VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carlos Sanchez
12310 Coleraine Court
Reston, VA 20191
(540) 905-1067

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: July 31, 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 8VAC20-770 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:

A discussion was held on there must be three caregivers if the total points exceed 32 for the children in care. The provider must live in the home per the signed application Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed July 31,2024. The on-site inspection began at 9:15am and ended at 10:30am. The inspector reviewed compliance in the areas listed above. There were 12 children present and 2 caregivers; the point total was 34. A third caregiver arrived approximately 13 minutes after the inspector arrived. The inspector reviewed 5 children's records and 3 caregivers and 1 household member records on-site. This inspection included document review and a tour of the family day home. 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 August 8, 2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on review of children's records, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence Child #2, first day of attendance 4/15/2024, does not have documentation of a physical in their record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-30-A
Description:	Based on observation and interview the provider is not ensuring compliance with the terms of the current license issued by the department. Evidence Based on the tour of the family day home the provider confirmed that they do not live in the family day home as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	REPEAT VIOLATION Based on review of children's records, the children's records did not contain all the required documentation. Evidence The record for child #1 did not contain the address for two emergency contacts. The record for child #3 did not contain documentation of an annual parental review of the child's record. The last review was 7/21/2023. The record for child #4 did not contain documentation of an annual parental review of the child's record. The last review was 7/23/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on review of children's records, the family day home did not obtain documentation of additional immunizations for a child who is under the age of two every six months. Evidence Child #1 (9 months old) does not have documentation of an updated immunization record every six months. The immunization record in their file is dated 12/29/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, children under two years of age have access to stairs. Evidence Children had access to the stairs leading up to the upper level of the home. The gate was not in place leaving the stairs accessible.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-570-A
Description:	Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence The total points assigned to the children in care was 34. Each caregiver is allowed to care for up to 16 points each. There were two caregivers onsite when the inspector arrived at 9:15am. A third caregiver arrived at 9:28am. Two caregivers can only care for up to 32 points.
Plan of Correction:	Not available online. Contact Inspector for more information.