VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Martha Morales
7855 Heritage Drive
Annandale, VA 22003
(571) 830-7957

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: July 10, 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

Comments:

An unannounced monitoring inspection was conducted today from 12:43pam-1:55pm with the provider on site. There were no children present due to flooding from a plumbing/air condition repair. A sample of 7 children's files and 2 caregivers/household member's files were reviewed. The physical space, refrigerator temperature 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 #:	22.1-289.035-B-2
Description:	Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have fingerprint results.
Plan of Correction:	I will get the folder immediately at the daycare and email it to you.
Standard #:	8VAC20-770-60-B
Description:	Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed. Evidence: 1. Caregiver #2 (Date of hire 6/01/2023) did not have a sworn statement on file with the provider.
Plan of Correction:	I will get the folder immediately at the daycare and email it to you.
Standard #:	8VAC20-770-60-C-2
Description:	Based on interview, the provider did not have the central registry findings for one caregiver within 30 days of employment. Evidence: 1. Caregiver #2 (hire date 6/1/2023) did not have the central registry findings within 30 days of employment.
Plan of Correction:	I will get the folder immediately at the daycare and email it to you.
Standard #:	8VAC20-800-800-B
Description:	Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review. Evidence: 1. The provider's emergency plan was last updated on 5/03/2022.
Plan of Correction:	I will update the emergency response plan.
Standard #:	8VAC20-800-110-B
Description:	Based on review of children's records, the provider did not obtain documentation of a physical examination by or under the direction of a physician signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. Child #1 (start date 3/01/2023) had a physical in the file, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction:	I will tell the parents to turn in the paperwork in order to return.
Standard #:	8VAC20-800-120-A
Description:	Based on interview, the provider did not maintain a record for each caregiver. Evidence: 1. Caregiver #2 (start date 6/01/2023) did not have a record at the family day home.
Plan of Correction:	I will get the folder immediately at the daycare and email it to you.
Standard #:	8VAC20-800-50-A
Description:	Based on interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. The provider stated she did not keep the attendance records. She stated she recycled them.
Plan of Correction:	I will keep them for 5 years since I am a subsidy provider.
Standard #:	8VAC20-800-50-B
Description:	Based on interview, the provider did not maintain records in the home and made accessible to the department's representative. Evidence: 1. The provider stated caregiver #2 had the staff record at their home.
Plan of Correction:	I will get the folder immediately at the daycare and email it to you.
Standard #:	8VAC20-800-50-E
Description:	Based on interview, records and reports on children were not maintained and made accessible to the department's representative for two years from the date of termination of services for a child. Evidence: 1. The provider stated that she had recycled all of the attendance sheets for the past year and did not have a copy of them.
Plan of Correction:	I will keep them for 5 years since I am a subsidy provider.
Standard #:	8VAC20-800-60-A
Description:	Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7. They began enrollment on 7/01/2023.
Plan of Correction:	I will tell the parents to turn in the paperwork in order to return.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children's records, the records did not contain all required information. Evidence: 1. Child #3 (start date 6/22/2020) had documentation of the review of the child's emergency contact information on 6/03/2022 and needed an annual review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-B
Description:	Based on interview, the provider did not obtain the parent's written acknowledgement of the receipt of the information required before the child's first day of attendance, Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 with the acknowledgement. They began enrollment on 7/01/2023.
Plan of Correction:	I will tell the parents to turn in the paperwork in order to return.
Standard #:	8VAC20-800-90-A
Description:	Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 (all started 7/01/202023) with the immunization records.
Plan of Correction:	I will tell the parents to turn in the paperwork in order to return.
Standard #:	8VAC20-800-170-A
Description:	Based on interview, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver #2's (start date 6/01/2023) file was not present during the inspection.
Plan of Correction:	I will get the folder immediately at the daycare and email it to you.
Standard #:	8VAC20-800-200-C
Description:	Based on interview, the provider did not have documentation of the orientation signed and dated by the provider and assistant. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have documentation of the orientation.
Plan of Correction:	I will get the folder immediately at the daycare and email it to you.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, furnishing of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. The smoke detector was chirping during the inspection and needed batteries.
Plan of Correction:	I will change the battery.
Standard #:	8VAC20-800-500-C
Description:	Based on observation, the provider's stationary outdoor playground equipment did not meet all requirements. Evidence: 1. The providers playground equipment was not firmly anchored with ground supports and was under a hard surface of dried dirt under the swings and a hard board was under the slide.
Plan of Correction:	I will fix the playground and attach to the ground. I will cover it with mulch.