VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cintia Alvarado
7832 Martha Washington Street
Alexandria, VA 22309
(703) 660-6914

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: April 12, 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. 8VAC20-820 THE LICENSING PROCESS. 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 renewal inspection was conducted on April 12, 2023 between 10:15am and 1:00pm. There were 5 children present with 2 caregivers supervising for a total of 11 points within the supervision guidelines. The children were observed playing with various age-appropriate toys, handwashing, and eating lunch. Positive interactions were observed during this inspection. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programing, evacuation drills log, menu, first aid supplies, attendance, child and caregiver records, and emergency procedures. No medication on sight. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the programs. If you have any questions regarding this inspection, contact sheila.nelson@ doe.virginia.gov. Thank you for your cooperation. Sheila Nelson License Inspector Virginia Department of Education Office of Child Care Health & Safety Division of Early Childhood Care & Education 804-629-7489

Violations:

Standard #:	22.1-289.036-A
Description:	Based on record review and interview, it was determined that the applicant and one adult living in the family day home did not have a repeat background check every five years. Evidence: 1. Caregiver #1 central registry expired on 01/16/2023. 2. HHM #1 central registry expired on 01/19/2023. 3. The provider acknowledged the central registry had expired on both persons.
Plan of Correction:	I didn't realize the wrong form was submitted back in March 2023. I will submit a new request search tonight.
Standard #:	8VAC20-800-780-B
Description:	Based on record review, it was determined the provider failed to annually review with the parent the emergency contact information to ensure the information is correct. Evidence: 1. Child #1 last documented review on the emergency contact information was 1/4/2020. 2. Child #2 last documented review on the emergency contact information was 7/7/21. 3. Child #3 last documented review on the emergency contact information was 06/15/2020
Plan of Correction:	I will review the information with the parents tonight at pick-up.
Standard #:	8VAC20-800-210-A
Description:	Based on record review and interview, the caregiver did not obtain a minimum of sixteen (16) clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #2 did not have documentation of 16 hours of annual training. The caregiver had a total of 3 three hours of annual training. 2. The provider acknowledged caregiver #2 had not completed 16 hours of annual training.
Plan of Correction:	I will have the caregiver complete some training today and will complete all sixteen hours by May 2023.
Standard #:	8VAC20-800-340-C
Description:	Based on observation, disposable towels were not used in the bathroom. Evidence: 1. Caregiver #2 dried three (3) children's hands (Child #1, #4 and #5) with the same cloth after their hands were washed. 2. There were no disposable paper towels seen in the bathroom.
Plan of Correction:	I had disposable towels in the closet but I will speak to my caregiver. I will ensure disposable towels are used in the future.