VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Claudia Tramontana
6614 Winstead Manor Court
Lorton, VA 22079
(703) 407-8199

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: Aug. 11, 2022

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 ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:

1. Reviewed requirements for updating the substitute caregiver?s record before she works again. 2. Discussed the importance of not posting confidential information where others can view it, including the supplemental information page of this report. 3. Enrollment forms should be completed by parents fully. Writing ?N/A? is acceptable if it does not apply to them, but blank spaces should not be left on the form. 4. The inspector will send blank templates for the emergency drill record, and emergency plan for parents form.

Comments:

An unannounced monitoring inspection was conducted at 11:00am. Observed 8 children = 19 points with the Provider + Assistant. Ratios and supervision were in compliance. Children were playing with toys, eating lunch, and washing hands. Toddlers were playing in a separate play space with age appropriate toys. Each child brings their own food daily. Interactions between the caregivers and children were calm and caring in nature. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. The backyard play space was well maintained, fenced, and offered a variety of play options. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on records reviewed, it was determined that 1 of 4 children's records did not include required information. Evidence: Child #6-Policy documents were blank and not signed by the parents, to include: the information for parents form, medication policy, emergency plan, liability insurance, and swim permission.
Plan of Correction:	The provider said this child?s last day is 8/12/22, but should drop-in care occur in the future the paperwork will be completed.
Standard #:	8VAC20-800-100-A
Description:	Based on records reviewed, it was determined that 1 of 4 children?s records did not include a physical exam within the first 30-days of attendance. Evidence: Child #1-The child began attending in June 2021, and to-date there is no physical exam on-file.
Plan of Correction:	The provider said she will request the physical exam from parents.
Standard #:	8VAC20-800-90-C
Description:	Based on records reviewed, it was determined that 2 of 4 children's records did not include documentation of immunizations every 6 months for those under the age of 2 years old. Evidence: 1. Child #1-The immunizations were dated January 2021, when the child was 7 months old. 2. Child #5-The immunizations were dated September 2021, when the child was 6 months old.
Plan of Correction:	The provider said she will request updated immunizations from parents.