VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carla Seay
8045 Winding Way Court
Springfield, VA 22153
(703) 455-1205

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: July 6, 2023

Complaint Related: Yes

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:

Discussed with caregiver on duty that the van in the driveway has a registration that expired in September 2022. A current registration must be obtained before it can be used to transport children.

Comments:

An unannounced complaint investigation was conducted today at 11:15am in response to a complaint received by the Fairfax Licensing Office in regard to failure to comply with 22VAC40-705-40 of the state code of Virginia. During the investigation interviews were conducted with parents and caregivers, 3 caregiver records and 5 children?s records were reviewed in addition to required trainings, medication, and emergency policies and procedures. Children were observed watching television and eating a lunch consisting of beef and tomato pasta, green beans, pears, and milk. There was not a preponderance of the evidence to confirm the validity of the complaint and it is deemed ?not valid?. Violations cited that were not a part of the complaint investigation can be found on the violation notice. If you have questions about this inspection please contact Kara Vaughan kara.vaughan@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-A
Complaint related:	No
Description:	Based on record review, the provider failed to obtain a repeat central registry check for all caregivers every five years. Evidence: 1. Adult 1?s most recent central registry check was conducted on 6/16/2017. 2. Adult 3?s most recent central registry check was conducted on 7/7/2016.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-2
Complaint related:	No
Description:	Based on record review, the provider failed to obtain a central registry check for all caregivers. Evidence: Adult 2?s record did not contain a central registry check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-700-B
Complaint related:	No
Description:	Based on a review of medication, prescription medication with an authorization to administer for a period of longer than ten days did not have a doctor?s signature. Evidence: A long term prescription medication for Child 1 had a parental authorization to administer the medication to the child between 6/12/2023 and 8/1/2023. The authorization form did not contain a doctors signature.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-B
Complaint related:	No
Description:	Based on record review, the provider failed to review the emergency preparedness plan annually. Evidence: The emergency preparedness plan was most recently reviewed on 6/8/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Complaint related:	No
Description:	Based on record review, 2 of 5 children's records did not contain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child 1 and Child 4?s record did not contain documentation of a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Complaint related:	No
Description:	Based on record review, the provider failed to inform in writing to the parents of all required information. Evidence: Child 5?s record did not contain documentation of whether the provider carries liability insurance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Complaint related:	No
Description:	Based on record review, the provider failed to 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 prior to one child's first date of attendance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Complaint related:	No
Description:	Based on record review, the provider failed to obtain a negative tuberculosis screening for all caregivers every two years. Evidence: 1. Adult 1?s Tuberculosis screening was conducted on 4/2/2020. 2. Adult 3?s Tuberculosis screening ws conducted on 4/5/2020.
Plan of Correction:	Not available online. Contact Inspector for more information.