VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carol Bautista
3405 Burrows Avenue
Fairfax, VA 22030
(703) 283-1644

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: July 30, 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 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Emergencies 8VAC20-820 THE LICENSE.

Technical Assistance:

1. Recommended that child records be reviewed to ensure all areas of required information is completed by parents. 2. Discussed importance of ensuring violations are corrected and maintained.

Comments:

An unannounced, on-site focused monitoring inspection was conducted on 7/30/24, as part of the enforcement watch process. The on-site inspection began at 1:37pm and ended at 3:08pm. The inspectors reviewed compliance in the areas listed above. There were 12 children present and 2 caregivers; the point total was 25. The inspector reviewed 6 children's records and 1 staff record while on-site. This inspection included document review, tour of the lower + mid-levels of the home and interviews. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/6/24. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-790-180-A
Description:	Repeat violation and systemic deficiency. Based on records reviewed, 1 of 1 caregiver records did not include documentation of a completed TB test/screening every 2 years. Evidence: The TB test on-file for Caregiver #3 was dated 3/25/22.
Plan of Correction:	TB Completed via xray 7/31/24 - proof attached. Will track in future with 60 day calendar exp reminder and via staff sheet review every quarter. Resolved
Standard #:	8VAC20-800-100-A
Description:	Repeat violation and systemic deficiency. Based on records reviewed, 1 of 6 children's records did not include documentation of a physical exam within the first 30-days of attendance. Evidence: Child #10-There was no physical exam on-file. The child began attending in March 2022.
Plan of Correction:	Request has been made for several months now. Child was removed from daycare 8/2/24.
Standard #:	8VAC20-800-60-B
Description:	Repeat violation and systemic deficiency. Based on records reviewed, 1 of 6 children's records did not include required information. Evidence: Child #16-The record did not include written documentation of chronic physical problems, pertinent developmental information, activity restrictions and needs, staffing recommendations, special accommodations needed and a plan of care (as outlined in 8VAC20-800-620).
Plan of Correction:	Understad this child #16 returned to us recently with diagnosis of Autism. We were never asked to have this documentation for this child asdiagnosis was unknown - Made request for documentation with a dealine no later than 06 August - we sent reminder today 06 Aug 24 and extended until Friday 09-Aug 24 Request for documentation made 8/1/24-new due date 8/9/24 NOTE: This is not a repeat violation [sic]
Standard #:	8VAC20-800-90-A
Description:	Repeat violation and systemic deficiency. Based on records reviewed, 1 of 6 children's records did not include documentation of immunizations prior to attendance. Evidence: Child #10-There were no immunizations on0file. Attendance began in March 2022.
Plan of Correction:	Request has been made for several months now. Child was removed from daycare 8/2/24.
Standard #:	8VAC20-800-510-C
Description:	Based on observations made, occupied rest mats were not spaced at least 12 inches from each other. Evidence: 3 children, located just outside of the infant nap room, were observed lying on rest mats that were touching one another. The 3 rest mats were touching on the long sides.
Plan of Correction:	Mats are always spaced kids being kids they do move the mats. We will ensure continuous spacing 12" min. Beginning 7/30/24 [sic]
Standard #:	8VAC20-800-520-A
Description:	Based on observations made, a child over 12 months of age in a crib for napping. Evidence: There was no documentation on-file stating that it was developmentally appropriate for Child #16, a 3 year-old, to sleep in a crib.
Plan of Correction:	Made request for documentation for child #16 w/a deadline no later than 06 August - we sent reminder today 06 Aug 24 and extended until Friday 09-Aug 24. Request documentation made 8/1/24 - new due date 8/9/24.
Standard #:	8VAC20-800-520-B
Description:	Based on observations made, toys were observed in a child's crib. Evidence: Approximately 3-4 toys were observed in the crib with Child #16. At least 2 of the toys were large hard plastic toys.
Plan of Correction:	NO TOYS ALLOWED IN ANY CRIBS note-to explain this was child with special needs who was making alot of noise andrefuses to sleep on a mat. Immidate same day correction [sic]
Standard #:	8VAC20-800-560-A
Description:	Based on observations made, for a period of time today the children did not have direct care and supervision. Evidence: 1. For approximately 12 minutes today, there was no direct-supervision of children in 3 nap rooms on the lower level of the home. a. Upon the inspectors arrival to the home at 1:37pm 2 caregivers were observed upstairs on the mid-level of the home, Caregivers #2 and #3, while 12 children were on the lower level of the home. b. The inspectors went to the lower level of the home and found no additional caregivers to be present. c. At approximately 1:44pm Caregiver #3 returned to the daycare on the lower-level of the home. d. When Caregiver #3 was asked by an inspector how long she had been upstairs prior to the inspectors arrival, the caregiver stated that she was upstairs for approximately 5 minutes. 2. The doors to the crib nap room were closed when the inspectors arrived to the lower-level of the home. 3. Upon arrival to the lower-level of the home, multiple children were found by inspectors to not be asleep, and were observed to be on and off nap mats while one child was running around the large play area. 4. The caregivers present were not able to utilize the video cameras in the home to aid in supervising the children, as the electronic device for watching the cameras left the country with Caregiver #1 on 7/25/24.
Plan of Correction:	1.) Approximates seem to be off a bit. when the two inspectors entered which was almost immediately after ringing the door bell - one went to the kitchen and the other stormed downstairs after telling caregiver # 2 to with the other inspector. a,b,c & d - On a normal day, we always have access to cameras in daycare. Tthe ipad was with Cargiver #1 who had emergency travel and Caregiver #2 has a new ph & was not updated with the camera software at time of inspection. Either way, Caregiver #3 was upstairs to boil water for her tea and take her lunch downstairs which was just delivered before inspectors arrived. Caregiver #2 was on his way to cover when the inspectors came to the door. Caregiver #3 went back downstairs -and even provided some time for inspector to inspect. 5 minutes elapsed 2.) Just before the inspectors arrived - a child sleeping on mats said they closed the door because a child #16 w/ special needs was making noises. the door was opened back up minutes later after inspector arrived downstairs. 3.) babies were sleeping - older kids were awake but resting 4.) see a,b,c & d above Same day correction - software was installed on caregiver #2 phone so cameras are viewable. The Caeras we have installed also allow for sound and voice response to the children as needed. Future action - We are also hiring two additional assistants to assist which will always leave 1 person in daycare area during nap time. To be implemented Date TBD. [sic]