20-700 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS; CARBON MONOXIDE

Comments:

An unannounced monitoring inspection was conducted from 12:30 pm - 1:45 pm. There were 9 children in care with the provider and one assistant for a total of 26 points. The children were observed resting. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 child records and 2 staff records were reviewed. 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. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.allen@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on interviews it was determined that a determination letter based on fingerprinting was not provided for staff before the first day of employment. Evidence: There was no determination letter based on fingerprinting on file for staff A. (start date: 02/13/2023)
Plan of Correction:	A determination letter based on fingerprinting will be obtained for staff A.
Standard #:	8VAC20-770-60-B
Description:	Based on interviews it was determined that a sworn statement or affirmation was not obtained for staff. Evidence: There was no documentation present that a sworn statement or affirmation was obtained for Staff A. (start date: 02/13/2023)
Plan of Correction:	A sworn statement will be obtained for staff A and submitted to the file.
Standard #:	8VAC20-770-60-C-2
Description:	Based on interviews it was determined that not all staff records contained documentation of a central registry check on file within 30 days of employment. Evidence: There was no documentation present that a central registry check was obtained for staff A (start date: 02/13/2023)
Plan of Correction:	A central registry check will be obtained for Staff A and submitted to the file.
Standard #:	8VAC20-800-920
Description:	Based on observation and interviews it was determined that a weekly menu was not available. Evidence: The weekly menu was not available for review during the inspection, nor was one provided to the parents.
Plan of Correction:	A menu will be created and posted in a place visible to parents.
Standard #:	8VAC20-800-120-A
Description:	Based on interviews it was determined that the provider failed to maintain a record for each caregiver. Evidence: There was not a staff record available for review during the inspection for Staff A. (start date: 02/13/2023)
Plan of Correction:	A record will be created and obtained for Staff A.
Standard #:	8VAC20-800-50-A
Description:	Based on interviews it was determined that a written record of children in attendance was not kept each day. Evidence: There was not a written record of attendance available during the inspection.
Plan of Correction:	A written record of children in attendance will be kept daily.
Standard #:	8VAC20-800-170-A
Description:	Based on interviews it was determined that the provider failed to obtain a TB screening for staff before coming into contact with children. Evidence: Staff A (start date: 02/13/2023) did not have documentation of a TB (tuberculosis) screening on file.
Plan of Correction:	Staff A will obtain a TB screening and submit the results to the provider for their file.
Standard #:	8VAC20-800-200-A
Description:	Based on interviews it was determined that the provider failed to orient staff by the end of their first week of assuming job responsibilities. Evidence: There was no documentation present that orientation training was conducted for staff A (start date: 02/13/2023).
Plan of Correction:	Orientation training will be conducted with staff A and documented for their file.
Standard #:	8VAC20-800-510-A
Description:	Based on observation and interview it was determined that an individual crib was not assigned for each child. Evidence: Child B (Age 4 Months) was observed sleeping in a swing which was reported to be the child's designated sleep space.
Plan of Correction:	A crib will be assigned for child B.
Standard #:	8VAC20-800-520-C
Description:	Based on observation and interview it was determined that not all requirements for cribs were met. Evidence: Child A (Age 3) was observed sleeping in a portable crib that had mesh siding.
Plan of Correction:	Children will not be permitted to sleep in the portable crib.