VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shalla Flores
3425 West Ox Road
Herndon, VA 20171
(703) 860-3939

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: May 1, 2023

Complaint Related: No

Areas Reviewed:

8 VAC 20-800 Administration 8 VAC 20-800 Personnel 8 VAC 20-800 Household Members 8 VAC 20-800 Physical Health of Caregivers and Household members 8 VAC 20-800 Caregiver Training 8 VAC 20-800 Physical Equipment and Environment 8 VAC 20-800 Care of Children 8 VAC 20-800 Preventing the Spread of Disease 8 VAC 20-800 Medication Administration 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 8 VAC2 0-820 THE LICENSE 8 VAC 20-820 THE LICENSING PROCESS 8 VAC 20-770 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:

Discussion that the eldest child will turn 18 years of age later this year and will need a FPC, a SDS, and TB documentation on file a month prior to becoming an adult. Discussion that the Provider has obtained PMAT certification in April of this year (2023).

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 05/01/2023, between the hours of 10 am to 12 pm. There were 7 children present (20 points), ranging from infant to preschool-age, with 2 caregiver supervising. 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 9 children records, 2 staff files, and 2 household records were reviewed. Information gathered during the inspection determined that there were (4) non-compliances with the applicable standards, and code. These violations were documented on the Violation Notice issued to the home. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on review, 2 of 2 staff files indicated that it has been more than fire years since documentation was obtained through OBI in regards to a Fingerprint Check (FPC). Evidence - 1. On the date of inspection (05/01/2023), the current FPC on file for on site caregivers were dated: Staff #1 (dated - 03/06/2018), and Staff #2 (03/22/2018). 2. The Provider confirmed this finding on the date of inspection.
Plan of Correction:	Both FPC will be obtained and placed on file.
Standard #:	8VAC20-800-70-A
Description:	Based on review, 9 of 9 children files indicated that not all of the required documentation was on file within each child's file. Evidence - 1. On the date of inspection (05/01/2023), the Policy for the Administration of Medications form was not available for: Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, and Child #9. The Provider stated that she is just obtained PMAT certification and wanted the new forms to reflect this. 2. On the date of inspection, the Provisions of the Emergency Preparedness and Response Plan form was not available for: Child #3. 3. A completed Information for Parents form was not available for: Child #6 (the form itself was on file, but not signed by the parent of Child #6).
Plan of Correction:	This form will be completed and placed on file.
Standard #:	8VAC20-800-80-B
Description:	Based on review, 3 of 9 children files indicated that a signed acknowledgement by the Provider of having viewed each child's Proof of Identification was not available. Evidence - 1. On the date of inspection (05/01/2023), a proof of identification (viewed by the Provider) was not verified for: Child #3 (start date - 09/06/2022), Child #6 (start date - 09/22/2022), and Child #7(start date - 02/27/2022). 2. Both Child #6 and Child #7 were on site during today's inspection. Child #3 was not.
Plan of Correction:	The Proof of Identification will be viewed and documented for all children.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for any child under the age of two years. Evidence - 1. On the date of inspection (05/01/2023), the last updated immunization page on file for Child #6 was dated - 09/09/2022. 2. On the date of inspection (05/01/2023), Child #6 was under the age of 2 years.
Plan of Correction:	An updated immunization page will be obtained and placed on file.