VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Huma Farrukh
15369 Tina Lane
Woodbridge, VA 22193
(703) 897-6379

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: May 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 8VAC20-800 Nighttime Care 8VAC20-820 The License 8VAC20-820 The Licensing Process 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Provided consultation on the following: 8VAC20-800-520A Children aged 5 years old should not be sleeping in a crib. Children should be transitioned out of cribs by 12 months old unless they are not developmentally ready.

Comments:

An unannounced renewal inspection was conducted on 05/15/2023 from 1:15pm to 2:45pm. There were 3 children ages 8 months to age 5 years old (8 points) with the Provider and 1 assistant. The programming area, attendance, outdoor playground area, menus, Provider, Assistant and Household member records, 1 child record, emergency drills, emergency supplies, and policies were reviewed. There were no child medications onsite. Children were observed participating in nap and eating. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 5/23/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and staff interview, the Provider did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The most recent licensing inspection of the family day home was not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-2
Description:	Based on review of 2 Caregiver records, the provider did not obtain documentation of the results of a national fingerprint background check prior to the first day of employment. Evidence: The record for Caregiver #2 (Date of Hire 4/15/23), did not contain documentation of a fingerprint background check completed prior to the first day of employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on review of a 2 Caregiver records, the Provider did not obtain documentation of a completed sworn disclosure statement for each Caregiver prior to date of hire. Evidence: The record for Caregiver #2 (date of hire 4/15/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of 2 Caregiver files, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment. Evidence: The record for Staff #2 (date of hire 4/15/23) did not contain documentation as of 5/17/23 that a central registry search was completed within 30 days of employment. There were no Central registry results in the file. No documentation of follow up was in the file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-730-D
Description:	Based on observation and interview with staff, the Provider did not ensure that medications, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1)The Provider had Insulin and Amoxicillin stored on the shelves in the door of the refrigerator that was not locked. 2)In the children?s program space in the basement, a bottle of Robitussin was sitting on a low shelf in an unlocked area where children play.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	Based on review of one child record, the provider did not conduct an annual review of children?s emergency contact information and the parent?s acknowledgment of the review. Evidence: The record for Child #1 did not contain documentation of an annual review of the children?s emergency contacts, nor did the records contain parent acknowledgment of the review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-A
Description:	Based on documentation and Provider interview, the Provider did not practice monthly emergency evacuation drills with the children in care. Evidence: The Provider provided documentation that there were no emergency evacuation drills completed in April 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-920
Description:	Based on documentation and provider interview, the provider did not have a documentation of a menu for the current one-week period. Evidence: During the inspection, the provider stated that they did not have a menu documented and ready for the day of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-A
Description:	Based on review of 2 Caregiver records and interview with the Provider, the Provider did not ensure they maintain a record for each caregiver. Evidence: There was no file onsite for Caregiver #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	Description: Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day. Evidence: 1)During the inspection in was determined there were 3 children present, but the written record reflected there were no children present on the day of inspection. 2)The Provider confirmed there was no documentation of a written attendance record completed for those children who attended on 5/11/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	Based on review of 1 child record, the Provider did not obtain required documentation of parental review of the Provider?s policies for administration of medications, whether or not the Provider maintains liability insurance, and the provisions of the family day home emergency preparedness and response plan. Evidence: The record for Child #1 did not contain documentation of parental review of the Provider?s policy for the administration of medications.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the Provider did not ensure that areas and furnishings of the family day home, inside and outside were maintained in a clean, safe and operable condition. Evidence: In the program space where the children play, there was food scattered on the floor that had not been cleaned up.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider did not cover all unused electrical outlets accessible to children under five years of age with child-resistant protective covers. Evidence: On the main level of the home in the living room area and in the kitchen area where children under the age of 5 were present, there were 3 unused outlets that were not covered.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, the Provider did not ensure that 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. Evidence: There was no barrier to block children under the age of 2 years old from climbing or descending stairs on the main level of the home where children were present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the Provider did not ensure that the diapering surface was nonabsorbent and washable. Evidence: During inspection, a hole was noticed in the diaper changing pad preventing it from being nonabsorbent and washable.
Plan of Correction:	Not available online. Contact Inspector for more information.