VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elzena Ross
11902 Molly Pitcher Circle
Manassas, VA 20109
(703) 568-2319

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: Sept. 5, 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 8VAC20-820 The License 8VAC20-820 The Licensing Process 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted 9/5/2023 between the hours of 10:35am through 1:35pm. There were a total of 6 children present, ranging in age from 8 weeks to 4 years (14 points) with the Provider and 1 assistant. A total of 6 children?s files, 2 staff files, and 1 household member?s files were reviewed. The children were engaged in the following: free play, coloring, doing yoga, and eating lunch. Lunch today consisted of mac and cheese, cabbage, orange slices, and water or milk. Positive interactions between caregivers and children were observed during this inspection. A complete inspection of the programming space, children and staff records, emergency drills, menu, attendance, and emergency procedures were completed today. No new staff have been hired since the last inspection. The provider advised there was no medication on site today. There was an abundant supply of age appropriate materials and toys. The provider and assistant both have current CPR/First Aid certification. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 9/19/2023. Please email me at morgan.bryson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-800-A
Description:	Based on record review and staff interview, the family day home did not have a written emergency preparedness and response plan. Evidence: There was no emergency preparedness and response plan available at the time of inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-920
Description:	Based on record review and staff interview, the provider did not ensure the menu for the current one-week period was given to parents or kept on file. Evidence: The menu for the week of 9/5/2023 hadn't been developed at the time of inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-940-B
Description:	Based on observation, the provider did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: There was no thermometer in the refrigerator or freezer compartments that was located in the programming space and utilized for the family day home.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination prior to each child's attendance or within 30 days after the first day of attendance. Evidence: Child #3 (Start Date: 4/17/2023) did not have a physical examination on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #1 (Start Date: 9/5/2023) was present on site and did not have a file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider did not ensure that all children's records contained all required information. Evidence: 1. Child #2 (Start Date: 9/5/2023) was present at the time of inspection and did not have the following information: physician name and phone number, two emergency contacts with name, address, and phone number, medical insurance and policy number, and authorization for emergency medical care. 2. Child #3 (Start Date: 4/17/2023) was present at the time of inspection and did not have the medical insurance policy number on file. 3. Child #4 (Start Date: 5/2/2023) was present at the time of inspection and was missing one emergency contact in the file. 4. Child #5 (Start Date: 9/30/2021) was present at the time of inspection and was missing the medical insurance policy number and one emergency contact in the file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, the provider did not ensure that all parents were provided required written information prior to the child's first day of attendance. Evidence: 1. Child #2 (Start Date: 9/5/2023), Child #3 (Start Date: 4/17/2023), Child #4 (Start Date: 5/2/2023), Child #5 (Start Date: 9/30/2021), and Child #6 (Start Date: 2/10/2020) did not have documentation on file that parents were provided the provider's medication administration policy. 2. Child #2 was missing documentation on file that parents were provided the provisions of the family day home's emergency preparedness and response plan. 3. Child #2 and Child #6 did not have documentation on file that parents were informed whether or not there is liability insurance in force on the family day home operation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that all children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: Child #2 (Start Date: 9/5/2023) and Child #3 (Start Date: 4/17/2023) did not have immunizations on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and staff interview, the provider did not obtain for each caregiver an updated tuberculosis screening or test that was completed within the last two years. Evidence: Staff #2's most recently tuberculosis test on file was completed 8/26/2020.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous supplies, such as disinfectants, were not stored in an area inaccessible to children. Evidence: A disinfectant spray with the words "Caution: Keep out of reach of children" was sitting on top of a storage bin approximately 3 feet in height within the programming space and was accessible to the children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision had access to stairs. Evidence: There was no gate at the bottom of the stairs leading from the main level of the home to the child care space in the basement. Children in care at the time of inspection ranged from 8 weeks to 4 years old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider did not ensure that the diapering area had a diapering surface that was nonabsorbent. Evidence: The changing pad had a cloth cover on it making it absorbent.
Plan of Correction:	Not available online. Contact Inspector for more information.