VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Gladys Chian-Reyes
4345 Majestic Lane
Fairfax, VA 22033
(703) 623-0914

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: June 27, 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. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 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 the playground border for safety. Provider will be sent forms to use.

Comments:

An announced initial inspection was conducted today from 9:55am-11:00am with the provider on site. There were 3 children with 1 caregiver. A sample of 2 children's files and 3 caregivers/household member's files were reviewed. The children were engaged in the following: playing outside. Interactions between the children and caregiver were positive. The site was clean, organized and contained an abundant supply of developmentally appropriate materials. The physical space, attendance records, first aid kit and the Emergency Preparedness Plan were reviewed. There were no medications on site. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	8VAC20-800-790
Description:	Based on observation and interview, the provider did not have all required telephone numbers posted in a visible area close to the telephone. Evidence: 1. The provider had A 911 and poison control posted, but did not have the responsible person for emergency backup care's information posted (a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency.) backup care until the children can be picked up by their parents.)
Plan of Correction:	Put the name and phone number of my daughter who will be the responsible person for emergency backup care.
Standard #:	8VAC20-800-100-A
Description:	Based on review of two children's records, the provider did not obtain documentation that the child had a physical examination prior to attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2 (start date 1/16/2023) did not have a physical on file.
Plan of Correction:	Give parents the DOE Forms School Entrance Health Form to fill it out.
Standard #:	8VAC20-800-110-B
Description:	Based on review of two children's records, the provider did not obtain a physical exam and immunizations record signed by a licensed physician, the physician's designee, or an official of a local health department. . Evidence: 1. Child #1 (start date 4/03/2023) and Child #2 (start date 1/16/2023) had immunization documentation that was not signed and dated by a physician, the physician's designee, or an official of a local health department.. 2. Child #2 (start date 4/03/2023) had a physical in the file, but it was not signed and dated by a physician, the physician's designee, or an official of a local health department.. 3. The current form approved by the Virginia Department of Health or a physician's form was not used to record immunizations received and the results of the required physical examination.
Plan of Correction:	Give parents the DOE forms school entrance health form to fill it out and sign and dated by a physician.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children's records, two children's records did not contain all required information. Evidence: 1. Child #1's file (start date 4/03/2023) was missing the parent's work address, the physician's address, two emergency contact's addresses, written authorization if the child is taken off the premises of the family day home and the names and addresses of previously attended child day care and schools. 2. Child #2's file (start date 1/16/2023) was missing the physician's address, one emergency contact's name, address and phone number, written authorization if the child is taken off the premises of the family day home and Proof of the child's age and identity, the names and addresses of previously attended child day care and schools and results of the health exam..
Plan of Correction:	Give parents DOE Childs Record to fill it out.
Standard #:	8VAC20-800-80-A
Description:	Based on review of children's records, the provider did not obtain from the parent within seven business days of the child's first day of attendance, verification of the identity and age of the child; and the Name and location of previous day care programs and schools the child has attended. Evidence: 1. Child #1 (start date 4/03/2023) did not have record of the name and location of previous day care programs and schools the child attended. 2. Child #2 (start date 1/16/2023) did not have record of verifying the identity and age of the child and did not have record of the name and location of previous day care programs and schools the child attended.
Plan of Correction:	Give parents the DOE formsChild Record to fill it out.
Standard #:	8VAC20-800-500-C
Description:	Based on observation, the provider had a stationary outdoor playground equipment that was not at least six feet from the perimeter of obstacles and covered with materials to protect from injury. Evidence: 1. The provider's playground equipment had a wood border around the perimeter to keep the mulch in. The border was directly up against the slide landing and within approximately 3-4 feet from the climbing area of the equipment.
Plan of Correction:	Expand mulch area and edge perimeter with 4 foot x 3 in black rubber landscape edging section.