VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Noor Arman
8970 Hooes Road
Lorton, VA 22079
(703) 843-5759

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Nov. 15, 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

Technical Assistance:

A discussion was held regarding leaving a caregiver alone with children without having access to children's records or knowledge of emergency procedures. A discussion was also held on meal planning and what is expected to be served.

Comments:

A monitoring inspection was conducted today between 11:45am am and 1:00pm. There were 7 children present with 1caregivers supervising for a total of 15 points. A second caregiver arrived approximately 20 minutes after arrival of inspector. 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 getting ready for lunch, watching TV and getting ready for nap. A diaper change was also observed. . A total of 6 child records and 2 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 #:	8VAC20-800-750-A
Description:	Based on observation the requirements for using topical skin products were not met. Evidence Two diaper creams were not labeled with a child's name. Child #6 did not have written authorization from a parent to use a diaper cream.
Plan of Correction:	I will make sure to label all of our tropical skin products with the appropriate children's names as soon as they are given to us.
Standard #:	8VAC20-800-780-B
Description:	Based on review of children's records, the provider did not review with the parent annually the child's record. Evidence The record for child #1 and #4 did not have documentation of an annual parental review of their record.
Plan of Correction:	I will make sure to review the child's record with the parent annually.
Standard #:	8VAC20-800-830-A
Description:	Based on review of emergency procedures, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence An emergency evacuation drill was not conducted in the months of September and October 2023.
Plan of Correction:	I will make sure to record each time the emergency evacuation drill was conducted.
Standard #:	8VAC20-800-880
Description:	Based on observation the family day homes did not follow the most recent, age appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence The lunch that was served on November 15, 2023 did not meet the age appropriate nutritional requirements. Lunch consisted of white rice, yogurt and a fruit. No vegetable or protein was provided.
Plan of Correction:	will make sure that we follow our posted menu, which follows the age appropriate nutritional requirements, every single da
Standard #:	8VAC20-800-920
Description:	Based on observation a weekly menu was not posted. Evidence A current menu was not available for review. The menu posted was for the month of September.
Plan of Correction:	I will make sure to post a weekly menu in the kitchen.
Standard #:	8VAC20-800-50-A
Description:	Based on observation and review of daily written record of children in attendance, the family day home did not keep an accurate record of children in attendance. Evidence The daily written record of children in attendance on November 15, 2024 recorded 4 children in attendance. The actual number of children in attendance was 6.
Plan of Correction:	I will make sure to remind parents every single day to check in the attendance of their child.
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 the addresses for two emergency contacts. The record for child #2 and #6 does not contain the address for one emergency contact. The record for child #2 and #6 does not contain permission for emergency medical treatment.
Plan of Correction:	I will make sure to have the parents complete the incompleted parts of their registration forms, and proofread all future registration forms for completion.
Standard #:	8VAC20-800-80-B
Description:	The provider did not verify the identity and age of a child by viewing the proof of identity. Evidence The record for child #5 does not contain documentation that the provider verified the identity and age of a child by viewing the proof of identity.
Plan of Correction:	I will make sure to properly verify the identity and age of each child during the registration process before they start daycare.
Standard #:	8VAC20-800-80-C
Description:	The provider did not document in the child's record that they verified the child's proof of identity. Evidence The record for child #2, #7 and #6 does not have documentation that the provider verified the child's proof of identity.
Plan of Correction:	I will make sure to document that I have verified the child's proof of identity in their records before they start daycare.
Standard #:	8VAC20-800-200-B
Description:	Based on interview with caregiver, the orientation the caregiver received did not cover emergency plans. Evidence Caregiver #1 who was alone with the children did not know the emergency plan should an emergency occur.
Plan of Correction:	I will make sure to re-train my assistants and make sure they memorize the emergency plan and where the plan is posted.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, caregiver did not wash their hands with liquid soap and warm running water before and after handling food and after completing a diaper change. Evidence Caregiver #1 was observed not washing their hands before or after serving lunch and after completing a diaper change.
Plan of Correction:	I will make sure to re-train my assistants and put up a reminder on the wall of the correct procedure to follow for hand washing.
Standard #:	8VAC20-800-680-B
Description:	Based on observation caregiver did not ensure that children's hands are washed with liquid soap and warm running water before eating lunch and after a diaper change. Evidence Children were observed using a hand wipe to clean their hands before lunch. Children were observed not having their hands washed after a diaper change.
Plan of Correction:	I will make sure to re-train my assistants and put up a reminder on the wall of the correct procedure to follow for hand washing.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not cleaned and sanitized after each diaper change. Evidence Caregiver #1 was observed not cleaning and sanitizing the diapering surface after each diaper change.
Plan of Correction:	I will make sure to re-train my assistants and put up a reminder on the wall of the correct procedure to follow for a diaper change.