VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farah Javid
7420 Beulah Street
Alexandria, VA 22315
(703) 971-9328

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Jan. 4, 2024

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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 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:

Discussed diaper changing/handwashing procedures. Discussed needing authorization for all medications on hand.

Comments:

An unannounced monitoring inspection was conducted today from 9:38am-11:22am with the provider on site. There were 10 children (26 points) present with 3 caregivers. Seven children's files and 5 caregiver/household files were reviewed. The children were engaged in the following: playing with toys and sleeping. The site was clean and organized. Interactions between the children and caregivers were positive. The physical space, attendance records, drill record and the Emergency Preparedness Plan were reviewed. There were two medications on site. Areas of non-compliance are identified in the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use caregiver names; list caregivers by positions only. Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	8VAC20-800-700-A
Description:	Based on review of the medication log, the child's record and interview, the provider administered prescription medications to a child without written authorization from the parent and not according to the home's written medication policies. Evidence: 1, The provider gave child #4 a prescription medication on 11/01/2023 and 11/02/2023. The provider stated she did not have written authorization.
Plan of Correction:	Remove medication from premise; notify parents for form.
Standard #:	8VAC20-800-750-A
Description:	Based on observation, topical skin products were being used and the provider did not meet all the requirements. Evidence: 1. Six diaper creams were in a bin and were not labeled with the child's name.
Plan of Correction:	Label all diaper creams.
Standard #:	8VAC20-800-830-B
Description:	Based on review of drill records, the provider did not practice Shelter-in-place procedures a minimum of twice per year. Evidence: 1. The provider practiced the shelter in place on 8/24/2023 for the year 2023.
Plan of Correction:	record properly for 2024.
Standard #:	8VAC20-800-830-C
Description:	Based on review of the drill records, the provider did not include all requirements on the drill record documentation. Evidence: 1. The provider documented the date and time only on the one shelter in place drill documented and did not include the following: a. Identity of the person conducting the drill; b. The method used for notification of the drill; c. The number of caregivers participating; d. The number of children participating; e. Any special conditions simulated; f. The time it took to complete the drill; g. Problems encountered, if any; and h. For emergency evacuation drills only, weather conditions
Plan of Correction:	properly record drills for year of 2024.
Standard #:	8VAC20-800-100-A
Description:	Based on review of children's records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1(start date 9/06/2023), Child #2 (start date 9/25/2023), Child# 3 (start date 11/27/2023) , Child #4 (start date 7/24/2023) and Child #7 (start date 8/21/2023) Files were missing the physical. 2. Child #6 (Start date 8/30/2023) File received the physical on 10/11/2023..
Plan of Correction:	Notify parents for required forms.
Standard #:	8VAC20-800-110-B
Description:	Based on review of children's records, the provider did not obtain reports that included the licensed physician, the physician's designee, or an official of a local health department signature and did not use the current form approved by the Virginia Department of Health or a physician's form to record immunizations received and the results of the required physical examination. Evidence: 1. Child #5 (start date 8/29/2023) and Child #6 (start date 8/30/2023) had an immunization record and physical, however neither were signed and were not on the current form approved by the Virginia Department of Health or a physician's form.
Plan of Correction:	Notify parents for required records, corrected.
Standard #:	8VAC20-800-80-C
Description:	Based on review of children's records, the provider did not document the method of verification of the identity and age of the child. Evidence: 1. Child #2 (Start date 9/25/2023) and Child #3 (Start date 11/27/2023) did not have documentation in the child's record that the provider verified the child's age and identity.
Plan of Correction:	Notify parents for identity verification.
Standard #:	8VAC20-800-90-A
Description:	Based on review of children's records, 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. Child #1(start date 9/06/2023), Child #2 (start date 9/25/2023), Child# 3 (start date 11/27/2023) and Child #6 (Start date 8/30/2023) Files were missing the immunization record.
Plan of Correction:	Notify parents for required records.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface did not meet all requirements. Evidence: 1. The changing pad had two small tears approximately 1 cm each on the surface and were not considered nonabsorbent and washable.
Plan of Correction:	replace diaper/surface pad.
Standard #:	8VAC20-800-690-E
Description:	Based on interview, soiled disposable diapers and wipes were not being disposed of in a leak-proof or plastic-lined 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: 1. The caregiver stated they put soiled disposable diapers in a plastic grocery bag and carried it to the storage room into a trash can.
Plan of Correction:	Move changing station closer to sink and trash can.