VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fatemeh Ranjbarkohan
745 Bonnie Ridge Drive, NE.
Leesburg, VA 20176
(703) 888-9118

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Aug. 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 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:

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 conducted on 08/06/204. The inspector reviewed compliance in the areas listed above. There were 7 children present and 3 caregivers; the point total was 23. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included * document review, tour of the facility, and interviews 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. 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 5 business days from today, which will be the close of business on 08/19/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-800-700-C
Description:	Based on medication review, the Provider did not ensure that expired medication be picked up within 14 days or taken to a pharmacy for proper disposal. Evidence: 1) Medication on-site for Child #6 had an expiration date of 01/22/2024.
Plan of Correction:	The kid don't need the medication anymore.
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 records for Child #5 (start date05/14/2024) did not contain the results of a physical examination.
Plan of Correction:	Her mother emailed me all the papers but I couldn't open and printed. *The provider shall print the documents and include in the child's record.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: The records for children did not contain the following: *Child #2 - parent's work phone number *Child #3 - physician's name and phone number, phone number for a second emergency contact, signed acknowledgement of the provider's medication policy and the provisions of the emergency plan. *Child #4 - one custodial parent's work phone number, medical insurance policy number.
Plan of Correction:	I got the information.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child may attend the family day home. Evidence: 1) The record for Child #5 (start date 05/14/2024) did not contain an immunization report.
Plan of Correction:	She had them a week before she started on my email. *The provider shall print the documents and include in the child's record.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the provider did not obtain additional immunizations once every six months for children under the age of two years. Evidence: 1) The most recent immunization report in the record for Child #2 (dob 07/13/2023) was dated 11/17/2023.
Plan of Correction:	She don't have any vaccines because she was sick. *The provider shall request updated immunizations and include in the child's record.
Standard #:	8VAC20-800-170-A
Description:	*REPEAT VIOLATION* Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb) Screening. Evidence: 1) The record for Staff #4 (start date 07/126/2024) did not contain the results of a Tuberculosis Screening.
Plan of Correction:	She will do it this week. They were doing Tb only for school.
Standard #:	8VAC20-800-200-A
Description:	*REPEAT VIOLATION* Based on record review, the Provider did not orient caregivers by the end of their first week of assuming job responsibilities. Evidence: 1) The records for Staff #2, Staff #3, Staff #4 and Staff #5 did not contain documentation that the caregivers completed orientation training as required.
Plan of Correction:	I did on the first day they started, but didn't know there is a form.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface did not meet all requirements. Evidence: 1) The diapering surface had small rips in it, making it not nonabsorbent and washable.
Plan of Correction:	I changed it with a new one.