VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elzena Ross
11902 Molly Pitcher Circle
Manassas, VA 20109
(703) 568-2319

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: July 2, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Potable Water Lead Testing Requirements The VDOE recently distributed memos to licensed child day programs, certified preschools and religiously exempt child day centers, sharing the requirement to develop and implement a plan to test potable water pursuant to ? 22.1-289.057 of the Code of Virginia. The VDOE will begin determining compliance with this statute effective January 1, 2025. The memos can be found on the VDOE child care website: www.childcare.virginia.gov.

Comments:

An unannounced renewal inspection was conducted on 7/2/2024 from 10:15am to 12:50pm with the provider and one assistant. There were 14 children in care, including 4 resident children, ranging in age from 11 months to 11-years-old, for a total of 22 points. Children were observed watching an age-appropriate movie. 5 child records, 2 staff records, 1 household member records were reviewed. The provider has current certification in CPR and First Aid. The provider does not have a current certification in Medication Administration Training (MAT) (or understands that they must obtain certification in Medication Administration Training (MAT) in order to give medication). The first aid kit, flashlight, weather-band radio, and smoke detector were observed. The emergency drill log, attendance was also reviewed. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 7/12/2024. Please email me at morgan.bryson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-730-D
Description:	Based on observation and staff interviews, the provider did not ensure medication, including refrigerated medication and medications for household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the basement, which is the main programming space for child care, there was an unlocked refrigerator accessible to the children in care. On the second shelf from the bottom on the door of the refrigerator, there was a bottle of Amoxicillin and Children's Tylenol. On the third shelf of the door of the refrigerator, there was a bottle of Cetirizine and cough syrup. 2. In the basement, in the bathroom that was designated for child use, on the top shelf of the bathroom cabinet, there was a box of unlocked heartburn medication.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-980-A
Description:	Based on documentation review and staff interview, the family day home did not receive general written permission from the parent of each child for the provider to take the child off the premises of the family day home. Evidence: Staff #1 and Staff #2 stated that children have been taken off the premises to several locations to include the neighborhood park, movies (2 times a week) and Chuck-E Cheese. Child #1, Child #2, Child #3, Child #4, and Child #5 did not have signed field trip permission forms on file. Staff #1 and Staff #2 stated that they were not aware that they needed written documentation for general ongoing field trips.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on review of 5 child records, 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: The records for Child #3 (Start Date: 10/14/2022), Child #4 (Start Date: 10/14/2022) and Child #5 (Start Date: 3/27/2023) did not contain documentation of a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on review of 5 child records, the provider did not ensure that the record for each child had includes all required information. Evidence: 1. The record for Child #1 did not include father's place of employment and telephone number. 2. The record for Child #2 did not include father's place of employment and telephone number. 3. The record for Child #3 did not include the address for one of the emergency contact persons and father's place of employment and telephone number. 4. The record for Child #4 did not include the address for one of the emergency contact persons and father's place of employment and telephone number. 5. The record for Child #5 did not include the name and policy number of the child?s medical insurance and names of persons other than the custodial parents who are authorized to pick up the child.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas and furnishings inside the family day home were not maintained in a safe condition. Evidence: In the basement, which is the main programming space for child care, there was an unlocked refrigerator accessible to children in care ranging in ages 11 months to 11 years old. On the bottom lower shelf of the refrigerator door there were two open bottles of wine.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored in areas inaccessible to children. Evidence: 1. In the basement, in the bathroom that was designated for child use, there were disinfectant wipes, with the warning ?Keep out of reach of children?, stored on the shelf behind the toilet. On the shelf next to the toilet, within reach of children, there was one bag of bath salts and two bags of Epsom salts with the warning ?Keep out of reach of children?. In an unlocked cabinet underneath the bathroom sink there was a bottle of bleach and a bottle of all-purpose cleaner both labeled ?Keep out of reach of children?.
Plan of Correction:	Not available online. Contact Inspector for more information.