VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Irma Puza
6913 Rolling Road
Springfield, VA 22152
(703) 505-2806

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: April 11, 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 ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

An unannounced monitoring inspection was conducted today between the hours of 9:30 am through 10:45 am. There were a total of seven children (16 points) observed with three caregivers. A total of six children's files and six staff/household member's files were reviewed. The children were engaged in the following: toy play, circle time, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, a criminal history check was not conducted every five years. Evidence: 1. Caregiver #1's record contained an expired fingerprint results report. Caregiver #1's record contained a fingerprint results reports dated 12/02/2020. Caregiver #1 confirmed that a new fingerprint search had not been conducted at the time of the inspection.
Plan of Correction:	The provider will schedule an appointment with Fieldprint to get new fingerprint results.
Standard #:	22.1-289.036-B-2
Description:	Based on record review and interview, a criminal history check was not conducted for a household member every five years. Evidence: 1. Household Member #1's record contained an expired fingerprint results report. The report was dated 04/02/2018. Caregiver #1 confirmed that a new criminal history check had not been conducted at the time of the inspection.
Plan of Correction:	The household member will schedule an appointment with Fieldprint to get new fingerprint results.
Standard #:	8VAC20-800-750-A
Description:	Based on observation and interview, four of four diaper creams did not have written parent authorization. Evidence: 1. Four of four containers of diaper cream did not have written parent authorization for Child #3, #4, #5, and #6. 2. Caregiver #1 confirmed that Child #3, #4, #5, and #6 did not have written parent authorization for the diaper creams.
Plan of Correction:	The provider will give the parents the diaper cream authorization form to complete.
Standard #:	8VAC20-800-830-C
Description:	Based on record review and interview, documentation was not maintained of emergency evacuation drills. Evidence: 1. Documentation of emergency evacuation drills were not maintained for the months of January, February, and March. 2. Caregiver #1 confirmed that the evacuation drills for the months of January, February, and March were completed, but the documentation was not completed.
Plan of Correction:	The provider will document the evacuation drill log to reflect the dates of the January, February, and March drills.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, bottles were not labeled with the child's full name and date. Evidence: 1. Three bottles of breast milk were located in the refrigerator without a child's name or current date.
Plan of Correction:	The bottles will be dated with the child's full name and date.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #2's record (Start date-02/03/2023) did not contain documentation of a physical examination.
Plan of Correction:	The provider will contact the parents to get a copy of the child's health examination.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-02/01/2023) did not contain the name, address, and phone number for a second emergency contact.
Plan of Correction:	The provider will get a second emergency contact and document the record.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the provider did not obtain for each caregiver and adult household member a current report of Tuberculosis(TB) Screening. Evidence: 1. Caregiver #1's record contained a TB screening that was expired. The TB screening was dated 12/02/2020. Caregiver #1 confirmed that a subsequent TB screening had not been completed at the time of the inspection. 2. Household Member #1's record contained a TB screening that was expired. The TB screening was dated 12/02/2020. Caregiver #1 confirmed that Household Member's subsequent TB screening had not been completed at the time of the inspection.
Plan of Correction:	The provider and the household member have appointments already scheduled for the tb screenings.