VIRGINIA DEPARTMENT OF SOCIAL SERVICES

James Smith
2456 Windbreak Drive
Alexandria, VA 22306
(571) 277-4353

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Nov. 28, 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 that pet's shot record was previously sent to LI. Discussion that annual training of 16 hours will be reviewed for both caregivers during the next renewal inspection. Please have documentation of each certificate of completion for 2023. Discussion that Household Member #2 will turn 18 years of age in the fall of 2024. Please have a completed fingerprint check, sworn disclosure statement, and TB documentation on file a month prior to this birth date.

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 11/28/2023, between the hours of 10 am to 12 pm. There was 1 preschool child present (2 points) with 2 caregivers supervising. The child was engaged in the following: learning, music, movie time, snack, 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 7 children records, 3 household records, and 2 staff records were reviewed. Information gathered during the inspection determined that there were (6) 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, 6 of 7 children files indicated that a review of the parent's emergency contact information (required in 8VAC20-800-60 B 2) to ensure that the information is correct, was not conducted on an annual basis. Evidence - 1. On the date of inspection (11/28/2023), the following were observed to be the last parent signed acknowledgments on file: Child #1 (dated - 04/12/22), Child #2 (10/20/22), Child #3 (10/20/22), Child #4 (01/21/22), Child #5 (09/17/20), and Child #6 (03/08/22). 2. This information is based on the signature line at the bottom of each child's record.
Plan of Correction:	Will obtain missing information. If needed, blank copies of these forms will be obtained online at childcare.virginia.gov
Standard #:	8VAC20-800-100-A
Description:	Based on review, 6 of 7 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 (11/28/2023), the following children did not have documentation of a physical examination available for review: Child #1* (start date - 06/08/12), Child #2* (start date - 08/22/14), Child #3* (start date - 12/27/18), Child #5 (start date - 09/11/20), Child #6 (start date - 03/08/22), and Child #7 (start date - 01/19/23). 2. Repeated violations were indicated with an * for an inspection previously conducted on 05/18/2023.
Plan of Correction:	Will obtain missing information. If needed, blank copies of these forms will be obtained online at childcare.virginia.gov
Standard #:	8VAC20-800-50-A
Description:	Based on interview, the Family Day Home (FDH) did not keep a written record of the children who were in attendance for each day. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 11/28/2023) that he currently does not keep this documentation. 2. The Provider asked the Licensing Inspector for a copy of an attendance sheet on the date of inspection.
Plan of Correction:	A daily attendance will be kept in order to be in compliance.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 5 of 7 children files indicated that not all of the required information was contained within each child's record. Evidence - On the date of inspection (11/28/2023), the following information was not available for review: 1. The Child's home address - Child #6 (start date: 03/08/2022) 2. The Parent's home address - Child #6 3. The Parent's work Information - Child #6 4. The Child's Doctor's address and phone number - Child #6 5 - The Child's Insurance information - Child #5*, #6 6 Signed Emergency Medical Authorization by the Child's Parent - Child #1*, #2*, #3*, and #6 (not signed) *repeat violation from an inspection conducted 05/18/2023.
Plan of Correction:	Will obtain missing information. If needed, blank copies of these forms will be obtained online at childcare.virginia.gov
Standard #:	8VAC20-800-70-A
Description:	Based on review, 3 of 7 children files indicated that not all of the required documentation has been completed. Evidence - On the date of inspection (11/28/2023), the following documents were not complete: 1. Medication Administration - Decision to Administer (missing page 2) for - Child #1*, Child #2*, and Child #3* 2. Information for Parents (missing page 2) for - Child #1*, Child #2*, and Child #3* * repeat violation from an inspection conducted previously on 05/18/2023
Plan of Correction:	Will obtain missing information. If needed, blank copies of these forms will be obtained online at childcare.virginia.gov
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 7 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section), once every six months for children under the age of two years. Evidence - 1. On the date of inspection (11/28/2023), the most current immunization page on file for Child #6 was dated - 03/29/2023. 2. Based on other documentation on file, Child #6 was under two years of age on the date of inspection.
Plan of Correction:	Will obtain missing information. If needed, blank copies of these forms will be obtained online at childcare.virginia.gov