VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Feliza Choque
1913 Hillside Drive
Falls church, VA 22043
(571) 502-6887

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: Nov. 30, 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 8VAC20-820 HEARINGS PROCEDURES 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 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

An unannounced monitoring inspection was conducted on 11/30/2023 from 9:20 am to 10:35 am. There were 8 children supervised by 2 direct caregivers. The home, 2 caregivers' records, 4 children?s records, evacuation drills, and policies were inspected. Children were observed engaging freely and eating. Areas of non-compliance are identified in the Violation Notice. Please submit your plan of correction within 5 business days for it to be included on the website. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-750-A
Description:	Based on observation and interview, the provider did not label and obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent. Evidence: 1. There was no documentation of written parent authorization for 4 diaper ointments and 1 sunscreen used for the children in care. 2. 3 of 4 diaper ointments were not labeled with the child's name. 3. 3 of 4 diaper ointments were expired.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	REPEAT VIOLATION Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent?s signed acknowledgment of the review. Evidence: Child #3's last annual emergency contact review was on 10/05/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-960-A
Description:	Based on observation and interview, high chairs, infant carrier seats, or feeding tables with safety waist and crotch straps were not fastened according to the manufacturer's instructions. Evidence: At approximately 9:23 am, Child #5 was observed by the inspector during the inspection not fastened in a high chair that has straps while eating.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	REPEAT VIOLATION Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician before a child's attendance or within 30 days after the first day of attendance. Evidence: 1. There was no documentation of a physical examination for Child #1 and Child #2 before their first day of attendance. 2. The start date for Child #1 is 06/05/2023 and for Child #2 is 8/2/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	REPEAT VIOLATION Based on record review and interview, the provider did not obtain all the information required for a child's record. Evidence: 1. Child #3 is missing the name and policy number of the child's medical insurance. 2. Child #2 is missing the telephone number of the child's physician.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	REPEAT VIOLATION Based on record review, the provider did not provide the family day home policies to parents in writing before the child's first day of attendance. Evidence: 1. Child #2 is missing the policy for picking up a ill child, notification of communicable disease, policies for the administration of medications, liability insurance, and the home emergency preparedness and response plan. 2. Child #3 is missing the policy for picking up an ill child, notification of communicable disease, and the home's emergency preparedness and response plan. 3. Child #1 is missing the home's emergency preparedness and response plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-80-A
Description:	REPEAT VIOLATION Based on record review and interview, proof of identity was not obtained within 7 days. Evidence: 1. Child #2 and Child #4 do not have signed documentation of viewing the proof of identity for the child. 2. The start date for Child #2 is 8/21/2022 and Child #4 is 01/10/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	REPEAT VIOLATION Based on record review and interview, before a child's first day of attendance, the provider did not obtain documentation that a child had 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. There was no documentation that Child #1 had been adequately immunized before their first day of attendance, as required by Virginia Code ? 32.1-46 A. 2. The start date for Child #1 is 06/05/2023
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: The TB test for Caregiver #1 is dated 7/21/2021 and expired on 7/21/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.