VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ryan Huaman
6660 Jefferson Avenue
Falls church, VA 22042
(703) 639-7367

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: April 25, 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

Technical Assistance:

Discussed moving of Changing area for better supervision Discussed annual training hours -16 hours per caregiver

Comments:

An unannounced monitoring inspection was conducted today from 9:15am-10:10am. There were 4 children for a total of 8 points directly supervised by 1 caregiver. The Provider returned within 15 minutes. Provider explained he recently had surgery and was at a post op visit. The home, 2 staff records, 4 children?s records, 1 household member?s record, evacuation drills, attendance, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and eating snack. There was an assortment of age appropriate materials for children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Cynthia Ford at Cynthia.ford@doe.virginia.gov or 703-479-4679.

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on review of 4 children's records, it was determined the Provider did not review annually with two parent s the emergency contact information to ensure information is correct and then obtain parent's signatures to acknowledge the review.
Plan of Correction:	I will update all the files
Standard #:	8VAC20-800-120-B
Description:	Based on record review of caregiver's 2 file, it was determined the file did not contain required information. Evidence: 1. Provider was not present at the start of the inspection. Household member stated Provider was at a post check up after having minor surgery. Caregiver #2 was present and Provider returned 15 minutes later . Provider stated he had to take some time off as he had surgery and Caregiver #2 was with the children. Provider stated he was out for Friday, April 21. 2. Caregiver's 2 record did not contain education documentation to verify that Caregiver #2 meets qualifications of a substitute. 3. File also did not contain record of date and time Caregiver acted as the substitute provider on April 21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	Based on review of children's records, it was determined parents were not provided with accurate information. Evidence: 1. Four children's records contain information stating the name of a substitute provider that may be used 2-3 hours a week. 2. The name of the substitute is a licensed Provider but the assistant has acted in the capacity of a substitute in the last week.
Plan of Correction:	I will correct the acknowledgement forms and have parents sign.
Standard #:	8VAC20-800-70-A
Description:	Based on review of children's records, it was determined parents were not provided with accurate information. Evidence: 1. Four children's records contain information stating the name of a substitute provider that may be used 2-3 hours a week. 2. The name of the substitute is a licensed Provider but the assistant has acted in the capacity of a substitute in the last week.
Plan of Correction:	I will put in education documentation and I will make sure substitute hours are documented at all times.
Standard #:	8VAC20-800-180-A
Description:	Based on review of household and staff records, it was determined the Provider did not obtain a current TB Screening form for himself or a household member every two years from the date of the first screening. Evidence: 1. Provider's last TB Screening is from March, 2020. 2. Household member's last TB Screening is from December, 2020.
Plan of Correction:	Will get both TB Screenings updated.
Standard #:	8VAC20-800-460-D
Description:	Based on record review of a household's pet , it was determined the Provider did not have documentation to verify pet is current with rabies vaccination. Evidence: 1. Provider had documentation for a household pet showing care but the form did not contain rabies vaccination.
Plan of Correction:	I will obtain the documentation and maintain the information.