VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Juliana Opoku
8222 McClelland Place
Alexandria, VA 22309
(703) 360-0088

Current Inspector: Tameika King (804) 629-7486

Inspection Date: May 8, 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 8VAC20-820 THE LICENSE. 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:

A new household member has recently moved into the residence. The Provider was reminded that background checks need to be completed for the resident within 30 days of becoming a household member. The next anticipated inspection will be the providers renewal inspection. Provider was reminded to have all renewal application documents submitted through the provider portal 45 days prior to expiration for processing. Links to the portal can be found on the VDOE website.

Comments:

An unannounced monitoring inspection was conducted today between 11:30am and 12:45pm. There were 5 children present with the Provider a total of 12 points within the supervision guidelines. The children were observed watching videos on their tablets and eating snacks. A complete inspection of the physical plant, children and staff records, menu, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review and interview, the Provider did not undergo subsequent background checks every five years. Evidence: The Providers most recent fingerprint background check is dated 3/12/2023. The Provider stated that they did not know that they needed to renew their fingerprint background check.
Plan of Correction:	I will make the appointment to do them again.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #4 (date of enrollment: 4/20/2022) file does not contain documentation of a physical exam.
Plan of Correction:	The parent has it. I will ask them to bring me a copy.
Standard #:	8VAC20-800-50-A
Description:	Based on record review the family day home does not keep a written record of children in attendance each day. Evidence: The most recent documented attendance for the family day home was dated 5/4/2023.
Plan of Correction:	I forgot on Friday. I'll do it.
Standard #:	8VAC20-800-50-C
Description:	Based on observation, information contained in a child's record shall be privileged and confidential. Evidence: The Supplemental Pages from the last two inspections which clearly state "DO NOT POST" were observed posted on the Providers wall.
Plan of Correction:	I won't post the next one.
Standard #:	8VAC20-800-90-A
Description:	Based on record review and interview, the provider did not obtain documentation of immunizations for each child prior to the first date of enrollment. Evidence: Child #4 (date of enrollment: 4/20/2022) record does not contain documentation of immunizations.
Plan of Correction:	The parent has it. I'll ask them to bring me a copy.
Standard #:	8VAC20-800-140-B-3
Description:	Based on record review and interview, the Provider does not have current certification in cardiopulmonary resuscitation (CPR). Evidence: The Providers CPR certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.
Plan of Correction:	I thought it expired in May. I'll call him today to get scheduled for a class this month.
Standard #:	8VAC20-800-140-B-4
Description:	Based on record review and interview, the Provider does not have current certification in first aid. Evidence: The Providers first aid certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.
Plan of Correction:	I thought it expired in May. I'll call him today to get scheduled for a class this month.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas of the family day home were not maintained in a clean and safe condition. Evidence: There were tissues, food wrappers, food crumbs and dirt debris on the floor in the children's play area. The children were observed sitting, playing and laying on the floors.
Plan of Correction:	I'll vacuum after they eat.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, hand washing requirements were not met. Evidence: Children were observed taking snacks (chips and graham crackers) out of their personal bags and eating the snacks on the Providers couch. The children's did not wash their hands prior to eating.
Plan of Correction:	I wasn't paying attention to them eating because you are here. I'll make them wash their hands.