VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nargis Akther
3611 Paul Street
Alexandria, VA 22311
(571) 350-3104

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Feb. 28, 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 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 63.2 Child abuse and neglect

Technical Assistance:

Discussion of hand washing (both caregiver and child) after diapering. Discussion of cutting up bananas for children under 2 years of age. So far, the Provider has accumulated a total of 5.5 hours, out of a total of the 16 hours needed each annual training year. All corresponding certificates were on file and reviewed.

Comments:

This non-mandated monitoring inspection was initiated by licensing staff and concluded on 02/28/2024, between the hours of 10 am to 11:30 am. In addition, this inspection served as a follow-up to the initial inspection originally conducted on 11/08/2023 to observe and/or review any standard that was left undetermined on that date. Today, there were 4 children present (10 points), ranging from toddler to preschool-age, with 1 caregiver supervising. The children were engaged in the following: games, movie time, learning, snack, diapering, hand washing, and other organized activities. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 4 children records, 1 staff file, and 2 household records were reviewed. Information gathered during the inspection determined that there were (3) 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 4 children files indicated that documentation of a physical examination was not available for review. Evidence - On the date of inspection (02/28/2024), the following children did not have a physical available for review: 1. Child #1 (start date: 10/23/2023); Child #2 (start date: 07/15/2023); Child #3 (start date: 10/31/2023); and Child #4 (start date: 01/08/2024). 2. All listed start dates were more than 30 days from the date of inspection.
Plan of Correction:	Documentation of a physical examination will be obtained for each child and placed in their file.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 2 of 4 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (02/28/2024), 1 of 2 emergency contacts were provided for Child #1, and Child #2. 2. This same violation was cited previously during an inspection that took place on 11/08/2023.
Plan of Correction:	All missing information will be placed on file.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 4 children files 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 children under the age of two years. Evidence - 1. On the date of inspection (02/28/2024), the current immunization page for Child #1 was dated - 08/14/2023. 2. On the date of inspection, Child #1 was under the age of 2 years. 3. Child #1 did not have any religious exemption documentation on file at the FDH.
Plan of Correction:	An updated immunization page will be obtained and placed on file.