VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carol Bautista
3405 Burrows Avenue
Fairfax, VA 22030
(703) 283-1644

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: July 26, 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

1. Reviewed documentation requirements for children with food allergies and children with special developmental needs. 2. Discussed background check requirements for house guests that stay in the home for more than 30-days.

Comments:

An unannounced renewal inspection was conducted at 10:12am. Observed 10 children totaling 27 points with 2 caregivers. Ratios and supervision were in compliance. Younger children were playing with toys while older children were doing educational activities. The caregivers were actively engaged with the children and activities. The daycare areas of the home were found to be clean 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 #:	22.1-289.011-F
Description:	Based on observations made, the licensee failed to ensure that the most recently issued violation notice was posted in the home. Evidence: The inspection summary from the 7/26/22 was posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.036-B-2
Description:	Based on interview conducted, the licensee failed to ensure that adults living in the home completed criminal record checks (CRC) within 30-days of moving into the home. Evidence: Adults #1 and #2 have reportedly been living in the home for approximately 2 months and have not completed CRC's.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-4-a
Description:	Based on interview conducted, the licensee failed to ensure that adult household members completed a sworn disclosure statement (SDS) and central registry child abuse and neglect search (CRS) within 30-days of moving into the home. Evidence: Adults #1 and #2 have reportedly been living in the home for approximately 2 months and have not completed SDS's and CRS's.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	Based on records reviewed, the licensee failed to ensure that 8 of 8 children's records included documentation of the parent's signature acknowledging that emergency contact information was reviewed annually. Evidence: 1. Child #2-The child reportedly began attending May 2021 and to-date there is no documentation of the parents annual review of emergency contact information. 2. Child #5-The child reportedly began attending February 2022 and to-date there is no documentation of the parents annual review of emergency contact information. 3. Child #8-The child reportedly began attending April 2022 and to-date there is no documentation of the parents annual review of emergency contact information. 4. Child #9-The child reportedly began attending March 2021 and to-date there is no documentation of the parents annual review of emergency contact information. 5. Child #10-The child reportedly began attending October 2022 and to-date there is no documentation of the parents annual review of emergency contact information. 6. Child #11-The child reportedly began attending October 2022 and to-date there is no documentation of the parents annual review of emergency contact information. 7. Child #12-The child reportedly began attending September 2022 and to-date there is no documentation of the parents annual review of emergency contact information. 8. Child #13-The child reportedly began attending June 2022 and to-date there is no documentation of the parents annual review of emergency contact information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-B
Description:	Based on records reviewed, the licensee failed to ensure that the emergency plan was reviewed annually. Evidence: Documentation on the emergency plan indicated it was last reviewed on 9/7/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-A
Description:	Based on records reviewed, the licensee failed to ensure that emergency evacuation drills were practiced monthly. Evidence: There was no documentation of an emergency evacuation drill for June 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on records reviewed, the licensee failed to ensure that 5 of 5 children's records included documentation of a physical exam within the first 30-days of attendance. Evidence: 1. Child #5-The child reportedly began attending in February 2022 and to-date there was no documentation of a physical exam. 2. Child #9-The child reportedly began attending in March 2021 and to-date there was no documentation of a physical exam. 3. Child #13-The child reportedly began attending in June 2022 and to-date there was no documentation of a physical exam. 4. Child #14-The child reportedly began attending in January 2023 and to-date there was no documentation of a physical exam. 5. Child #17-The child reportedly began attending in May 2023 and to-date there was no documentation of a physical exam.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	Based on records reviewed and interview conducted, the licensee failed to ensure that a written record of children in attendance was maintained daily. Evidence: 1. Initially caregiver #1 told the inspector that attendance was not recorded. 2. The attendance record for this date was not accurate and indicated that 9 children were in attendance when in actuality there were 10 children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on records requested and reviewed, the licensee failed to ensure that 1of 13 children had a record of enrollment. Evidence: There was no record of enrollment for Child #16.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on records reviewed, the licensee failed to ensure that 12 of 12 children's records included required information. Evidence: 1. Child #2-There was no documentation of the child's first date of attendance and documentation from a medical professional about the child's developmental information and special accommodations needed. 2. Child #5-There was no documentation of the child's first date of attendance, 2 of 2 parent s work information and proof of identity. 3. Child #7-There was no documentation of the child's first date of attendance. 4. Child #8-There was no documentation of the child's first date of attendance, 2 of 2 parents work information and actions to take in an allergy emergency situation. 5. Child #9-There was no documentation of the child's first date of attendance, the medical insurance policy number. 6. Child #10-There was no documentation of the child's first date of attendance. 7. Child #11-There was no documentation of the child's first date of attendance. 8. Child #12-There was no documentation of the child's first date of attendance. 9. Child #13-There was no documentation of the child's first date of attendance, 2 of 2 emergency contact addresses and the medical insurance policy number. 10. Child #14-There was no documentation of the child's first date of attendance. 11. Child #15-There was no documentation of the child's first date of attendance, and written parental notification of liability insurance. 12. Child #17-There was no documentation of the child's first date of attendance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-80-A
Description:	Based on records reviewed, the licensee failed to ensure that 3 of 12 children's records included verification of the proof of identity within 7 business days of the child's 1st day of attendance. Evidence: 1. Child #5-The child reportedly began attending in February 2022 and to-date there was no documentation of the proof of identity. 2. Child #13-The child reportedly began attending in June 2022 and to-date there was no documentation of the proof of identity. 3. Child #17-The child reportedly began attending in May 2023 and to-date there was no documentation of the proof of identity.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on records reviewed, the licensee failed to ensure that 2 of 12 children's records included documentation of immunizations before a child may attend. Evidence: 1. Child #5-The child reportedly began attending in February 2022 and to-date there was no documentation of immunizations on-file. 2. Child #13-The child reportedly began attending in June 2022 and to-date there was no documentation of immunizations on-file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on records reviewed, the licensee failed to ensure that 3 of 12 children's records included documentation of immunizations once every 6 months until the age of 2 years old. Evidence: 1. Child #2-The immunizations on-file were dated May 2021 when the child was 7 months old. 2. Child #8-The immunizations on-file were dated March 2022 when the child was 6 months old. 3. Child #9-The immunizations on-file were dated May 2020 when the child was 15 months old..
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on records requested, the licensee failed to ensure that adult household members completed TB screenings within t*30-daysof moving into the home. Evidence: Adults #1 and #2 have reportedly been living in the home for approximately 2 months and have no documentation of having completed TB tests/screenings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-C
Description:	Based on records reviewed, the licensee failed to ensure that the documentation of orientation was signed and dated by the provider and assistant caregiver. Evidence: The orientation training for caregiver #4 was not signed and dated by caregiver #4, and not dated by the provider.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on records reviewed and interview conducted, the licensee failed to ensure that 3 of 4 caregivers obtained a minimum of 16 hours of annual training. Evidence: Caregivers #1, #2, and #4 had 0 of 16 hours of annual training documented. Caregiver #2 said that the training hours had not been obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observations made, the licensee failed to ensure that the areas and furnishings of the home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. Peeling and chipped paint was observed on the top of the side rail of multiple cribs, and 1 crib included peeling and chipped duct tape. Based on the location and condition of the peeling and chipping paint it appears that children placed in the cribs have chewed the paint off the surface. 2. The vinyl seat cushion of a high chair was torn in multiple places exposing the soiled interior cushion material. 3. A plastic chair located on the outdoor play area was cracked and presented as a pinching hazard. 4. One bar on the dome climbing structure located on the outdoor play area was loose and not attached to the support beam, and a 2nd bar was not secured at the base of the dome structure. [Photo #1] 5. A side panel to a play house structure located on the outdoor play area was not attached to the adjacent panels creating an unstable structure. 6. The swimming pool gate near the outdoor play area was not secured and open approximately 4". Upon further observations the gate was determined to be broken and not attached to the fence. [Photo #2] 7. A fence post on the swimming pool fence located along the path children walk to the outdoor play area was not secured in the ground or to the metal fencing causing metal screws and sharp edges of the metal fence to be exposed. [Photo #3]
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-260-F
Description:	Based on observations made, the licensee failed to ensure that a safety cover was on the hot tub while children are in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-B
Description:	Based on observations made, the licensee failed to ensure that an electrical outlet had a child-resistant protective safety cover. Evidence: A low-level outlet in the kitchen area did not have a safety cover. A child was observed in the kitchen area during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-500-F
Description:	Based on observations made, the licensee failed to ensure that trampolines are not used during the hours children are in care. Evidence: 2 small trampolines were observed on the outdoor play area and accessible to children. One of the trampolines was cited as a violation during the 1/12/23 inspection and has been moved outside for children to play on.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-540-A
Description:	Based on observations made, the licensee failed to ensure that a safety strap was securely fastened on an occupied high chair. Evidence: A child was observed sitting in a high chair without the safety strap fastened.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observations made, the licensee failed to ensure that the diaper changing surface was non-absorbent. Evidence: 1. A cloth cover was on the diaper pad and multiple additional cloth covers were underneath the top cloth cover. 2. The diapering surface was not cleaned with soap + water and then sanitized with bleach + water after each diaper change due to the cloth cover.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-E
Description:	Based on observations made, the licensee failed to ensure that soiled diapers and wipes were disposed in a foot-operated container or a container that does not require the caregiver's hand nor the soiled items to touch the exterior of the disposal container. Evidence: 1. The disposal container had a flip-top lid that requires either the caregiver's hand or the soiled items to touch the exterior lid. 2. The disposal container was outside of the house and required a caregiver to touch the door before exiting to the dispose of the soiled items.
Plan of Correction:	Not available online. Contact Inspector for more information.