VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mercy Brito
17335 Arrowood Place
Round hill, VA 20141
(540) 751-2039

Current Inspector: Alyssa Simons (571) 423-6392

Inspection Date: March 12, 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 8VAC20-820 THE LICENSE 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

The Inspector and Provider discussed use of thumb tacks and wall hangings in the family day home. The Inspector and Provider discussed crib requirements and placement. The Inspector and Provider discussed children being seated directly after washing their hands for mealtimes.

Comments:

An unannounced monitoring inspection was conducted March 12, 2024 between the hours of 9:28am - 12:48pm. There were 12 children (24 points) directly supervised by 3 caregivers. The home, 3 caregiver records, 3 children?s records, 1 household member?s records, outside play area, evacuation drills, emergency supplies, posted documents, attendance and policies were inspected. There were no medications on site today. Children were observed having positive interactions with the caregivers, free play, dancing, eating snack (peppers and yogurt), lining up, playing outside, eating lunch (PB &J, tomatoes, apples and milk) and handwashing. There was an assortment of age-appropriate materials for children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Alyssa Simons at alyssa.simons@doe.virginia.gov or 571-423-6392.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the provider did not ensure that the current license was posted in a conspicuous place on the licensed premises. Evidence: 1) The new license was not posted. The license posted was dated December 2023.
Plan of Correction:	Updated License has been posted
Standard #:	22.1-289.058
Description:	Based on observation, the child day program did not ensure that a carbon monoxide detector was installed in a building that was built before 2015, that houses a child day program that serves preschool-age children was not equipped with at least one carbon monoxide detector. Evidence: 1) A carbon monoxide detector was not in the home. 2) The provider confirmed that the home did not have a carbon monoxide detector.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-920
Description:	Based on observation, the menu posted for the current one-week period was not dated. Evidence: 1) The menu provided for review was posted on the bulletin board at the entrance of the family home day care and was not dated to reflect the current one week period. 2) The provider confirmed that the menu posted is posted monthly.
Plan of Correction:	This week's menu has been dated and posted instead of the usual seasonal menu that I use to post.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider did not obtain for each adult household member, a current Report of Tuberculosis (TB) Screening form, every two years from the date of the first screening. Evidence: 1) Household member #4's most recent TB screening expired on 8/18/23. A subsequent TB screening was not obtained every two years.
Plan of Correction:	Household member #4 updated their TB test.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1) On the outside play area, the top of the large slide on the gray climbing structure was cracked, exposing sharp pieces of plastic. The slide was not secured to the climbing structure. The provider confirmed that the slide did not come with the climbing structure. 2) On the outside play area, the play house was cracking around 2 of 2 windows exposing pinch points. 3) On the outside play area, the climbing structure with the pink slide was missing a part to keep the structure sturdy. 4) On the outside play area, the climbing structure with the yellow slide was cracking at the top where children stand and sit to go down the slide. The cracks were exposing pinch points. 5) On the outside play area, the Sportspower Deluxe Saucer Swing was not set up on a level surface. The manufacture safety warning requires installation on a level surface. 6) On the outside play area, there was a wooden cut out area for piping between the deck and the ground that exposed a head entrapment of approximately 12 inches by 7 inches. This area was accessible to children.
Plan of Correction:	All pointed equipment inside and outside that needed to be fixed, has been taken care of.
Standard #:	8VAC20-800-260-E
Description:	Based on observation, other containers of liquid accessible to children was not emptied immediately after use. Evidence: 1) On the outside play area, the water table (not in use) was filled with approximately 3 inches of water and dirt.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers were stored in areas inaccessible to children. Evidence: 1) Hand sanitizer (Keep out of reach of children) was observed in the main play area on a toy shelf by the gate to the stairs. The hand sanitizer was accessible to children. 2) 3 bottles of shaving cream(Keep out of reach of children) were observed on a supply shelf within reach of children. 3) Cleaning wipes and sprays (Keep out of reach of children) were observed in an unlocked cabinet, under the childrens bathroom sink. A step stool was located in front of the cabinet.
Plan of Correction:	A lock has been placed on the bathroom cabinet door. Other products were placed out of reach of children during inspection.
Standard #:	8VAC20-800-320-A
Description:	Based on observation, not all small electrical appliances were unplugged while not in use. Evidence: 1) A electric kettle was plugged in and unattended in the upstairs kitchen area.
Plan of Correction:	We are being extra careful in the household to ensure all small electrics such as the one pointed out by you during the inspection are kept unplugged.