VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shaun Bissett
3110 19th Street S.
Arlington, VA 22204
(202) 316-8888

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: March 22, 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 that training for Staff will be emailed to Licensing Inspector (LI) by 03/29/2024. The UMI conducted on 10/05/2023 was signed by the Provider on today's date. The LI will send copies of the Assistant/Substitute Provider Record form and the Provisions of the Emergency Preparedness and Response Plan form will be sent to the Provider. Discussion that Orientation Documentation will also need to be on file for Staff #4 by the end of this first work week.

Comments:

This renewal inspection was initiated by licensing staff and concluded on 03/22/2024, between the hours of 10 am to 12 pm. There were 7 children present (27 points), ranging from infant to toddler, with 4 caregivers supervising. The children were engaged in the following: toy play, tummy time, diapering, hand washing, naptime, feeding, music, story time, 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 7 children files, 2 household records, and 4 staff files were reviewed. Information gathered during the inspection determined that there were (11) non-compliances with the applicable standards, code, and/or law. These violations were documented on the Violation Notice issued to the center or 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 #:	22.1-289.036-B-2
Description:	Based on review and interview, 1 of 4 staff files indicated that the submitted fingerprinting check on file had expired. Evidence - 1. On the date of inspection (03/22/2024), the fingerprint check (FPC) on file for Staff #2 was dated - 03/22/2019. 2. The Provider stated (on the date of inspection) that a new check has not yet been scheduled.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-770-60-B
Description:	Based on review, 1 of 4 staff, did not have a complete sworn statement or affirmation on file at the Family Day Home. Evidence - 1. On the date of inspection (03/22/2024), Staff #4 did not have a completed sworn statement or affirmation on file. 2. The start date for Staff #4 was listed as 03/21/2024.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-920
Description:	Based on observation, the posted menu did not fulfill all of the standard requirements. Evidence - 1. On the date of inspection (03/22/2024), the posted menu was not dated. 2. This "rolling menu" only reflected the days of the week.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-120-B
Description:	Based on review, 1 of 4 staff files did not contain all of the required information. Evidence - 1. On the date of inspection (03/22/2024), emergency contact information was not listed for Staff #4. 2. At least (2) two references for Staff #2 were not on file (start date - 03/21/2024).
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-60-A
Description:	Based on review, 2 of 7 enrolled children did not have an up-to-date record maintained at the Family Day Home. Evidence - 1. On the date of inspection (03/22/2024), a file for both Child #6, and Child #7 were not available for review. 2. Both Child #6, and Child #7 were in attendance on the date of inspection.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 5 of 7 children files did not contain all of the required information to be found within each record. Evidence - 1. On the date of inspection (03/22/2024), emergency medical authorization was not available for Child #1. 2. For Child #3, 0 of 2 emergency contacts (to include their names, addresses, and phone numbers) were not available. 3. A completed Immunization record (as required by 8VAC20-800-90); and the results a health examination (physical) (as required by 8VAC20-800-100) were not available for; Child #2, Child #3, Child #6, and Child #7.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-70-A
Description:	Based on review, 5 of 7 children files indicated that not all of the required documentation was contained within. Evidence - 1. On the date of inspection (03/22/2024), Medication Administration - Decision to Administer form was not available for: Child #1, and Child #2. 2. The Provisions of the Emergency Preparedness form was not available for: Child #2, Child #3, Child #4, and Child #5. 3. The Liability Insurance Declaration form was not available for: Child #5. AND RESPONSE PLAN
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-80-C
Description:	Based on review, 2 of 7 children files reviewed indicated that the Provider did not document within each child's record the proof of identification. Evidence - 1. On the date of inspection (03/22/2024), documentation of each child's proof of identification was not available for: Child #1, and Child #3. 2. Both Child #1, and Child #3 were in attendance of the date of inspection.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-90-A
Description:	Based on review, 1 of 7 children files indicated that before a child may attend the Family Day Home (FDH), 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). Evidence - 1. On the date of inspection (03/22/2024), immunization documentation for Child #4 was not available for review. 2. On the date of inspection, Child #4 was in attendance.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 7 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 (03/22/2024), the immunization on file for Child #5 was dated - 08/18/2023. 2. On the date of inspection, based on information on file, Child #5 was under the age of two years.
Plan of Correction:	All missing information / documentation will be obtained.
Standard #:	8VAC20-800-200-A
Description:	Based on review, 1 of 4 staff files indicated that documentation of an orientation for each assistant was not on file by the end of their first week of assuming their job responsibilities. Evidence - 1. On the date of inspection (03/22/2024), documentation of orientation training for Staff #3 was not on file. 2. The listed start date for Staff #3 was 09/15/2023.
Plan of Correction:	All missing information / documentation will be obtained.