VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Zuleima Orellana
20825 Gladwyne Ct
Ashburn, VA 20147
(703) 864-9485

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: Dec. 8, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and House 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 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:

Inspector recommended the provider seek additional training by attending the Department of Education Phase 2 training for Family Day home providers.

Comments:

A mandated renewal inspection was conducted on December 8,2 023 from 9:45am-11:00am. There were 10 children in care with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Children were observed playing with toys, eating snack and watching television. A total of 2 child records, 2 staff records and 2 household member 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. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@doe.virgina.gov

Violations:

Standard #:	8VAC20-800-750-A
Description:	Based on observation and record review, topical skin products did not meet all the requirements. Evidence: 9 tubes of diaper ointment were not labeled with the child?s name. Children?s records did not include written parent authorization noting any unknown adverse reactions.
Plan of Correction:	diaper ointment have been removed and notification to parents will be used as needed.
Standard #:	8VAC20-800-830-B
Description:	Based on record review, shelter in place was not practiced twice a year. Evidence: There was no documentation of a shelter in place drill in 2023.
Plan of Correction:	yes we practice shelter in place just forgot to note last
Standard #:	8VAC20-800-890
Description:	Based on observation, formula brought from home was not labeled in a way that identifies the owner. Evidence: he formula for an infant was not labeled.
Plan of Correction:	parent has been notified that needs to label bottles/formula
Standard #:	8VAC20-800-920
Description:	Based on observation and record review, the menu was not dated and kept on file for one week at the family day home. Evidence: The menu posted was dated for November.
Plan of Correction:	menu has been updated
Standard #:	8VAC20-800-940-C
Description:	Based on observation, the drinks used for children in care were not kept in the refrigerator. Evidence: Milk brought from home was stored in a lunch bag with a cold pack on the counter.
Plan of Correction:	milk will be stored on refrigerator at all times.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, the bottles in the refrigerator were not labeled with the child?s full name and date. Evidence: There were two infants in care and the bottles in the refrigerator were not labeled.
Plan of Correction:	the parent has been notified to label bottles
Standard #:	8VAC20-800-210-A
Description:	Based on record review, caregivers did not obtain a minimum of 16 hours of annual training. Evidence: Caregiver 1 and 2 did not complete a total of 16 hours of annual training. Caregiver 1 and 2 have no hours of annual training.
Plan of Correction:	Will do a better job for 2024. Will have 8 hours by MAy 2024
Standard #:	8VAC20-800-270-A
Description:	Based on interview, it was determined that the firearm in the home was not stored in a locked container, compartment, or cabinet, and apart from the ammunition. Evidence: Caregiver 2 stated that the firearm and ammunition were stored in a locked cabinet together.
Plan of Correction:	I think this is an overreach regulation kids are cared on basement an impossible that they open a safe where my gun is.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, children under two years of age had access to stairs. Evidence: There was no gate at the bottom of the stairs which children under two years old have access
Plan of Correction:	a new stair gate has been purchased and installed
Standard #:	8VAC20-800-600-B
Description:	Based upon observations, an infant spent more than 30 minutes of consecutive time during waking hours in a confining piece of equipment. Evidence: During the time of the inspection, from 9:50am-1030am Child 1 (7 months) was placed in confined piece of equipment without an intervening time of at least one hour in between them. At about 9:50am, Child 1 was in a feeding table with no food, then a bouncer, then a crib and back to a feeding table until about 10:40am. Child was an a confined space for about 50 minutes.
Plan of Correction:	Time in confined space will be closely monitored and no more than 30 mins as per regulation.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, the caregiver did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: Caregiver 1 did not wash their hands before serving snack to the children.
Plan of Correction:	Caregivers will wash hands at all times.
Standard #:	8VAC20-800-680-B
Description:	Based upon observations, the caregiver did not ensure that all children?s hands are washed with liquid soap and warm running water before and after eating. Evidence: The children sat and were served snack without washing hands. When snack was over, Caregiver 1 did not wash all children?s hands after eating.
Plan of Correction:	Will make sure all children wash hands
Standard #:	8VAC20-800-690-E
Description:	Based on observation, soiled diapers and wipes were not disposed of in a leak-proof storage system that is either foot operated or used in such a way that neither the caregiver?s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: Caregiver 1 lifted the lid of the garbage can to dispose of diapers and wipes. The garbage can was not foot operated.
Plan of Correction:	a new foot operated system has been purchased and already functioning