VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Parvin Gozalzadeh
11604 Leehigh Drive
Fairfax, VA 22030
(703) 399-0535

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: July 20, 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. Discussed the importance of ensuring nap linens are stored in a manner that they are protected from dirt and germs from other objects. 2. The inspector will provide training resources and model forms. 3. Recommend caregivers attend Family Day Home Phase II training.

Comments:

An unannounced renewal inspection was conducted at 10:35am. Observed 10 children totaling 27 points with 3 caregivers. Ratios and supervision were in compliance. Children were having story time, playing with toys and play dough, washing hands, eating lunch, having diapers changed and preparing to take naps. Lunch served included fish sticks, rice, broccoli, grapes, and milk. The caregivers were actively engaged with the children and activities, and were promptly tending to the needs of the children. The daycare areas of the home were found to be clean, organized 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 #:	22.1-289.035-B-2
Description:	Based on records reviewed, the licensee failed to ensure that a caregiver completed a criminal record check prior to the 1st day of work. Evidence: Caregiver #3 began working in "mid-June" and to-date does not have the results of a criminal record check. The documentation on-file indicated the fingerprinting occurred, but the results have not been obtained.
Plan of Correction:	Called left message waiting to hear back will keep calling ASAP
Standard #:	8VAC20-800-730-D
Description:	Based on observations made, the licensee failed to ensure that medications were kept in a locked place. Evidence: 2 over-the-counter medications were observed on an open shelf above the diaper changing area.
Plan of Correction:	as of violation #2 teething pills were removed
Standard #:	8VAC20-800-800-B
Description:	Based on records reviewed, the licensee failed to ensure that the emergency plan was reviewed annually. Evidence: The last documented review of the plan was 1/18/18.
Plan of Correction:	Emergency plan was reviewed but not signed signed-pending new forms [sic]
Standard #:	8VAC20-800-800-C
Description:	Based on records reviewed, the licensee failed to ensure that a caregiver was trained on the emergency preparedness plan by the end of the 1st week of employment. Evidence: Caregiver #3 began working in "mid-June" and to-date there was no documentation of emergency preparedness training.
Plan of Correction:	Emergency preparness was not documented at the time of traning pending proper forms [sic]
Standard #:	8VAC20-800-830-A
Description:	Based on records reviewed, the licensee failed to ensure that monthly emergency evacuation drills were practiced with the children. Evidence: There was no documentation of an evacuation drill being completed in February 2023.
Plan of Correction:	Will do 2 fire drills to make up for one missing next fire drill
Standard #:	8VAC20-800-120-B
Description:	Based on records reviewed, the licensee failed to ensure that required documentation was in a caregiver's record. Evidence: The record for caregiver ## did not include date of employment, emergency contact and a minimum of 2 reference checks.
Plan of Correction:	Information is not documented will do as soon as we get the proper forms ASAP
Standard #:	8VAC20-800-170-B
Description:	Based on records reviewed, the licensee failed to ensure that a caregiver obtained a TB test/screening within the 30-days prior to beginning work. Evidence: Caregiver #3 began working in "mid-June" and the TB test on-file was dated 6/20/22.j
Plan of Correction:	Current TB test was not done within 30 days will get a new one done within 2-3 weeks
Standard #:	8VAC20-800-200-A
Description:	Based on records reviewed, the licensee failed to ensure that caregiver #3 received orientation training on required topics was completed by the end of their 1st week of work. Evidence: Caregiver #3 began working in "mid-June" (no specific date recorded or provided) and to-date there is no documentation of orientation training on-file.
Plan of Correction:	Training dates will be documented pending proper forms. ASAP
Standard #:	8VAC20-800-210-A
Description:	Based on records reviewed, 2 of 3 caregivers did not obtain a minimum of 16 hours of annual training. Evidence: Caregivers #1 and #2 had documentation that 2 of 16 hours were completed for each.
Plan of Correction:	have enrolled in county & state programs (Penstate) as soon as completion [sic]
Standard #:	8VAC20-800-220-A
Description:	Based on observations made and records reviewed, the licensee accepted and agreed to give an over-the-counter medication without having the required medication administration training certification (MAT). Evidence: 1. An over-the-counter pain reliever medication, in a dissolving pill form, belonging to Child #2 was observed in the daycare. 2. There was no documentation that any of the 3 caregivers have a MAT certification. 3. Additionally, a 2nd bottle of the same medication was observed and Caregiver #2 said they have it to give to any child that may need it.
Plan of Correction:	Teething pills for babies were removed the day of inspection
Standard #:	8VAC20-800-320-B
Description:	Based on observations made, the licensee failed to ensure that electrical outlets in the daycare areas of the home had child-resistant protective covers. Evidence: 4 outlets located in the daycare bathroom did not have covers.
Plan of Correction:	Covers were installed during the inspection and inspected
Standard #:	8VAC20-800-690-D
Description:	Based on interview conducted, caregivers have not ensure that the diaper changing surface was cleaned with soap + water and then sanitized with bleach + water after each diaper change. Evidence: Caregiver #1 said the diaper changing surface is sprayed with a disinfectant after each diaper change.
Plan of Correction:	Changed Lysol spray with soap + water after every diper change [sic]