VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Deborah Mays
7318 Essex Avenue
Springfield, VA 22150
(703) 569-8886

Current Inspector: Sarah Zirzow (703) 479-4675

Inspection Date: Feb. 24, 2025

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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Technical Assistance:

Technical assistance provided for lead water testing and out-of-state background checks. Review the updated background check requirements that were effective July 1, 2024. Effective January 1, 2025, 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. Find technical assistance and resources on our ChildCareVA What?s New page. 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 renewal inspection was initiated and completed on February 24, 2025, as a part of the licensure period. The on-site inspection began at 9:45 a.m. and ended at 11:00 a.m. The inspector reviewed compliance in the areas listed above. There were 2 children present and 1 caregiver; the point total was 4. The inspector reviewed 5 children?s records and 3 caregiver/household member(s) records on-site. This inspection included document review, tour of the home, 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on March 3, 2025. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.036-B-4
Description:	The provider is required to obtain background checks from any state in which a household member has resided in the preceding five years. The provider did not request a search of the criminal history, child abuse and neglect registry, and sex offender from one state for Household Member #2.
Plan of Correction:	Will do required background checks on provider's 99-1/2 mother in law who moved in with provider due to medical reasons.
Standard #:	22.1-289.057-A
Description:	The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.
Plan of Correction:	The provider will comply with additional documentation as required. The provider has obtained testing kits and will retest all water sources.
Standard #:	8VAC20-800-780-B
Description:	Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for Child #2 and #4 did not have a parent?s signature for an annual review of the emergency contact information. Child #2 had been in care for over 1 year and 10 months and Child #4 had been in care for 1 year and 11 months.
Plan of Correction:	All files will be reviewed with parents.
Standard #:	8VAC20-800-830-A
Description:	Repeat Violation The provider shall practice the emergency evacuation procedures monthly. The last record of an emergency evacuation drill was 8/21/24.
Plan of Correction:	Drill are practiced as required- provider will keep more accurate records.
Standard #:	8VAC20-800-980-A
Description:	General written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. Child #1, who had been in care for over 1 year and 4 months, and Child #5, who had been in care for over 1 year and 6 months, did not have written permission from the parents to be taken off the premises of the family day home, in which they do so daily.
Plan of Correction:	This permission is included in provider's contract that parents sign at time of enrollment on page 2; point 7 Under title of Responsibilities of parents/guardians.
Standard #:	8VAC20-800-100-A
Description:	Repeat Violation The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1, who had been in care for over 1 year and 4 months. There were no physical exam records available for Child #3, who had been in care for over 5 months.
Plan of Correction:	VA Physical exam forms for child #1 & #3 have been misplaced by provider. Parents have been advised and will provide updated ones or copies of those on file at those children enrolled in preschool or elementary school.
Standard #:	8VAC20-800-50-A
Description:	Providers must keep a written record of children in attendance each day. The provider did not take written attendance on February 17-21, 2025.
Plan of Correction:	Provider will track attendance on daily schedule. Missed doing week of 2/17-21 due to provider being sick.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation The provider is required to maintain a record for each enrolled child with the required information. -The record for Child #1, who was present during the inspection and had been in care for over 1 year and 4 months, was missing their first date of attendance. -The record for Child #2, who was present during the inspection and had been in care for over 1 year and 10 months, was missing the name, address, and phone number for one emergency contact and written authorization if the child is taken off the premises of the family day home. -The record for Child #3, who had been present the morning of the inspection and had been in care for over 5 months, was missing the name, address and phone number for one emergency contact. -The record for Child #5, who had been present the morning of the inspection and had been in care for over 1 year and 6 months, was missing written authorization if the child is taken off the premises of the family day home.
Plan of Correction:	Item 1: Child has siblings in care also, date will be determined. Item 2: Child has sibling in care and has had older siblings in care previously. Will have parents fill out 2nd emergency contact. Will also have parents sign separate permission slip for child to be taken off premises of family day home in addition to the clause in provider's contract that grants such permission. Item 3: Has sibling in care: will have parents fill out 2nd emergency contact info. A copy of the VA State School Medical form on file at child's preschool has been requested. Item 4: Provider has requested a copy of VA State Medical Exam on file at child's preschool. Item 5: Will have parent sign separate permission slip to be off premises in addition to the clause in the provider's contract that grants such permission.
Standard #:	8VAC20-800-80-C
Description:	Repeat Violation The provider shall document the method of verification of the child's age and identity in the child's record. There was no documentation of the method of verification of the child's age and identity for Child #1, who had been in care for over 1 year and 4 months, or Child #2, who had been in care for over 1 year and 10 months.
Plan of Correction:	Provider will again obtain and then complete document information as required.
Standard #:	8VAC20-800-90-A
Description:	Repeat Violation Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #1, who was in care during the inspection and had been in care for over 1 year and 4 months. There was no documentation of immunizations for Child #4, who was present the morning of the inspection and had been in care for over 5 months.
Plan of Correction:	Immunization records for all children will be reviewed with parents and updated as needed.
Standard #:	8VAC20-800-90-C
Description:	Documentation of additional immunizations is required once every six months for children under the age of two years. Child #2, 2 years old, last documented immunization was over 12 months ago and is overdue by 6 months. -Child #4, 3 and a half years old, last documented immunization was over 3 years ago and is overdue by 2 years and 6 months.
Plan of Correction:	Provider is obtaining all updated VA State School Health forms for all children enrolled in preschool and elementary school. Those not currently attending school she will obtain updated records from parents.
Standard #:	8VAC20-800-170-A
Description:	Repeat Violation The provider shall obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. There was no documentation of a tuberculosis screening for Household Member #2.
Plan of Correction:	Documentation of TB test for Household Member #2 will be on file ASAP but no later than 3/15/2025.
Standard #:	8VAC20-800-180-A
Description:	A tuberculosis (TB) screening is required every two years from the last screening. The last documented tuberculosis screening for Household Member #1 was overdue by 9 months.
Plan of Correction:	An updated documented screening will be obtained for household member #1 ASAP.
Standard #:	8VAC20-800-210-A
Description:	Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #1 obtained 2 hours of training in 2024.
Plan of Correction:	Provider will take additional trainings, in addition to personal research and reading that she does often, that offer certificates for proof of training.