VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chandu Guddeti
2502 Moon Drive
Falls church, VA 22043
(571) 748-7771

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: May 26, 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:

1. Reviewed the labeling of individual diaper creams. 2. The inspector will provide training resources, a diapering signage, and model forms.

Comments:

An unannounced renewal inspection was conducted at 10:00am. Observed 7 children totaling 21 points with 2 caregivers. Ratios and supervision were in compliance. Children were playing with toys, eating a morning snack of apples, graham crackers and milk, and having diapers changed during the inspection. The caregivers were promptly tending to the needs of the children. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-800-B
Description:	Based on records reviewed, the provider did not ensure that the emergency plan was updated and reviewed at least annually. Evidence: 1. The emergency plan was last reviewed 11/30/16. 2. The address for the relocation site was inaccurate in the emergency plan and had reportedly changed.
Plan of Correction:	The provider said she will review and update the emergency plan as required. 1. The emergency plan was reviewed on 5/30/23. 2. The address for the relocation site is corrected in the emergency plan.
Standard #:	8VAC20-800-60-B
Description:	Based on records reviewed, the provider did not ensure that 1 of 4 children's records contained required information. Evidence: The record for Child #8 did not have documentation for 1 of 2 emergency contact persons to include name, address and phone number; and the medical insurance policy number. Both of these areas of the form were left blank.
Plan of Correction:	The provider said she will notify the parents of the missing information and have them complete the forms.
Standard #:	8VAC20-800-210-A
Description:	Based on records reviewed and interview conducted, the provider did not ensure that a caregiver obtained a minimum of 16 hours of annual training. Evidence: The record for Caregiver #2 showed no training hours. It was reported that Caregiver #2 began working "during the pandemic" and no training hours had been recorded.
Plan of Correction:	The provider said that Caregiver #2 often listened to the trainings she took, but that there was no documentation of such. She said Caregiver #2 would complete as much training as possible by 6/6/23 and documentation of the training would be forwarded to the inspector.
Standard #:	8VAC20-800-680-A
Description:	Based on observations made, a caregiver did not ensure that their hands were washed with soap and water after changing diapers. Evidence: Caregiver #1 did not wash their hands after changing a child's diapers, and after the diaper change proceeded to help another child get out of a highchair and tidy up. The caregiver touched a child, a sippy cup, a high chair and other surfaces in the daycare without first washing their hands.
Plan of Correction:	The provider will wash their hands after diaper change. The provider will wash hands after each diaper change proceed with other jobs. [sic]
Standard #:	8VAC20-800-680-B
Description:	Based on observations made, caregivers did not ensure that children washed their hands with soap and water at required times. Evidence: 1. Children were served the morning snack without first washing their hands. After the inspector mentioned this to the caregivers, Caregiver #1 wiped each child's hands with the same wet washcloth. 2. 4 children did not have their hands washed after having their diaper changed. After the diaper change they were placed on the floor to play.
Plan of Correction:	The provider is washing their hands before and after every meals and snack, and also will wash their hands after diaper changed. [sic]
Standard #:	8VAC20-800-690-D
Description:	Based on observations made, the provider did not ensure that the diapering surface was cleaned with soap + water and sanitized with bleach + water after each use. Evidence: 1. A total of 4 children had their diapers changed and the diaper pad was not cleaned or sanitized after each child was changed. 2. When the inspector mentioned this to the caregivers, Caregiver #1 sprayed the diaper pad with a cleaning solution, but it was not first cleaned with soap + water.
Plan of Correction:	The provider will clean the diaper surface with soap and water and sanitization with bleach pluse water after each use. The provider will follow the steps for cleaning + sanitizing the diaper changin surface. [sic]
Standard #:	8VAC20-800-690-E
Description:	Based on observations made, the provider did not ensure that soiled diapers were disposed of in such a way that neither the caregiver's hand nor the soiled diaper touches the exterior surface of the foot operated trash can. Evidence: 1. The foot operated trash can was positioned in a corner between furniture that prevented caregivers from opening the can with their feet. 2. Caregiver #1 opened the trash can by lifting the lid by hand and disposing the diapers in that way.
Plan of Correction:	The furniture was moved allowing the trash can used for diaper disposal to be opened/operated by foot.