VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Edith Roscoe Bates
5511 Southampton Drive
Springfield, VA 22151
(703) 942-5502

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Aug. 28, 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced renewal inspection was conducted today from 9:47am-11:15am with the provider on site. There were 8 children with 1 caregiver. The family day home is licensed for 7 children and was over capacity. A sample of 2 children's files and 3 caregivers/household member's files were reviewed. The children were engaged in the following: playing with toys, participating in circle time, listening to the provider read a book and watching a learning video on sight words. Interactions between the children and caregiver were positive. The site was clean, organized and contained an abundant supply of developmentally appropriate materials. The physical space, attendance records, first aid kit, drill record and the Emergency Preparedness Plan were reviewed. There were no medications on site. The Provider does have Medication Administration Training. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	22.1-289.036-B-4
Description:	Based on review of two household members' records and interview, the provider did not request a search of the child abuse and neglect registry from any state in which the individual had resided in the preceding five years by the end of the 30th day of residence. Evidence: 1. Household member #2 (moved into the home 7/15/2023) lived in Maryland in the last 5 years and the provider did not send for the Out of State Child Abuse and Neglect Search Request by the End of 30th Day of Residence.
Plan of Correction:	Contact made with Maryland Dept. Human Services-Social Services Admin In Home services Baltimore MD. Form Completed and mailed for CPS background check. Form completed & notarized & mailed on 8/30/2023 will follow up.
Standard #:	8VAC20-770-40-D-4
Description:	Based on review of household members records and interview with the provider, the provider did not obtain a central registry report within 30 days of a person residing in the home. Evidence: 1. Household member #2 began residing in the home on July 15, 2023 and the provider did not have the results of the central registry. The provider documented it was sent on 7/20/2023.
Plan of Correction:	Form sent 7-20-2023. Contact made with office on 8/30/2023 to follow up on status.
Standard #:	8VAC20-800-790
Description:	Based on observation, the provider did not post in a visible area close to the telephone all required telephone numbers. Evidence: 1. The provider had 911 and poison control posted, but did not have the responsible person for emergency back up care posted.
Plan of Correction:	Responsible person/Emergency back up person name, number and CPR & First Aid Certification will be posted.
Standard #:	8VAC20-800-800-A
Description:	Based on review, the family day home written emergency preparedness and response plan did not include all required items. Evidence: 1. The provider's emergency plan was missing the emergency evacuation and the responsible person who is 18 years of age or older that is able to arrive at the family day home within 10 minutes for emergency back up care until the children can be picked up by their parents.
Plan of Correction:	Emergency Preparedness and Response Plan will be updated with required information and posted on parent board and distributed to parents NLT 9/05/2023 after Labor Day holiday.
Standard #:	8VAC20-800-800-B
Description:	Based on review, the provider did not review the emergency plan at least annually and document in writing each review and update to the emergency plan. Evidence: 1. The provider's emergency plan was last reviewed 1/01/2022.
Plan of Correction:	Emergency Preparedness and Response Plan will be updated with required information and posted on parent board and distributed to parents NLT 9/05/2023 after Labor Day holiday.
Standard #:	8VAC20-800-40-A
Description:	Based on observation and interview, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home. Evidence: 1. The provider is licensed for 7 children. During the inspection on August 28, 2023, 8 children were receiving care. 2. The provider stated a child that receives part time care was present due to an emergency with the parent today. 3. The attendance sheet documented 8 children present on 8/21/2023 through 8/24/2023.
Plan of Correction:	Unfortunately, my records should be better documented on the days I had 8 students 8/21-8/24. One student had left at noon and the other had arrived at 1:30pm. Action will be taken immediately to ensure that part time students & full time students don't overlay. I will make sure to document arrival times on attendance sheet as well as to not go over my licensed capacity.
Standard #:	8VAC20-800-60-B
Description:	Based on review of two children's records, the child records did not contain all required information. Evidence: 1. Child #1's file did not have written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately..
Plan of Correction:	Parent has signed authorization and file update same day 8/28/2023 upon pickup.