VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fouezia Hossain
3911 Fairfax Parkway
Alexandria, VA 22312
(703) 401-8484

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Aug. 23, 2023

Complaint Related: No

Areas Reviewed:

8 VAC 20-800 Administration 8 VAC 20-800 Personnel 8 VAC 20-800 Household Members 8 VAC 20-800 Physical Health of Caregivers and Household members 8 VAC 20-800 Caregiver Training 8 VAC 20-800 Physical Equipment and Environment 8 VAC 20-800 Care of Children 8 VAC 20-800 Preventing the Spread of Disease 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 8 VAC 20-800 Nighttime Care 8 VAC2 0-820 THE LICENSE 8 VAC 20-820 THE LICENSING PROCESS 8 VAC 20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Discussion was held on the topics of current enrollment, current staffing, and training.

Comments:

This renewal inspection was initiated by licensing staff and concluded on 08/23/2023, between the hours of 10 am to 12 pm. There were 4 children present (10 points), ranging from infant to preschool-age, with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 6 children records, 3 household files, and 2 staff records were reviewed. Information gathered during the inspection determined that there were (6) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on review, 4 of 6 children files indicated that the Provider did not obtain an annual acknowledgement of the review of each child's emergency information. Evidence - 1. On the date of inspection (08/23/2023), the following children had acknowledgements older than a year: Child #1 (12/08/21), Child #2 (10/03/21), Child #3 (07/14/22), and Child #4 (11/14/19). 2. This finding was confirmed by the Provider on the date of inspection.
Plan of Correction:	All missing information/documentation will be placed on file.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 2 of 6 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (08/23/2023), Child #5 did not have their policy number available. 2. Child #6 had 1 of 2 emergency contact information listed.
Plan of Correction:	All missing information/documentation will be placed on file.
Standard #:	8VAC20-800-70-A
Description:	Based on review, 1 of 6 children files indicated that not all of the required documentation was contained within each child's record. Evidence - 1. On the date of inspection (08/23/2023), the following completed documentation was not available for Child #5: Information for Parents form, Medication Administration - Decision to Administer form, Provisions of the Emergency Preparedness and Response Plan form, and the Liability Insurance Declaration form. 2. The Provider had the Child Record, Immunization Page, and Physical on file for Child #5.
Plan of Correction:	All missing information/documentation will be placed on file.
Standard #:	8VAC20-800-80-A
Description:	Based on review, 1 of 6 children files indicated that within seven business days of the child's first day of attendance at the Family Day Home (FDH), the Provider did not obtain from the parent proof of identification for their child. Evidence - 1. On the date of inspection (08/23/2023), proof of identification for Child #5 was not available for review. 2. The start date for Child #5 was listed as 05/31/2023.
Plan of Correction:	All missing information/documentation will be placed on file.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 6 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (08/23/2023), an immunization page for Child #6 was dated - 11/14/2022. 2. On the date of inspection, based on the information on file, Child #6 was under two years of age.
Plan of Correction:	All missing information/documentation will be placed on file.
Standard #:	8VAC20-800-200-A
Description:	Based on review, 1 of 2 staff files indicated that the Provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence - 1. On the date of inspection (08/23/2023), a completed and signed orientation training form for Staff #2 was not available for review. 2. The start date for Staff #2 was listed as 08/01/2023.
Plan of Correction:	All missing information/documentation will be placed on file.