VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shalla Flores
3425 West Ox Road
Herndon, VA 20171
(703) 860-3939

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: April 30, 2024

Complaint Related: No

Areas Reviewed:

8 VAC 20-800 Administration 8 VAC 20-800 Personnel 8 VAC 20-800 Household Members 8 VAC 20-800 Physical Health of Caregivers and Household members 8 VAC 20-800 Caregiver Training 8 VAC 20-800 Physical Equipment and Environment 8 VAC 20-800 Care of Children 8 VAC 20-800 Preventing the Spread of Disease 8 VAC 20-800 Medication Administration 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 8 VAC2 0-820 THE LICENSE 8 VAC 20-820 THE LICENSING PROCESS 8 VAC 20-770 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:

Discussion of the FDH Renewal Application that was submitted. Discussion of required postings on site at the FDH.

Comments:

This renewal inspection was initiated by licensing staff and concluded on 04/30/2024, between the hours of 10:30 am to 1 pm. There were 5 children present (18 points), ranging from infant to preschool-age, with 2 caregivers supervising. The children were engaged in the following: music, movie time, toy play, snack, bathroom breaks, diapering, hand washing, and other organized activities. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication (none on site); special care and emergencies; and nutrition. A total of 8 children files, 1 household record, and 2 staff files were reviewed. Information gathered during the inspection determined that there were (5) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on review, 1 of 8 children files indicated that annually, the Provider did not conduct a review with the parent of the emergency contact information (required in 8 VAC 20-800-60.B.2) to ensure that the information was correct, and obtained the parent's signed acknowledgment of this review. Evidence - 1. On the date of inspection (04/30/2024), the following children had outdated reviews: Child #2 (last dated - 10/20/21), Child #5 (last dated - 08/02/22), and Child #7 (last dated - 04/05/23). 2. This finding was confirmed on the date of inspection by the Provider.
Plan of Correction:	This information will be reviewed with the parent of each child and a signature and date will be obtained for verification.
Standard #:	8VAC20-800-100-A
Description:	Based on review, 1 of 8 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (04/30/2024), documentation of a physical examination for Child #4 was not available for review. 2. The start date for Child #4 was listed as 10/18/2023.
Plan of Correction:	All missing documentation will be obtained and placed on file.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 1 of 8 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (04/30/2024), the addresses for both emergency contacts listed for Child #8 were not available for review. 2. The start date for Child #8 was listed as 08/22/2023.
Plan of Correction:	All missing information will be obtained and placed on file.
Standard #:	8VAC20-800-70-A
Description:	Based on review, 1 of 8 children files indicated that not all of the required documentation was on file. Evidence - 1. On the date of inspection (04/30/24), the Medication Administration - Decision to Administer form was not available for review for Child #4. 2. The start date for Child #4 was listed as 10/18/23.
Plan of Correction:	All missing documentation will be obtained and placed on file.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 3 of 8 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (04/30/2024), the follow children had immunization pages older than 6 months: Child #3 (dated - 03/31/23), Child #4 (dated - 10/17/2023), and Child #5 (dated - 08/07/23). 2. All listed children were under the age of 2 years on the date of inspection.
Plan of Correction:	All missing documentation will be obtained and placed on file.