VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Marjorie Baskovich
832 Linfield Terrace
Leesburg, VA 20176
(703) 200-1860

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: March 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 that a member of the household recently turned 18 years of age. A sworn statement (SDS) and a fingerprint check (FPC) is required. Household Member #2 has a 30 day grace period from their 18th birthday to obtain this documentation (Standard - 8 VAC 20-770.40.D.4). Discussion of enrollment and training.

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 03/28/2024, between the hours of 9:30 am to 11 am. There were 3 preschool-age children present (6 points), with 1 caregiver supervising. The children were engaged in the following: centers within the classroom, art, music, bathroom break, hand washing, learning about letters, 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 5 children files, 3 household records, and 1 staff file was reviewed. Information gathered during the inspection determined that there were (7) seven 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 #:	8VAC20-770-40-D-5
Description:	Based on review, a person 14 years of age and older did not have a search of the central registry (CPS check) on file within 30 days of a person in the home becoming 14 years old. Evidence - 1. On the date of inspection (03/28/2024), a CPS check was not available for review for a person 14 years of age who lives in the home. 2. Based on information on file at the Family Day Home (FDH), Household Member #3 became 14 years of age more than 30 days ago.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-780-B
Description:	Based on review, 2 of 5 children files indicated that annually, the Provider did not review with the parent their emergency contact information (as required in 8 VAC 20-800-60B.2) to ensure the information is correct, and obtain the parent's signed acknowledgment of this yearly review. Evidence - 1. On the date of inspection (03/28/2024), the documenting of the last annual review for Child #1 was dated - 10/11/2022. 2. The las annual review for Child #5 was dated - 10/19/2022.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-100-A
Description:	Based on review, 1 of 5 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (03/28/2024), documentation of a physical for Child #1 was not available for review. 2. The start date for Child #1 was listed as 10/01/2022.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 2 of 5 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (03/28/2024), the phone number for the listed doctor was not available for Child #5. There was only 1 of 2 emergency contacts listed for Child #5. 2. The Authorization for Emergency Medical care was not signed by the Parent of Child #4.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-70-A
Description:	Based on review, 1 of 5 children files indicated that not all of the required documentation was complete. Evidence - On the date of inspection (03/28/2024), the following documentation was not complete: 1. The Medication Administration - Decision to Administer form was not signed by the parent of Child #4. 2. The Liability Insurance Declaration form was not signed by the parent of Child #4.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-170-A
Description:	Based on review, 1 of 3 household records indicated that the Provider did not obtain from each adult household member (prior to coming into contact with children) their initial and current Report of Tuberculosis Screening (TB) form. Evidence - 1. On the date of inspection (03/28/2024), initial TB documentation was not available for review for Adult Household Member #2. 2. Adult Household Member #2 had turned 18 years of age earlier this year.
Plan of Correction:	All missing information and/or documentation will be obtained.
Standard #:	8VAC20-800-180-A
Description:	Based on review, the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form, every two years from the date of the initial screening or from the date of the most current documentation on file. Evidence - 1. On the date of inspection (03/28/2024), the current TB documentation on file for Staff #1 was dated - 03/04/2022. 2. This was confirmed on the date of inspection by the Provider.
Plan of Correction:	All missing information and/or documentation will be obtained.