VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rita David
2607 Stirrup Lane
Alexandria, VA 22308
(703) 360-5263

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Aug. 28, 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 8VAC20-770 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:

Reviewed repeat violations from previous inspections (indicated on violation notice). Advised that possible enforcement actions may occur as a result of such violations during renewal inspection. Consultation was given regarding announcement that 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 conducted on 8/28/2024, as a part of the licensure period. The on-site inspection began at 11:10am and ended at 12:35pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 3 caregivers; the point total was 18. The inspector reviewed 3 children?s records and 2 caregiver records on-site. This inspection included document review of policies and procedures, emergency drill logs, authorization forms, 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.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and interview, the provider did not ensure the most recent inspection was posted in a conspicuous place on the premises. Evidence: 1. No inspections were posted 2. Provider could not locate most recent inspection.
Plan of Correction:	Posted 8/28/24 acknowledgement. Will post signed inspection.
Standard #:	8VAC20-800-800-A
Description:	Based on documentation and interview, the provider did not review and did not document in writing each review and update to the emergency plan at least annually. Evidence: Date of most current review documented 6/4/2021.
Plan of Correction:	Provider to review, update and date emergency plan annually.
Standard #:	8VAC20-800-920
Description:	Based on observation and interview, the provider did not ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period was be given to parents or posted or placed in an area accessible to parents. Evidence: A menu was not available for review during the time of inspection.
Plan of Correction:	Provider will ensure weekly menu is completed and given to parents or posted or placed in an area accessible to parents.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #2's record did not contain a physical exam. Child has been attending for more than 30 days.
Plan of Correction:	The provider will request documentation of a physical examination by or under the direction of a physician for child #2. The provider will obtain a physical examination prior to a child's attendance or within 30 days after the first day of attendance.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, assistants' records did not contain all required information. Evidence: Caregiver #2's record did not contain verification of age, date of employment, name address and telephone number of a person to be notified in an emergency, or documentation of the education and training.
Plan of Correction:	The provider will request required documentation verification of age, date of employment, name address and telephone number of a person to be notified in an emergency, or documentation of the education and training and maintain caregiver files.
Standard #:	8VAC20-800-50-A
Description:	Based on document review and interview, the family day home did not keep a written record of children in attendance each day. Evidence: On the day of the inspection 8/28/2024, the last date of attendance entry was 8/20/2024.
Plan of Correction:	The provider/substitute provider will ensure a written record of children in attendance each day is accurate.
Standard #:	8VAC20-800-90-C
Description:	Based on record review an interview, the family day home did not obtain documentation of additional immunizations for a child under the age of two years and who is not exempt from the immunization requirements, once every six months for children under the age of two years. Evidence: Child #2 (17 months old), date of last immunization 10/11/2023.
Plan of Correction:	The provider will remind parent of child #2 that physical and up to date immunizations are required. The provider will review children's records periodically and ensure all documents are up to date for children in care.
Standard #:	8VAC20-800-210-A
Description:	Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 has obtained 7.5:16 hours since July 2023. 2. No training documented/recorded for caregiver #2.
Plan of Correction:	The provider will obtain required training hours for themself as well as for all caregivers and record training hours with all required information.