VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Amania Naseer
4524 2nd Street North
Arlington, VA 22203
(571) 314-3100

Current Inspector: Diana DeSilva (571) 596-3656

Inspection Date: Aug. 21, 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 8VAC20-770 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.

Technical Assistance:

Discussed standards relating to emergency preparedness and response plan, posting of current inspection notices, menus, children's records, qualification for substitute providers, and background check requirements. Information regarding background checks can be found at https://www.childcare.virginia.gov/providers/background-checks. 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 on 08/21/2024 and completed on 08/21/2024, as a part of the current licensure period. The on-site inspection began at 11:33am and ended at 1:04pm. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 16. The inspector reviewed 3 children?s records and 2 staff records on-site on 08/21/2024. This inspection included document review and a tour of the facility. 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 08/29/2024. A POC submitted after this date will not appear on the public website

Violations:

Standard #:	22.1-289.036-A
Description:	REPEAT VIOLATION Based on record review, the provider did not ensure that all household members and caregivers undergo background searches every five years since the date of the first search. Evidence: 1. Caregiver#1: The fingerprint criminal record check was last conducted in December 2018 and the sworn statement check was last documented in November 2018. 2. Household Member #1: The Central Registry Search was last conducted in May 2019 and the sworn statement check was last documented in April 2019. 3. Household Member #2: The Central Registry Search was last conducted in May 2019 and the sworn statement check was last documented in May 2019.
Plan of Correction:	Paperwork is in process.
Standard #:	8VAC20-800-830-A
Description:	REPEAT VIOLATION: Based on record review and interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The last documented drill was conducted in April 2024.
Plan of Correction:	Emergency preparedness drill has been done and will continue to be done in a timely manner.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, infant milk bottles were not labeled with the child's full name and the date. Evidence: Child #2 and Child #3's infant milk bottles were not dated.
Plan of Correction:	Infant bottles are now dated daily.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, the assistant's records were incomplete. Evidence: Caregiver #2 was missing documentation that two or more references as to character, reputation and competency were checked before employment in October 2020.
Plan of Correction:	Assistant records have been completed. Character references have been asked from assistant in writing.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, parents were not provided in writing the required information prior to the child's first day of attendance. Evidence: 1. Child #2 and Child # 3 both started attending the program in early August 2024. 2. Child #2 and #3 were missing documentation that parents were provided all the required information of this section including liability insurance declaration, policies for administration of medication, and provisions of the emergency plan.
Plan of Correction:	All paperwork has been updated.
Standard #:	8VAC20-800-80-A
Description:	Based on record review, the provider did not obtain proof of age and identity for the child within seven business days of the child's first day of attendance. Evidence: 1. Child #2 and Child #3 started attending the program in early August 2024. 2. Child #2 and #3 were missing verification of the identity and age.
Plan of Correction:	Proof of identity has been obtained.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home. Evidence: Child #3 enrolled in early August 2024 has no documentation of immunization records.
Plan of Correction:	Immunizations has been asked for from parent.
Standard #:	8VAC20-800-150-A
Description:	Based on record review, the provider did not obtain verification of age that assistants are 16 years of age or older. Evidence: Caregiver #2 was missing age verification documentation.
Plan of Correction:	Age verification has been obtained.
Standard #:	8VAC20-800-180-A
Description:	REPEAT VIOLATION: Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening. Evidence: Household member #1 and Household member #2's TB screening forms expired in November 2023.
Plan of Correction:	TB screening has been asked for from household members.
Standard #:	8VAC20-800-200-A
Description:	Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: Caregiver #2 was missing documentation of receiving orientation by the end of their first week of employment in October 2020.
Plan of Correction:	Caregiver orientation has been completed.
Standard #:	8VAC20-800-210-A
Description:	Based on record review, all caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Caregiver #2 has no documentation of receiving the required annual training since employment in October of 2020.
Plan of Correction:	Caregivers are working on 16 hours of training.
Standard #:	8VAC20-800-520-A
Description:	Based on observation, cribs were not provided for children from birth through 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1. Provider had two children enrolled who were 4 months and 3 months old. 2. Provider only had one crib at the family day home. 3. Provider confirmed that 1 of 2 infants sleep on a mat for naps.
Plan of Correction:	New crib and mat have been ordered.