VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandra Reardon
26155 Glasgow Drive
Chantilly, VA 20152
(703) 608-4621

Current Inspector: Kristy Atanackovic (804) 629-5032

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:

Discussed with Provider: Emergency phone numbers, outlet covers, emergency contact addresses.

Comments:

An unannounced, on-site monitoring inspection was initiated on 8/6/2024 and completed on 8/6/2024. The on-site inspection began at 10:07 am and ended at 11:20. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 11. The inspectors reviewed 3 children?s records and 2 caregiver records on-site on 8/6/2024. This inspection included document review, a tour of the home, 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 8/13/2023. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on record review and staff interview, not all required documentation was posted. Evidence: 1. The findings of the most recent inspection of the home were not posted. 2. Posted inspection notes were dated 12/2023. The last inspection was 5/2024.
Plan of Correction:	The updated inspection will be posted today.
Standard #:	8VAC20-800-780-B
Description:	Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent?s signed acknowledgment of the review. Evidence: 1. Child #1's last annual emergency contact review was on 9/6/2022. 2. Child #3's last annual emergency contact review was on 2/21/2023.
Plan of Correction:	I will request the information from the parents this week.
Standard #:	8VAC20-800-830-B
Description:	Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: The provider stated they have not completed a shelter-in-place drill at this time.
Plan of Correction:	Shelters will be conducted this month.
Standard #:	8VAC20-800-830-C
Description:	Based on record review and interview, the emergency evacuation procedures were not documented. Evidence: The provider stated that the June and July 2024 evacuation procedures were practiced but not documented.
Plan of Correction:	The evacuation will be dated every month.
Standard #:	8VAC20-800-920
Description:	Based on record review and interview, the menu was not dated for the current week. Evidence: The family day home menu that was posted was dated 11/2021.
Plan of Correction:	The menu will be dated every week.
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: 1. There was no physical examination for Child #1, who began attending 9/12/2022. 2. Child #3 has a physical examination, but it is not complete.
Plan of Correction:	I will request the information from the parents this week.
Standard #:	8VAC20-800-50-A
Description:	REPEAT VIOLATION Based on record review and interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. No attendance was available to verify which children were present. 2. Attendance was last documented on 06/6/2024.
Plan of Correction:	Attendance will be complete daily each morning.
Standard #:	8VAC20-800-90-A
Description:	Based on record review and interview, the provider did not obtain documentation that a child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attending. Evidence: 1. There was no documentation to verify that Child #2 had been adequately immunized before their first day of attendance. 2. The start date for Child #2 is 8/5/2024.
Plan of Correction:	I will ask the parents for the complete immunized record
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for a caregiver every two years. Evidence: The tuberculosis test result (chest x-ray) for Caregiver #1 is dated 9/4/2019 and expired on 7/21/2021.
Plan of Correction:	My assistant will get the test done this week
Standard #:	8VAC20-800-200-C
Description:	Based on record review and interview, caregiver orientation was not documented. Evidence: There was no documentation to verify that Caregiver #1 had orientation training.
Plan of Correction:	The training will be done this month.
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 received 2 hours of annual training. 2. There was no documentation to verify that Caregiver #1 received more than 2 hours of annual training.
Plan of Correction:	The training will be done this month.