VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Roxana Memenza
1967 Kennedy Drive
Mc lean, VA 22102
(703) 608-2487

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Jan. 9, 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 8VAC20-800 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

Technical Assistance:

THE PROVIDER MUST SEND DOCUMENTATION TO THE LI THAT THE BACKGROUND CHECKS HAVE BEEN REQUESTED NO LATER THAN 10 DAYS FOLLOWING THIS NOTIFICATION DATED 1/9/24. ONCE THE BACKGROUND CHECK IS RECEIVED BY THE CENTER, THE RESULTS MUST BE FORWARDED TO THE LICENSING INSPECTOR. The family day home license will not be renewed until all background checks have been reviewed by the inspector. Discussed model forms with provider and requirements for walking field trips.

Comments:

An unannounced renewal inspection was conducted today from 9:30am-10:30am. There were 2 children directly supervised by 1 caregiver. The home, 1 caregiver records, 3 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and being bottle fed. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Vaughan at Kara.vaughan@doe.virginia.gov or 703-537-6241. Please submit your plan of correction within five business days in order for it to be included on the public website.

Violations:

Standard #:	8VAC20-770-40-D-4
Description:	Based on record review, the provider failed to obtain a sworn statement or affirmation form all adult household members. Evidence: Adult 2's record did not contain a completed sworn statement or affirmation.
Plan of Correction:	Completed, signed and submitted sworn statement for Adult 2.
Standard #:	8VAC20-800-70-A
Description:	REPEAT VIOLATION Based on record review, the provider failed to inform parents in writing of required procedures prior to the child's first date of attendance. Evidence: 1. Child 1, 2, and 3's record did not contain documentation that the parents have been informed of the provider's medication policy. 2. Child 1 and 3's record did not contain documentation that the parents have been informed of the provider's fees, the daily schedule or the provider's termination policy.
Plan of Correction:	The provider's medication policies child 2 and 3 only needed to complete the name of the caregiver. It was already corrected. Child 1 corrected. Child 1 and 3 are VA state subsidy children. The daily schedule was also corrected.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider failed to obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Adult 2's record did not contain documentation of a negative Tuberculosis screening.
Plan of Correction:	A new Tuberculosis screening will be completed for Adult 2 on January 16 and submitted to you.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas of the family day home were not maintained in a safe manner. Evidence: A chef's knife was observed on the kitchen counter which was accessible to children.
Plan of Correction:	Security will be taken about that.
Standard #:	8VAC20-800-250-B
Description:	Based on observation, children were not protected from materials that could be swallowed or present a choking hazard. Evidence: Toys that were less than 1-1/4 inches in diameter and less than two inches in length were not kept out of reach of children under the age of three years.
Plan of Correction:	S caution will be taken and kept out of the reach of children.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, child resistant protective covers were not install on all 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three years. Evidence: Protective covers were not installed in an accessible outlet in the kitchen.
Plan of Correction:	It has already been replaced with a protective cover.
Standard #:	8VAC20-800-530-B
Description:	Based on observation, crib mattresses did not have a a tight-fitting bottom cover. Evidence: The linens used in the cribs were not tight fitting.
Plan of Correction:	Bought new linens.
Standard #:	8VAC20-800-530-I
Description:	Based on observation, a crib mattresses was not covered with a waterproof material that can be cleaned and sanitized. Evidence: The crib identified by the provider for use of Child, did not have a crib mattresses that was covered with a waterproof material.
Plan of Correction:	Bought a new waterproof mattress for crib.