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: Aug. 7, 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

Technical Assistance:

Technical assistance provided for maintaining required information on-site. Provider will need to send training information, background checks, rabies certification, and TB screening for substitute provider before processing renewal application. Discussed the updated background check requirements that were effective July 1, 2024. 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 renewal inspection was initiated and completed on August 7, 2024, as a part of the licensure period. The on-site inspection began at 10:25am and ended at 12:30pm. The inspector reviewed compliance in the areas listed above. There were 10 children present (28 points) and 2 staff. The inspector reviewed 5 children?s records and 3 staff records. This inspection included document review, 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. 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 August 21, 2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	REPEAT VIOLATION Based on observation, the provider did not have the most recent violation notice and inspection summary posted. Evidence: The most recent violation notice and inspection summary (date of last inspection 2/6/24) was not posted.
Plan of Correction:	Most recent violation notice and inspection summary is now posted.
Standard #:	8VAC20-800-840-A
Description:	Based on interview, the provider did not ensure to record child injuries or accidents sustained by a child while at the family day home. Evidence: The provider stated they tell the parent at pick-up time about injuries but does not record in the child?s record injuries or accidents.
Plan of Correction:	New template will also include space for any injuries sustained by the children.
Standard #:	8VAC20-800-100-A
Description:	REPEAT VIOLATION Based on record review, the provider did not obtain documentation of a physical examination within 30 days of attendance. Evidence: Child #5 (date of enrollment 7/12/23) does not have a physical examination on file.
Plan of Correction:	Child #5 has a physical scheduled.
Standard #:	8VAC20-800-120-A
Description:	Based on observation and interview, the provider did not maintain a record for each caregiver. Evidence: Upon arrival at approximately 10:25am, it was observed that only the provider was on-site with 10 children (28 points). The provider stated assistant #1 had an emergency and was off-site for approximately 30 minutes. The provider was observed on the telephone calling someone for assistance. Approximately 5 minutes later, assistant #2 arrived to help and then a minute later assistant #1 returned. The provider stated the person who she had called to help and who arrived was assistant #1?s daughter. The provider does not have any record or the requirements for assistant #2.
Plan of Correction:	I will gather information needed to make assistant #2 my new auxiliary assistant.
Standard #:	8VAC20-800-120-B
Description:	Based on file review, the provider did not maintain the required information for assistants. Evidence: -The documentation for assistant #1 did not include verification of age, date of employment, or an emergency contact.
Plan of Correction:	This has now been added to the files.
Standard #:	8VAC20-800-50-A
Description:	Based on document review, the provider did not keep a written record of children in attendance each day. Evidence: -The attendance record for 8/7/24 listed 11 children. Child #6 and Child #7 were signed in on the attendance record but were absent. Child #12 was in attendance but was not signed in.
Plan of Correction:	Attendance sheet template will be updated to exclude pre-printed arrival/departure times; will be handwritten daily.
Standard #:	8VAC20-800-50-B
Description:	Based on record review and interview, the provider did not maintain all the required records in the home. Evidence: -Documentation for annual training was not available at the time of inspection. -Documentation for substitute provider information was not available at the time of inspection. -Rabies information for cats was not available at the time of inspection.
Plan of Correction:	Annual training info and certificates are now filed. Documentation for assistant #2 is in the works. Rabies info is now on file.
Standard #:	8VAC20-800-60-B
Description:	REPEAT VIOLATION Based on record review, the provider did not obtain the required information for children?s records. Evidence: The record for Child #5 (date of enrollment 7/12/23) did not have the name, address, and telephone number of each parent?s place of employment.
Plan of Correction:	Parents missing information is now included.
Standard #:	8VAC20-800-80-C
Description:	Based on record review, the provider did not document the required information for proof of age and identity. Evidence: -Child #1 (date of enrollment 12/26/23) did not have documentation for the date proof of age and identity was viewed and by who. -Child #2 (date of enrollment 7/22/24) did not have documentation for the date proof of age and identity was viewed and by who. -Child #5 (date of enrollment 7/12/23) did not have documentation for the date proof of age and identity was viewed and by who.
Plan of Correction:	Documentation for this will be added for children #1, 2, 5.
Standard #:	8VAC20-800-570-A
Description:	Based on observation and interview, the provider exceeded the 16 point maximum. Evidence: Upon arrival at approximately 10:25am, it was observed that only the provider was on-site with 10 children (28 points). The provider stated assistant #1 had an emergency and was off-site for approximately 30 minutes. The provider was observed on the telephone calling someone for assistance. Approximately 5 minutes later, assistant #2 arrived to help, and then a minute later assistant #1 returned.
Plan of Correction:	Assistant #2 is going to be new auxiliary assistant.