VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Karla Florero
4805 Seminole Avenue
Alexandria, VA 22312
(703) 658-3113

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Feb. 14, 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 ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

An unannounced monitoring inspection was conducted on February 14, 2024 between the hours of 10:00 am through 11:00am. There were a total of 12 children (28 points) observed with two caregivers. A total of six children's files and six staff/household member's files were reviewed. The children were engaged in the following: toy play, circle time, outdoor play and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	Repeat Violation Based on record review and interview, the family day home did not update criminal history record reports and Central Registry reports every five years. Evidence: 1. Caregiver #2's (Start date-11/05/2018) criminal history record report was not updated every five years. Documentation of Caregiver #2's criminal history report was dated 11/05/2018. Caregiver #2's central registry report was not updated every five years. Documentation of Caregiver's Central Registry report was dated 11/20/2018. 2. Caregiver #1 confirmed that Caregiver #2 did not have an updated criminal history report.
Plan of Correction:	The caregiver will set an appointment to have the criminal history check completed as soon as possible. The provider will submit the central registry search for the caregiver.
Standard #:	22.1-289.036-A
Description:	Based on record review and interview, the provider did not update the Central Registry reports every five years. Evidence: 1. Household Member #3 did not have documentation of an updated central registry report. Documentation of the last central registry report was dated 11/20/2018. 2. Caregiver #1 confirmed that Household Member #3 did not have an updated central registry report.
Plan of Correction:	The provider will complete the central registry for the household member.
Standard #:	8VAC20-800-800-B
Description:	Based on review of documentation, the provider did not document in writing the review of the emergency plan annually. Evidence: 1. The emergency plan did not contain documentation in writing the annual review of the emergency plan. Documentation of the last review was dated 01/09/2023.
Plan of Correction:	The provider reviewed and documented the annual review of the emergency plan at the time of the inspection.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, 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 #4's record (Start date-06/05/2023) did not contain documentation of a physical examination.
Plan of Correction:	The provider will ask the parents to send a copy of the physical examination to document the record.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation Based on record review, children's records did not contain required information. Evidence: 1.Child #1's record (Start date-01/03/2023) did not have documentation of the annual review of the child's emergency contact information. 2. Child #2's record (Start date-11/07/2022) did not have documentation of the annual review of the child's emergency contact information. 3. Child #3's record (Start date-06/05/2023) did not have documentation of proof of the child's age and identity. 4. Child #4's record (Start date-06/05/2023) did not have documentation of proof of the child's age and identity and name and policy number of the child's medical insurance. 5. Child #5's record (Start date-02/05/2024) did not have documentation of the a second emergency contact. 6. Child #6's record (Start date-09/06/2022) did not contain documentation of proof of the child's age and identity and documentation of the annual review of the child's emergency contact information.
Plan of Correction:	The provider will get the information from the parents and document the records.
Standard #:	8VAC20-800-180-A
Description:	Repeat Violation Based on record review and interview, the provider did not obtain a current report of tuberculosis (TB) screenings. Evidence: 1. Household Member #1 and Household Member #2 did not have documentation of a current TB screening. Documentation of Household Member #1's last TB screening was dated 05/07/2021. Documentation of Household Member #2's last TB screening was dated 08/02/2021. TB screenings are required every two years. 2. Caregiver #1 confirmed that TB screenings were not obtained for Household Member #1 and Household Member #2.
Plan of Correction:	The household members will make appointments to have Tb screenings completed.
Standard #:	8VAC20-800-520-A
Description:	Based on interview, cribs were not provided for children from birth through 12 months of age. Evidence: 1. Child #5 (Start date-02/05/2024) is 11 months old. Caregiver #1 confirmed that Child #5 did not sleep in a crib.
Plan of Correction:	The provider will get a crib for the child to sleep in.