VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rosalina Huaman
6088 8th Place, North
Arlington, VA 22205
(703) 241-2806

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: July 24, 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:

The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification dated July 24, 2023. Once the background check is received by the center, the results must be forwarded to the licensing inspector. A renewed license to operate a family day home will not be issued without the licensing inspector confirming the results of all outstanding background checks. Discussed children's medication observed during the inspection may not be administered without appropriate parental and/or doctor authorization. Discussed requirements for substitute provider record.

Comments:

An unannounced renewal inspection was conducted today from 9:45am-10:50am. There were 9 children directly supervised by 2 staff. The home, 3 staff records, 7 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. One medication was reviewed, the provider did not have an authorization and said that the medication is not administered to the child. Children were observed playing outside. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Vaughan at Kara.vaughan@doe.virginia.gov or 703-537-6241.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on record review, house hold members over the age of 18 did not have a criminal record check on file. Evidence: On the date of inspection Adult 4's record did not contain the results of a criminal record check.
Plan of Correction:	Will send, waiting for results done on 7/12/23.
Standard #:	8VAC20-770-60-B
Description:	Based on record review, employment was given to a staff member who had not completed a sworn statement or affirmation. Evidence: Staff 2's record did not contain a signed sworn statement or affirmation statement.
Plan of Correction:	Sworn statement was signed.
Standard #:	8VAC20-800-730-D
Description:	Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Children's acetaminophen was observed in a low unlocked cabinet in an area accessible to children.
Plan of Correction:	Medicine will be locked child safely.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, infant's bottles were not labeled with the date. Evidence: Two bottles were observed in the refrigerator without a labeled date.
Plan of Correction:	Bottles are labeled and updated.
Standard #:	8VAC20-800-50-C
Description:	Based on observation, children's records were not kept privileged and confidential. Evidence: The supplemental page of the previous licensing inspection was posted on a bulletin board in the family day home. The supplemental page contains personally identifiable information about children in care.
Plan of Correction:	I did not do this.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1. Child 4 and Child 6's record did not contain the children's health insurance policy number. 2. Child 6's record states the child has a dairy allergy but does not contain steps to take in the event of an exposure to the allergen.
Plan of Correction:	Update insurance policy, and updated reactions to allergy from parents.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, parents were not provided in writing all required information prior to the child's first date of attendance. Evidence: 1. The medication policy in Child 1's record did not accurately explain the family day home's administration of medication policy. The form stated that the provider will not administer any medications. 2. Child 3 and 7's record contain an unsigned medication administration policy.
Plan of Correction:	Update policy on medication, signed forms for children.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the family day home failed to obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: Child 1, 2, and 6's record did not contain updated immunizations for children under the age of two.
Plan of Correction:	Reach out to parents to send updated documents
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider failed to obtain for each adult household member a Report of Tuberculosis Screening form every two years. Evidence: Adult 5's record contained a Tuberculosis screening dated 6/14/2021.
Plan of Correction:	TB is already done, just misplaced
Standard #:	8VAC20-800-210-A
Description:	Based on record review, staff failed to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Staff 1's record contained 6 documented hours of training. 2. Staff 3's record contained 10 documented hours of training.
Plan of Correction:	Will sign for classes and training.