VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rosa Reyes
22923 Whitehall Terrace
Sterling, VA 20166
(571) 283-3091

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: April 17, 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 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 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

Comments:

An unannounced monitoring inspection was conducted today from 9:40am-10:40am. There were 3 children (10 points) directly supervised by 1 caregiver. The home, 1 caregiver record, 3 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and singing along to music on television. 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, Leslie Perez at leslie.perez@doe.virginia.gov or 703-537-6013.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the provider did not have required documentation posted. Evidence: Previous inspection (11/14/23) was not posted.
Plan of Correction:	Provider posted Acknowledgement form after inspection on this day.
Standard #:	8VAC20-800-750-A
Description:	Based on observation, record review and interview, the provider did not have written parent authorization noting any known adverse reactions to topical skin products. Evidence: No written authorization for topical skin products in child #1, #2 or #3 records and provider stated that she uses products.
Plan of Correction:	Provider will request parents complete authorization, noting any possible adverse reactions for topical ointments.
Standard #:	8VAC20-800-890
Description:	Based on observation,food containers with food brought from home were not clearly labeled in a way that identified the owner Evidence: Child #1 and child#2s food from home were not clearly labeled.
Plan of Correction:	Provider will ensure names are on food bags with brought from home.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #2 (1st day 3/15/24) did not have physical exam in record.
Plan of Correction:	Provider will request physical examination documentation from parent.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider did not have all required information in children's records. Evidence: 1. name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached were not listed for children #1, #2 or #3 2. Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds;.
Plan of Correction:	Provider will obtain emergency contact information and authorization for emergency medical care from parent.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that children have been adequately immunized prior to attending the family day home. Evidence: Child #2 (1st day 3/15/24) child #3 (1st day 4/10/24) had no immunization record or documentation that immunizations is not required.
Plan of Correction:	Provider will request immunization record for children from parent.
Standard #:	8VAC20-800-320-B
Description:	Based on observation: Child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: One unused outlet in the napping room and one unused outlet in the play were not covered.
Plan of Correction:	Corrected during inspection.
Standard #:	8VAC20-800-330-A
Description:	REPEAT Based on observation and demonstration, a landline telephone, was not operable during the family day home's hours of operation. Evidence: The landline telephone connection was not working during the inspection, the phone did not have a dial tone.
Plan of Correction:	Provider will contact company and check wiring today.
Standard #:	8VAC20-800-690-E
Description:	Based on observation and interview, a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1. No disposal was available near diapering area. 2. Provider stated that they dispose of soiled diapers in trash can outside of the home.
Plan of Correction:	Provider to purchase appropriate disposal system today.