VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Soraya Mendez-Ramirez
42021 Bushclover Terrace
Aldie, VA 20105
(703) 728-8583

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

Inspection Date: Oct. 17, 2023

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:

Clarification was provided in the following standards: * 8VAC20-800-900. Preventing choking * 8VAC20-800-920. Menus

Comments:

A monitoring inspection was conducted on 11/17/2023 between the hours of approximately 9:45 am and 10:45 am. There were 12 children present, ranging in ages from 16 months and 4 years, with 2 caregivers supervising. Children observed while working in decorating pumpkins, toileting, reading books, and eating snack. The morning snack today consisted on pop tarts, apple juice, and banana slices. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 5 staff/household member records were reviewed. 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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, Central Registry search (CRS) results were not obtained by the end of the 30th day of employment for one caregiver Evidence: 1) On the date of inspection, the record for Caregiver #4 did not contain CRS results that had been requested by the provider. A copy of CRS results was available in the record but they were from a previous employer.
Plan of Correction:	Done. Mailed one.
Standard #:	8VAC20-800-730-A
Description:	Based on observation and interview with the provider, medications for children in care were not stored separately from medications for household members and caregivers. Evidence: 1) On the day of inspection, a bottle of Motrin pills was found among the children's medications. The provider stated that the pills were hers.
Plan of Correction:	Corrected during inspection. The provider removed the bottle of pills.
Standard #:	8VAC20-800-730-D
Description:	Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, children's medications were located in a drawer under the changing table. The drawer was not locked.
Plan of Correction:	Done. Sent all medication home. Will not give medication at daycare.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the policy number of the child's medical insurance and the first date of attendance. 2) The record for Child #2 did not contain the first date of attendance.
Plan of Correction:	Done. Wrote policy number. Wrote date of attendance.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider did not ensure that caregivers and household members obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The Tb screening form in the record for Caregiver #2 was dated 03/24/2021.
Plan of Correction:	Have appointment on 10/23/23.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface did not meet all requirements. Evidence: 1) The diapering surface shall be nonabsorbent and washable - On the date of inspection, the diapering mat had a tear, making it not-nonabsorbent.
Plan of Correction:	Purchased a new cover.