VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tegist Hailu
43057 Battery Point Place
Leesburg, VA 20176
(703) 966-5247

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: April 3, 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 8VAC20-770 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

Technical Assistance:

Discussed at exit interview: *Please locate the documentation for the cribs meeting federal regulations *Children may not have pacifiers on strings while sleeping (not in use today) *Walkers with wheels may not be used in the daycare( Not in use today/removed from daycare during visit)

Comments:

An unannounced renewal inspection was conducted today. There were 12 children (33 points) with 2 caregivers present at LI arrival. A third caregiver did arrive in the daycare area in approximately 45 minutes. Children were observed: washing hands, during diaper changes, playing with a variety of toys and games, eating lunch, being held while being fed and listening to a story. 3 resident, 1 assistant and 8 child records were reviewed. See Violation Notice for non-compliances cited today. If you have questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov. LI was present today from 10:44AM - 1:10PM.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation the most recent Inspection paperwork was not posted. Evidence: The inspection paperwork posted was dated 4/4/23. The most recent inspection was conducted on 9/19/23.
Plan of Correction:	The current report will be posted once it is received.
Standard #:	8VAC20-800-890
Description:	Based on observation, food brought from home was not labeled in a way that identifies the owner. Evidence: Multiple infants had bottles brought from home. No bottles were labeled to identify the owner.
Plan of Correction:	The bottles will be labeled as the children arrive.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation Systemic Deficiency Based on a review of records, Child record did not contain all required documentation. Evidence: 8 child records were reviewed. 1. 2 records did not contain health insurance name and/or the insurance policy number. (Children #3,4)
Plan of Correction:	Parents will be asked to complete and sign the forms.
Standard #:	8VAC20-800-70-B
Description:	Repeat Violation Systemic deficiency Based on a review of records, child records did not contain written acknowledgement of all policies and procedures. Evidence: 8 records were reviewed. 1. No medication policy is not marked on the decision to administer medication form (Child 5) 2. No provisions of the emergency preparedness plan and liability insurance declaration is available for review (Child 7) 3. The Decision to Administer Medication policy is not signed by the parent. (Child 8)
Plan of Correction:	Parents will be given the completed policies, and asked to sign the forms.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the home was not maintained in a clean, safe and operable condition. Evidence: The smoke detector on the main floor of the home is "Chirping" due to a dead battery.
Plan of Correction:	The battery will be replaced as soon as possible.
Standard #:	8VAC20-800-570-A
Description:	Based on observation the provider did not ensure that a caregiver did not exceed 16 points. Evidence: At LI arrival, there were 12 children present totaling 33 points. There were only 2 caregivers present. A third caregiver came to the daycare area approximately 45 minutes later.
Plan of Correction:	A third caregiver will be present when the daycare is over 32 points.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, a caregiver did not ensure that a child's hands were washed with liquid soap and running water after diapering. Evidence: After a diaper change, a child was placed in a high chair in preparation for eating lunch. The child's hands were not washed until the LI mentioned they had not been washed.
Plan of Correction:	Caregivers were reminded to have the children wash their hands immediately after diapering.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not nonabsorbent, and was not cleaned and sanitized after each use. Evidence: 1. An absorbent cloth was in use on the diaper changing pad. 2. The diaper changing area was not cleaned and sanitized after a diaper change was completed.
Plan of Correction:	The diapering area will be cleaned and sanitized after each use. The nonabsorbent pad will be removed.