VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Doris Owusu-Ansah
34 Shepherds Hook Way
Stafford, VA 22554
(571) 421-6516

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Sept. 11, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

A chirping smoke detector indicates that the battery is running low and should be replaced. Provide technical assistance on Standard: 1) 500E: Sandboxes shall be covered when not in use 2) 780: Annually, the provider shall review the parent contact information to ensure the information is correct and obtain the parent?s signed acknowledgement of the review 3) Standard 920: Menus shall be dated, and list any substituted food provided

Comments:

An unannounced renewal inspection was conducted from 11:30 am - 1:00pm with the provider. There were five children present, ranging from 23 months to three years of age, for a total of 12 points. Children were observed finishing lunch, preparing for nap, and napping. Lunch served today: fish sticks, french fries, oranges and milk. Five child records, one provider record, the emergency drill log, written daily attendance, menu, required posted information and annual training were reviewed. It was reported that there were no medications on site, and the provider does not have current certification in Medication Administration Training (MAT) so cannot administer medication to children in care. Please send documentation that the background check has been requested no later than 10 days following this notification date. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	(Repeat Violation) Based on review of one provider record, and an interview with the provider, it was determined that not all repeat Office of Background Investigations (OBI) fingerprinting-based criminal history record checks were completed every five years as required. Evidence: the record for provider #1 contained an expired OBI fingerprint determination letter dated: 2/16/2018.
Plan of Correction:	Provider stated that they accidently obtained an updated CPS background check rather than a fingerprint based criminal history check. Provider stated that they will obtain an updated fingerprint check as soon as possible.
Standard #:	8VAC20-800-70-B
Description:	Based on review of five child records, not all records contained written acknowledgement of the receipt of all required information before the child's first day of attendance. Evidence: the records for child #1, child #2, child #3, child #4 and child #5 did not contain the parent's written acknowledgment of the provider's policies for the administration of medication.
Plan of Correction:	Will obtain acknowledgement of my medication administration policy from all parents.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of five child records, the provider did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #5 (date of first attendance: 8/17/23) did not have documentation of immunizations.
Plan of Correction:	Will ask the parent to provide documentation of immunizations.