VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Omayma Eltayeb
42828 Vestals Gap Drive
Broadlands, VA 20148
(703) 858-5535

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: June 21, 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 legislation recently passed pertaining to maintenance of epinephrine in licensed programs. State Regulations will need to be amended to include this legislation prior to being enforced. Training curriculum and resources in Spanish will be forwarded to the provider. Discussed appropriate locking mechanisms for drawers containing sharp objects to ensure the safety of children in care. Reviewed the proper protocol for sanitizing table tops which include a two step process of: 1. soap and water 2. bleach and water spray and allow to air dry Discussed the new online provider portal which is required to submit the renewal application for your license which expires in September 2023. Please ensure detailed documentation for annual staff training is maintained for review at the next licensing inspection.

Comments:

An unannounced Monitoring inspection was conducted today. A total of 12 children (29points) with the Provider and 2 Assistants were present during the inspection. The children were seated at the tables at the beginning of the inspection eating lunch. Lunch was Kochery, which is a native dish, mandarin oranges and milk to drink. The children were observed sitting quietly and eating. Ample amounts were available for second helpings which some children requested. A nice transition was observed from the lunch tables to washing hands. One child was observed being held by one assistant while being bottle fed. The children sat on the carpet after lunch and watched a short children's program before transitioning to nap time. Observation of both programming rooms, bathroom, guest room and crib room was made. The home was found clean and organized. Crafts completed by the children this were drying. Holiday crowns were completed which were red, white and blue, similar to the Statue of Liberty. A sail boat was also on display which were made from recyclables such as paper towel holders. Positive interaction was observed between the children and the children and staff. No medication needs identified at this time and only 1 topical ointment onsite which was reviewed. No new staff hired since the last inspection. Both assistant records, Provider and household records were reviewed and found complete. All background checks remain current. The Provider no longer administers medication and did not renew the MAT certificate. A total of 5 children's records were reviewed and 1 violation found pertaining to subsequent immunizations. Two repeated violations found from the last inspection. It is imperative that non-compliances are corrected by the corrective action date. This inspection occurred between 10:30am and 1pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-90-C
Description:	Based on review of children's records, additional immunizations were not obtained for two children under the age of 2 years. Evidence: Child #1 and #5 are under the age of 2 years. The most recent immunizations for Child #1 was dated 09/08/2022 and 10/06/2022 for Child #5.
Plan of Correction:	Parents will provide documentation of the child's last immunizations.
Standard #:	8VAC20-800-280
Description:	Based on observation of the family day home, cleaning agents were accessible to children. Evidence: The closet near the bathroom had cleaning agents stored on a shelf which was accessible to the children in care.
Plan of Correction:	The cleaning agents were placed on a higher shelf and out of reach.
Standard #:	8VAC20-800-690-D
Description:	Based on observation of the diapering area, a nonabsorbent surface was not maintained. Evidence: The diaper surface was covered with cloth material which allows for absorbency and prevents the surface from being properly sanitized. This remain uncorrected from the inspection in December.
Plan of Correction:	We will purchase a nonabsorbent surface for the changing table.