VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Monica Alegre Munoz
2515 Lauderdale Drive
Henrico, VA 23233
(804) 445-2511

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: March 7, 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 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

n/a

Comments:

An unannounced monitoring inspection was conducted on Thursday, March 7, 2024, to determine the provider's compliance with licensing standards. The inspector was on site from approximately 10:20am until 12:30pm. During the inspection, there were a total of 12 children in care, totaling 31 points, in the direct care of three caregivers. Upon arrival, the children were observed in their designated play area , they were observed during free-play, dancing, and singing. The children and caregivers later transitioned to the playground. Diapering and hand-washing procedures were observed, as well as the children eating lunch. The caregivers were observed having positive interactions with the children in care throughout the inspection. All areas used for childcare were inspected. The family day home has age and stage appropriate materials and supplies. The first aid kit and non-emergency supplies were inspected and found complete. Per the provider, there are no firearms in the home, transportation is not provided, and medication is not administered at this time. Four caregivers' records, one household member's record, five children's records, and pet vaccination records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of four caregivers' records and interviews, the provider did not ensure one caregiver obtained a fingerprint-based national criminal background check prior to employment. Evidence: The results of the fingerprint-based national criminal background check in the record of Caregiver #4, employed on 11/20/23, were completed on 01/17/24. During interview, Caregiver #1 acknowledged the fingerprints were obtained after Caregiver #4 started employment.
Plan of Correction:	Corrected. In the future, fingerprints will be obtained prior to employment.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of four caregivers' records and interview, the provider did not ensure one caregiver had a completed sworn statement or affirmation prior to employment. Evidence: The sworn statement in the record of Caregiver #4, employed on 11/20/23, was completed on 12/01/23. During interview, Caregiver #1 acknowledged the sworn statement was completed after Caregiver #4 started employment.
Plan of Correction:	Corrected. In the future, the sworn disclosure will be completed prior to employment.
Standard #:	8VAC20-800-830-A
Description:	Based on a review of documentation and interviews, the provider did not ensure the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The emergency response drills for 2023 were reviewed. An emergency evacuation drill was not documented in November 2023. During interview, Caregiver #1 reported that an evacuation drill was not practiced in November as required.
Plan of Correction:	In the future, the evacuation procedures will be practiced monthly.
Standard #:	8VAC20-800-100-A
Description:	Based on a review of five children's records and interviews, the provider did not obtain documentation that one child had a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: The physical examination in the record of Child #2, date of attendance 04/14/23, was completed on 08/08/23. During interview, Caregiver #1 acknowledged the physical examination for Child #2 was not obtained within 30 days after the first day of attendance.
Plan of Correction:	Corrected. In the future, a physical examination will be required within 30 days of attendance.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of five children's records and interviews, the provider did not obtain documentation that one 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: The immunizations in the record of Child #2, date of attendance 04/14/23, were obtained on 06/03/23. During interview, Caregiver #1 reported the immunizations for Child #2 were requested prior to the child's attendance, but were not obtained until after the child attended the family day home.
Plan of Correction:	Corrected. In the future, immunizations will be required prior to attendance.