VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Gissela Medina Maldonado
3212 Gary Court
Falls church, VA 22042
(703) 388-6169

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Jan. 9, 2024

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 Medication Administration 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 54.1 Provider must be MAT certified to administer prescription medication 63.2 Child abuse and neglect

Technical Assistance:

Discussion of enrollment and staffing. Discussion that Staff #2 has recently come on board as an assistant. Please make sure that the orientation training is documented and placed on file.

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 01/09/2024, between the hours of 10 am to 12:15 pm. There were 4 children present (13 points), ranging from infant to preschool-age, with 2 caregivers supervising. The children were engaged in the following: freeplay, music, song, learning, snack, video time, toy play, diapering, hand washing, and other organized activities. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication certification; special care and emergencies; and nutrition. A total of 13 children records, and 2 staff records were reviewed. Information gathered during the inspection determined that there were (4) 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 #:	8VAC20-800-100-A
Description:	Based on review, 4 of 13 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) prior to a child's first day of attendance. Evidence - 1. On the date of inspection (01/09/2024), the following children did not have the documentation of a physical examination available for review: Child #6 (start date - 11/15/2023), Child #11 (start date - 04/17/2023), Child 12 (start date - 04/17/2023), and Child #13 (start date - 11/13/2023). 2. The Provider confirmed that all listed children were still currently enrolled.
Plan of Correction:	Parents have been reminded that this documentation is still needed. Will follow-up with all.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 2 of 13 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (01/09/2024), only 1 of 2 emergency contacts was listed for Child #5. 2. The child's record was not available for review for Child #13. Provider stated that she is still awaiting its return from the child's parent.
Plan of Correction:	All missing information will be obtained.
Standard #:	8VAC20-800-90-A
Description:	Based on review, 1 of 13 children files indicated that the Provider did not obtain documentation that each 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) before the child attends the Family Day Home (FDH). Evidence - 1. On the date of inspection (01/09/2024), documentation of the child's immunizations was not available for review for Child #5. 2. The start date for Child #5 was listed as 12/11/2023. Child #5 was in attendance on the date of inspection.
Plan of Correction:	Parent has been reminded that this documentation is still needed. Will follow-up.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 13 children files reviewed 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 any child under the age of two years. Evidence - 1. On the date of inspection (01/09/2024), the current immunization documentation on file for Child #10 was dated - 03/01/2023. 2. On the date of inspection, based on documentation on file, Child #10 was under the age of two years.
Plan of Correction:	Parent has been reminded that this documentation is still needed. Will follow-up.