VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Jamila Shah
5353 Truman Avenue
Alexandria, VA 22304
(703) 678-5079

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Nov. 15, 2023

Complaint Related: No

Areas Reviewed:

8 VAC 20-800 Administration 8 VAC 20-800 Personnel 8 VAC 20-800 Household Members 8 VAC 20-800 Physical Health of Caregivers and Household members 8 VAC 20-800 Caregiver Training 8 VAC 20-800 Physical Equipment and Environment 8 VAC 20-800 Care of Children 8 VAC 20-800 Preventing the Spread of Disease 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 8 VAC2 0-820 THE LICENSE 8 VAC 20-820 THE LICENSING PROCESS 8 VAC 20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Discussion of posting the emergency numbers. All numbers were posted on the first page of the FDH's EP&RP form and attached to the parent bulletin board.

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 11/15/2023, between the hours of 10:30 am to 12:30 pm. There were 3 children present, plus 1 resident child (a total of 11 points), ranging from infant to preschool-age, with 1 caregiver supervising. The children were engaged in the following: freeplay, learning, music, diaper changing, hand washing, feeding, naptime, and other organized activities. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 3 children records, 1 staff record, and 4 household records were reviewed. Information gathered during the inspection determined that there were (7) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on review, 1 of 3 children files indicated that the initial review of the emergency information was not verified with a signature from each child's parent. Evidence - 1. On the date of inspection (11/15/2023), the signature was missing for the initial review for the emergency information listed on the child's record of Child #2. 2. The start date for Child #2 was listed as - 08/28/2023.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-100-A
Description:	Based on review, 3 of 3 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (11/15/2023), documentation of a physical examination was not available for review for: Child #1 (start date - 02/21/23), Child #2 (start date - 02/28/23), and Child #3 (start date - 09/25/23). All three children were in care on the date of inspection. 2. Documentation of the physical examination not being available for review for Child #1 was cited previously on 04/05/2023.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 1 of 3 children files indicated that not all of the required information was contained within each child's record. Evidence - On the date of inspection (11/15/2024), the following information was not available for review: 1. The addresses for both of the two emergency contacts listed for Child #2. 2. The insurance information (policy name and number) for Child #2.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-70-A
Description:	Based on review, 3 of 3 children files reviewed indicated the not all of the required documents were on file. Evidence - On the date of inspection (11/15/2023) the following was not available for review: 1. The signed Information for Parents form for: Child #1, Child #2, and Child #3. 2. The Medication Administration - Decision to Administer form for - Child #1, #2, and #3. 3. The Provisions of the EP&RP for - Child #1, #2, and Child #3. 4. This is a repeat violation for the documentation needed for Child #1. It was previously cited during an inspection conducted on 04/05/2023.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-80-A
Description:	Based on review, 1 of 3 children files indicated that the Provider di not document, within 7 days of the child's first day of attendance at the Family Day Home, a review of each child's proof of identification. Evidence - 1. On the date of inspection (11/15/2023), proof of identification was not available for Child #2. 2. The start date for Child #2 was listed as 08/28/2023.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-90-A
Description:	Based on review, the Provider did not obtain documentation that the child has 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 - 1. On the date of inspection (11/15/2023) immunization documentation was not available for Child #2. 2. The start date for Child #2 was listed as - 08/28/23.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-520-C
Description:	Based on observation, a crib on site had mesh sides. Evidence - 1. On the date of inspection, Child #1 was observed sleeping in a crib that had mesh sides. 2. This crib was located in the first child care room from off of the kitchen.
Plan of Correction:	A new crib will be purchased and used.