VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Anh Chung
5020 Willowmeade Drive
Fairfax, VA 22030
(703) 585-2053

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: April 6, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussed the following topics with the provider: 1. Gate to access the pool is to remain locked at all times. 2. Standard 430: Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.

Comments:

An unannounced 60 day monitoring inspection was conducted today from 11:00am to 12:00pm during the conditional licensure period. There were 3 enrolled children and 4 resident children present (14 points) directly supervised by 3 staff. The home, 3 staff records, 4 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed eating lunch and playing in the backyard. There was an abundant supply of books, toys, and materials for the children. The program was clean and organized. Areas of non-compliance are identified on the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Soto at maria.soto@doe.virginia.gov or (571) 835-5058.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on record review, the family day home did not obtain a completed sworn statement or affirmation form from a staff member prior to employment. Evidence: Staff #2's (DOH: 1/20/2023) record does not contain a completed sworn statement or affirmation form.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, the provider did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #2's(DOH: 1/20/2023) record is missing two references, required prior to employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not all contain required information. Evidence: The records for Child #1, #2 and #3 were missing the address of the parents' place of employment and the address of two designated persons to contact in case of an emergency if the parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form documenting the absence of tuberculosis (TB) in a communicable form. Evidence: Staff #2's (DOH: 1/20/2023) record did not contain a TB screening report.
Plan of Correction:	Not available online. Contact Inspector for more information.