VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Ligia Pavon
2113 Patrick Street
Woodbridge, VA 22191
(703) 398-2836

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Aug. 5, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced, on-site monitoring inspection was conducted on 8/5/24. The on-site inspection began at 9:00 a.m. and ended at 10:10 a.m. The inspector reviewed compliance in the areas listed above. There were seven children present and two staff. The inspector reviewed five children?s records and two staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. 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 8/20/24. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on review of five children's records, the provider did not ensure that they reviewed with the parent the emergency contact information annually for each child and obtained the parent's signature acknowledging the review. Evidence: The record for Child #1 (Start date of 7/31/23), Child #3 (Start date of 8/9/21), Child #4 (Start date 3/20/23), and Child #5 (Start date of 4/11/22), does not have documentation of an annual review with parent signature.
Plan of Correction:	For child 1 and 4 the parent had signed on April 2024, it was on separate form that was behind the original paperwork in the child's folder. Both parents siged the annual review completed as of August 5, 2024.
Standard #:	8VAC20-800-70-A
Description:	Based on record review; the provider did not ensure that before the child's first day of attendance that parents are provided all required policies in writing. Evidence: Child #1 (Start Date: 7/31/23), did not have documentation that parents were provided the liability insurance declaration.
Plan of Correction:	I have reached out to parents to provide the liability insurance declaration, August 5, 2024.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider did not ensure the family day home was in a clean safe and operable condition. Evidence: There were two water hoses laying on the ground of the play area posing a trip hazard and a plastic ride on toy was observed laying on its side, the steering wheel had broken off exposing sharp pieces of plastic posing a scratch hazard.
Plan of Correction:	As of August 5, 2024 we have ensured the water hose is properly secured and away from being a trip hazard. We also got rid of the plastic ride on toy.
Standard #:	8VAC20-800-690-D
Description:	Based on interview with the provider, the provider did not ensure that diapering surface is cleaned and sanitized after each use. Evidence: The agent used to clean and sanitize the diaper surface was a mixture of bleach, water, and liquid soap mixed together in one spray bottle.
Plan of Correction:	Previously prior to COVID, previous auditors requested to have one bottle mixture of bleach, water, and antibacterial soap. I was unaware or confused that two bottles should be made one with bleach and water and on for the soap and water. Starting August 5, 2024, we now have two bottles labeled with the dates they were created, which would be daily.