VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Alicia Villagra
4102 Dakota Court
Alexandria, VA 22312
(703) 914-4923

Current Inspector: Sarah Zirzow (703) 479-4675

Inspection Date: Feb. 6, 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. 8VAC20-820 HEARINGS PROCEDURES. 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

Comments:

A monitoring inspection was conducted on 02/06/2024 between the hours of approximately 9:45 am and 11:00 am. There were 12 children present, ranging in ages from 4 months to 4 years (28 points), with 2 caregivers supervising. Ratios were incompliance. Children were observed solving puzzles, tracing, coloring and watching instructional videos. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. There were no medication on site today. A total of 3 child records and 2 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (08/2023) were not posted.
Plan of Correction:	Most recent inspection findings will be posted.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, the provider did not ensure did not ensure that out-of-state Central Registry search results are obtained every five years for employees. Evidence: 1) The most recent out-of-state Central Registry search request results available in the record for Caregiver #2 were dated 04/13/2018.
Plan of Correction:	Staff #2 will complete a new Central Registry search.
Standard #:	8VAC20-800-830-A
Description:	Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2024 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of January 2024.
Plan of Correction:	January's fire drill is now posted on the log.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The record for Child #2 (start date 12/26/2023) did not contain the results of a physical examination.
Plan of Correction:	Child #2's parents brought the physical exam.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #2 did not contain the phone number of one custodial parent's place of employment 2) The record for Child #3 did not contain the name, office address and telephone number of the child's physician. 3) The records for Child #1 and Child #3 did not contain the first date of attendance. 4) The record for Child #3 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately, and proof of the child's age and identity.
Plan of Correction:	These records are now updated to include this missing information.
Standard #:	8VAC20-800-70-B
Description:	Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of required information. Evidence: 1) The record for Child #2 did not contain a written acknowledgement of having received required information regarding the family day home.
Plan of Correction:	Child #2's record now contains the written acknowledgement.
Standard #:	8VAC20-800-280
Description:	*REPEAT VIOLATION* Based on observation, potentially poisonous substances and supplies, were not stored away in areas inaccessible to children. Evidence: 1) On the date of inspection, the following items were observed in the cabinet under the sink in the bathroom of the care area. The cabinet was unlocked. - a bottle of bubbles solution, a bottle of glass cleaning solution (Windex) 2) The following items were observed on shelves that were not high enough for them to be inaccessible to children: one bottle of hand sanitizer, a container of Clorox wipes and a can of Lysol spray.
Plan of Correction:	Bathroom cabinet is now closed. Cleaning supplies will be stored elsewhere.