VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Nina
512 N. Wakefield Street
Arlington, VA 22203
(571) 839-7173

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Feb. 2, 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 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Consultation was given regrading training opportunities and training log to record hours were reviewed and model forms were sent. Discussed the importance of printing and filing hard copies of background clearances

Comments:

An unannounced monitoring/renewal inspection was conducted today from 9:30am-11:00am. There were 8 children and providers granddaughter, totaling 30 points, directly supervised by 3 caregivers. The home, 4 caregiver records, 3 children?s records, 5 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, a bottle feeding, and a diaper change was also observed. There was an assortment of age-appropriate materials for young children. Three rooms are dedicated for childcare, including sleeping room, play and recreation area and feeding table. Areas of non-compliance are identified on the Violation Notice. Please submit your plan of correction within five business days for it to be included on the public website. If you have any questions regarding this inspection, please contact the Licensing Inspector, Leslie Perez at leslie.perez@doe.virginia.gov or 703-537-6013.

Violations:

Standard #:	8VAC20-800-800-B
Description:	Based on documentation and provider statement, the provider did not document in writing an annual review and any update to the emergency preparedness and response plan. Evidence: Written emergency plan posted was not dated.
Plan of Correction:	Provider will review update and document in writing date reviewed 2/2/24.
Standard #:	8VAC20-800-60-B
Description:	REPEAT Based on record review, the provider did not maintain an up-to-date record for each enrolled child. Evidence: 1. Child#3?s record was last reviewed and signed 9/30/2022 2. Child#2 record did not have the name, address and telephone number of a second designated persons to contact in case of an emergency if the parent cannot be reached.
Plan of Correction:	Provider will have Child #3's parents review, sign and date record 2/2/24. Provider will contact Child #1's parents and obtain information on second emergency contact person 2/2/24.
Standard #:	8VAC20-800-90-C
Description:	REPEAT Based on record review, the provider did not obtain documentation of additional immunizations for children who are not exempt from the immunization requirements, once every six months for children under the age of two years. Evidence: 1. Child #2 (21 months old) Last immunization in file dated 4/2023. 2. Child #3 (17 months) Last immunization in file dated 3/2023.
Plan of Correction:	Provider will request from parents on 2/2/24, updated immunizations to be turned in by 2/9/24
Standard #:	8VAC20-800-170-A
Description:	Based on review of household member records, the provider did not obtain from each adult household member a report of tuberculosis screening, prior to coming into contact with children. Evidence: Household member #5 recently turned 18 years old, no TB screening form was found in file.
Plan of Correction:	Provider will request document from household member?s doctor 2/2/24.
Standard #:	8VAC20-800-180-A
Description:	REPEAT Based on review of staff and household member records, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver and adult household members, every two years from the date of the first screening. Evidence: Staff #2?s last TB screening was 2019. Household member #2?s last TB screening was 2019.
Plan of Correction:	Provider will request document from caregiver and household member 2/2/24
Standard #:	8VAC20-800-210-A
Description:	Based on record review and provider statement, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: No records of training hours were found in caregiver files (Caregiver #1-#3). Provider stated that no caregiver had obtained annual training hours.
Plan of Correction:	Provider will have all caregivers complete required training hours annually.
Standard #:	8VAC20-800-690-D
Description:	Based on observation of a diaper being changed, the diapering surface was no longer nonabsorbent and washable. Evidence: A child?s diaper was changed on diaper pad, there was a tear in the surface of the diaper pad, rendering it no longer nonabsorbent.
Plan of Correction:	Provider ordered new pad to be delivered 2/2/24.