VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Irma Puza
6913 Rolling Road
Springfield, VA 22152
(703) 505-2806

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: April 24, 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. ?8VAC20-820 THE LICENSING PROCESS. ?8VAC20-820 HEARINGS PROCEDURES. ?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 ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

An unannounced monitoring inspection was conducted on April 24, 2024 between the hours of 9:15 am through 10:30am. There were a total of 9 children (27 points) observed with three caregivers. A total of six children's files and four staff/household member's files were reviewed. The children were engaged in the following: toy play, breakfast, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview, an employee of a family day home did not complete a sworn statement or affirmation. Evidence: 1. Caregiver #3's record (Date of hire 01/02/2024) did not contain documentation of a completed sworn statement or affirmation. 2. Caregiver #1 confirmed that Caregiver #3 did not complete a sworn statement or affirmation.
Plan of Correction:	The caregiver will complete a Sworn Statement immediately.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the family day home does not have a central registry finding within 30 days of employment. Evidence: 1. Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of a central registry finding within 30 days of employment. 2. Caregiver #1 confirmed that a central registry search was conducted, but the results have not returned.
Plan of Correction:	The provider will follow up with the Office of Background Investigations for the results of the Central Registry.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, required records were not kept for each staff person. Evidence: 1. Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of verification of age, name, address and telephone number of a person to be notified in an emergency, and documentation of two or more references as to character and reputation as well as competency checked before employment.
Plan of Correction:	The provider will document the caregiver's record with the required information.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, parents were not provided required information before the child's first day of attendance. Evidence: 1. Child #2's record (Start date-08/14/2023) did not have documentation of provisions of the family day home's emergency preparedness and response plan.
Plan of Correction:	The parents will be given a copy of the provisions of the emergency preparedness plan to sign and document the record.
Standard #:	8VAC20-800-140-B-3
Description:	Based on record review and interview, the provider did not obtain current certification in cardiopulmonary resuscitation(CPR). Evidence: 1. Caregiver #1's record did not have documentation of current CPR certification. Caregiver #1 CPR expired on 01/23/2024. Caregiver #1 confirmed that CPR certification was expired.
Plan of Correction:	A class has been scheduled for the caregiver.
Standard #:	8VAC20-800-140-B-4
Description:	Based on record review and interview, the provider did not obtain current certification in first aid. Evidence: 1. Caregiver #1's record did not have documentation of current first aid certification. Caregiver #1's first aid certification expired on 01/23/2024. Caregiver #1 confirmed that certification in first aid was expired.
Plan of Correction:	A class has been scheduled for the caregiver.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis(TB) Screening form every two years. Evidence: 1.Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of a current TB Screening. 2. Caregiver #1 confirmed that Caregiver #3 did not have a current TB screening available at the time of the inspection. 3. Household Member #1 did not have documentation of a current TB screening. Household Member #1's TB screening expired in 12/02/2020. 4. Caregiver #1 confirmed that Household Member #1 did not have documentation of a TB screening at the time of the inspection.
Plan of Correction:	The caregiver and household member will make appointments for a Tb screening.
Standard #:	8VAC20-800-200-C
Description:	Based on record review, documentation of the orientation was not signed and dated by the provider and the assistant. Evidence: 1. Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of orientation.
Plan of Correction:	The caregiver will complete the orientation and the record will be documented.