VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carlos Sanchez
12310 Coleraine Court
Reston, VA 20191
(540) 905-1067

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Aug. 30, 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 8VAC20-770 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

Comments:

A renewal inspection was conducted today between 9:15am and 10:30am. There were 10 children present with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed engaging in circle time. A total of 3 child records and 3 caregiver records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	8VAC20-800-60-B
Description:	Based on review of children's records, not all records contained the required information. Evidence The record for child #1 does not contain an address for the emergency contacts.
Plan of Correction:	I will get the emergency contact address information and update the record. I will make sure to get all required information when a child starts care.
Standard #:	8VAC20-800-460-C
Description:	Based on review of family day home pet records, the pet was not vaccinated for rabies. Evidence There was no current documentation available for review of the family day home pet being vaccinated for rabies. The documentation available was expired.
Plan of Correction:	The dog has had updated rabies shots. I have contacted the vet and will send the inspector the record as soon as it is received.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, caregivers did not wash their hands with liquid soap and warm running water after diapering a child. Evidence Caregiver #3 was observed not washing their hands after changing a diaper.
Plan of Correction:	The caregiver was wearing gloves and changed gloves in-between diaper changes. I have reminded her to also wash her hands after she removes the gloves.
Standard #:	8VAC20-800-680-B
Description:	Based on observations, caregivers did not ensure that a child's hands were washed with liquid soap and warm running water after a diapering. Evidence Caregiver #3 did not ensure a child's hands were washed after they changed their diaper.
Plan of Correction:	All caregivers have been remined to make sure all children's hands are washed after diaper changes and toileting.
Standard #:	8VAC20-800-690-D
Description:	REPEAT VIOLATION Based on observation, the diapering surface was not cleaned and sanitized after each diapering. Evidence After a diapering, the diaper surface was sprayed with cleaned with soap and water and patted dry, but was not sanitized with a solution of bleach and water.
Plan of Correction:	All caregivers were remined about cleaning and sanitizing the diapering surface. Caregiver followed the cleaning and sanitizing process on the next diaper change.