VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Melina Lopez Gonzalez
7016 Strathmore Street
Falls church, VA 22042
(571) 263-5724

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: June 13, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

1. The inspector will send multiple model forms and information about English classes. 2. Discussed the importance of correcting violations cited to avoid a negative impact on the license to operate. 3. Recommend the caregivers attend Family Day Home Phase 2 Training. 4. Reviewed licensed capacity limits and how to calculate points to determine ratios. 5. Discussed importance of opening the door when inspectors arrive to conduct inspections.

Comments:

An unannounced monitoring inspection was conducted at 10:09am. Observed 3 children + 2 children living in the home totaling 2 points with 2 caregivers. Ratios and supervision were in compliance. Children were observed having outdoor active play and coloring/drawing. The daycare areas of the home were found to be clean and sufficiently supplied with toys and equipment for the children. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov Note: The licensee should submit the plan of corrections within 5 business days of receipt of this report for the plans to be included and posted on the VDOE website.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observations made, the findings from the most recent inspection were not posted on the licensed premises. Evidence: The Violation Notice from the 10/26/23 inspection were not posted in the home.
Plan of Correction:	Will post recent inspection.
Standard #:	8VAC20-800-760-A
Description:	Repeat violation. Based on observations made, a required emergency supply item was not in the home. Evidence: There were 0 of 2 triangular bandages in the first aid supplies.
Plan of Correction:	Will buy triangular bandages asap.
Standard #:	8VAC20-800-770
Description:	Based on observations made, there was not a battery-operated weather band radio in the home. Evidence: The radios in the home did not have a weather-band.
Plan of Correction:	Will buy a weather band from where inspector suggested.
Standard #:	8VAC20-800-800-A
Description:	Based on records reviewed, the emergency plan did not include all of the required components. Evidence: The plan on-file was on an outdated form that did not include the current requirements such as, methods of communication and securing essential files.
Plan of Correction:	Will print + use up-to-date form
Standard #:	8VAC20-800-920
Description:	Based on observations made and interview conducted, a menu(s) of food served for the were not in the home. Evidence: There was no menu posted in the home for the current week, and the provider stated that menus are on the computer for the USDA food program.
Plan of Correction:	Will fill out menus and post them weekly
Standard #:	8VAC20-800-100-A
Description:	Based on records reviewed, 2 of 6 children enrolled did not have documentation of a physical exam within the first 30-days of attendance. Evidence: 1. Child #1-There was no physical exam on-file. Child has been enrolled since 2016. 2. Child #4-There was no physical exam on-file. Child has been enrolled since 2018.
Plan of Correction:	Will give parent the form + ask to bring it to me asap.
Standard #:	8VAC20-800-50-A
Description:	Based on records reviewed, a written record of children in attendance each day has not been maintained. Evidence: 1. The last date that attendance for children in care was completed was 6/6/24. 2. Attendance records for some recent dates were determined to not be accurate: (1) On 5/28/24, the inspector attempted an inspection, spoke to the provider on the phone and was told the daycare was closed for the day. The written daily attendance record indicated 4 children were in care that day. The childcare subsidy program reported 2 children were in care on this date. (2) On 5/30/24, the inspector attempted an inspection but no one answered the door or phone calls. The written daily attendance record indicated 4 children were in care that day. The childcare subsidy program reported 5 children were in care on this date.
Plan of Correction:	Will fill out attendance accordingly to match 2/ subsidy report.
Standard #:	8VAC20-800-60-A
Description:	Based on records reviewed and interview conducted, 4 of 7 children enrolled did not have an up-to-date record of enrollment. Evidence: There was no record of enrollment for Child #3, Child #5, Child #6 and Child #7. Inspectors determined they were enrolled by viewing childcare subsidy paperwork and verifying with the provider that they were in fact enrolled in the daycare.
Plan of Correction:	Will restart all forms + hand each parent a form for each child to be completed.
Standard #:	8VAC20-800-60-B
Description:	Based on records reviewed, 3 of 3 children's records did not include required information. Evidence: 1. Child #1-There was no information for 1 of 2 parents (home and work); and no written permission for the child to leave the home for a fieldtrip. 2. Child #2-There was no information for 1 of 2 parents (home and work); and no written permission for the child to leave the home for a fieldtrip. 3. Child #4-There was no information about the child's home address; 2 of 2 parents information (home and work); physician information; 2 of 2 emergency contacts name, address and phone number; medical insurance information; first date of attendance; proof of identity; parent authorization for emergency medical care; liability insurance notice; and no written permission for the child to leave the home for a fieldtrip. 4. Child #6-There was no information about the child's home address; 2 of 2 parents information (home and work); physician information; 2 of 2 emergency contacts name, address and phone number; medical insurance information; first date of attendance; proof of identity; parent authorization for emergency medical care; land iability insurance notice.
Plan of Correction:	Will tell parents to fill out all required sections.
Standard #:	8VAC20-800-70-B
Description:	Based on records reviewed, 3 of 3 children's records did not include the parent's signature acknowledging receipt of required policies and procedures. Evidence: The records for Child #1, Child #2, Child #4 and Child #6 did not include signed policy documents, such as the Information for Parents Form; emergency plan form; and medication policy form.
Plan of Correction:	Will tell parents to fill out all required sections.
Standard #:	8VAC20-800-90-A
Description:	Based on records reviewed, 4 of 7 children enrolled had no documentation of immunizations before the child was allowed to attend. Evidence: There were no immunizations on-file for Child #3, Child #5, Child #6 and Child #7.
Plan of Correction:	Will ask parents for an up-to-date immunizations record
Standard #:	8VAC20-800-130
Description:	Based on observations made and interview conducted, a caregiver does not read, write and speak English sufficiently. Evidence: 1. Caregiver #1 was not able to speak, converse and understand spoken English to conduct the inspection. 2. When asked by inspectors, Caregiver #1 stated that she speaks and reads a little bit of English. 3. A language interpreter was used to conduct the inspection
Plan of Correction:	Learn actively more English to communicate better by registering in English courses.
Standard #:	8VAC20-800-200-C
Description:	Based on records reviewed, there was no documentation of orientation training for an assistant caregiver. Evidence: There was no documentation that Caregiver #2 received orientation training.
Plan of Correction:	Will tell caregiver #2 about orientation training.
Standard #:	8VAC20-800-210-A
Description:	Repeat violation. Based on records reviewed and interview conducted, caregivers did not obtain a minimum of 16 hours of annual training in the last year. Evidence: There was no documentation of training completed and the provider stated that no training had been completed by Caregiver #1 and Caregiver #2.
Plan of Correction:	Will do the 16 hours by choosing course the inspector sent a link of.
Standard #:	8VAC20-800-280
Description:	Based on observations made, a potentially poisonous substance was not stored in an area inaccessible to children. Evidence: A bottle of rubbing alcohol was found to be stored in an unlocked cabinet under the sink in the daycare bathroom.
Plan of Correction:	Will store in my bathroom, in my room.
Standard #:	8VAC20-800-320-A
Description:	Repeat violation. Based on observations made, small electrical appliances were plugged into the outlet when not in use. Evidence: A toaster and blender were observed plugged into an outlet in the kitchen.
Plan of Correction:	Will unplug appliances that are not in use.
Standard #:	8VAC20-800-320-B
Description:	Repeat violation. Based on observations made, electrical outlets in areas of the home where children are in care did not have protective covers. Evidence: 3 outlets in the main daycare area did not have covers, and 2 outlets in the living room did not have covers.
Plan of Correction:	Will buy more covers + unplug