VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Stella Serumaga
12973 Queen Chapel Road
Woodbridge, VA 22193
(339) 970-1805

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Aug. 19, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Potable Water Lead Testing Requirements 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 monitoring inspection was conducted on 8/19/2024. The on-site inspection began at 11:15 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were 7 children present and 2 providers. The inspector reviewed 4 children?s records and 3 provider/household member records on-site on 8/19/2024. This inspection included document review, a 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 9/4/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-800-830-A
Description:	(Repeat Violation) Based on review of documentation, not all emergency evacuation procedures were practiced, as required. Evidence: there were no drills documented between 6/9/2023 and March 2024, and there was no documented drill in July 2024.
Plan of Correction:	Repeated violation. Drills were documented.
Standard #:	8VAC20-800-830-B
Description:	Based on review of documentation, not all shelter-in-place procedures were practiced, as required. Evidence: the last documented shelter-in-place drill was dated: 6/14/2023.
Plan of Correction:	Shelter-in-place were documented.
Standard #:	8VAC20-800-100-A
Description:	Based on review of 4 child records, the provider did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within 30 days after the first day of attendance. Evidence: the record for child #2 (date of first attendance: 4/29/2024) did not have documentation of a physical.
Plan of Correction:	Child #2 has a physical examination record.
Standard #:	8VAC20-800-90-A
Description:	Based on review of 4 child records, the provider did not obtain documentation that each child has been adequately immunized prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 4/29/2024) did not have documentation of immunizations.
Plan of Correction:	Child #2 has immunization record in folder.
Standard #:	8VAC20-800-170-A
Description:	Based on review of 3 provider/household member records, not all providers had a tuberculosis (TB) test/screening at the time of hire and prior to coming into contact with children. Evidence: the record for provider #2, who was observed supervising children, did not have documentation of a TB test/screening.
Plan of Correction:	Provider #2 has
Standard #:	8VAC20-800-250-A
Description:	Based on observation, the provider failed to ensure that strangulation hazards were kept out of reach of children under five years of age. Evidence: One infant was observed sleeping with a pacifier attached to a ribbon, presenting a strangulation hazard.
Plan of Correction:	Child does not use pacifier anymore. Removed.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider failed to ensure that poisonous substances were stored in areas inaccessible to children. Evidence: A bottle of bleach water was observed sitting on the bathroom counter, accessible to the children in care.
Plan of Correction:	It was removed. (It was a mistake)
Standard #:	8VAC20-800-530-B
Description:	Based on observation, a crib in use by a napping infant contained a top cover. Evidence: an infant was observed sleeping in a crib in a locked room covered with a blanket.
Plan of Correction:	Removed/stopped using the blanket.
Standard #:	8VAC20-800-560-A
Description:	Based on observation and interview, the provider failed to provide direct care and supervision of each child at all times. Evidence: 1. An 8 month old infant was observed sleeping in a crib in a locked room. 2. The sleeping infant was not in sight/hearing of caregivers, and the provider had no direct access when they had difficulty opening the locked door because it was ?oily.? 3. Caregivers did not conduct in-person observations at least once every 15 minutes. Caregivers stated they monitor every 30 minutes, however, the LI observed that there were no in-person observations for approximately 40 minutes until the LI requested that they do so.
Plan of Correction:	Child is checked on after 15 minutes while napping.