VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fouezia Hossain
3911 Fairfax Parkway
Alexandria, VA 22312
(703) 401-8484

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Aug. 9, 2024

Complaint Related: No

Areas Reviewed:

8 VAC 20-800 Administration 8 VAC 20-800 Personnel 8 VAC 20-800 Household Members 8 VAC 20-800 Physical Health of Caregivers and Household members 8 VAC 20-800 Caregiver Training 8 VAC 20-800 Physical Equipment and Environment 8 VAC 20-800 Care of Children 8 VAC 20-800 Preventing the Spread of Disease 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 8 VAC 20-800 Nighttime Care 8 VAC2 0-820 THE LICENSE 8 VAC 20-820 THE LICENSING PROCESS 8 VAC 20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

* Discussion that effective 11/15/23, to be authorized to give seizure rescue nasal spray to a child in your care, a provider must meet ONE of the following criteria: 1. Holds a current MAT Certificate AND a current MAT Seizure Rescue Nasal Spray Online Course Completion Certificate; 2. Holds a current MAT Certificate AND a current MAT Epilepsy for Certified Providers Certificate; or 3. Holds a current MAT Epilepsy for Uncertified Providers Certificate. * Discussion that effective January 1, 2025, 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 childcare.virginia.gov website at https://www.childcare.virginia.gov/providers/what-s-new. * Discussion that the Code of Virginia, ? 22.1-289.035 A, requires that all background check components be completed for all applicants for employment, employees, applicants to serve as volunteers, and volunteers prior to employment or beginning to serve as a volunteer and every five years thereafter. VDOE had previously required that both Virginia and out-of-state child abuse and neglect checks be requested within 30 days of employment. Instead, these requests must be submitted prior to the date of employment. This change allows prospective employees and volunteers to be provisionally hired upon receipt of a satisfactory fingerprint check signified by written documentation from the Office of Background Investigations stating that the individual is eligible for hire. Provisionally hired employees and volunteers must be in the line of sight of at least one other staff member who has a complete and satisfactory background check and must not be left alone with children until all components of the background checks required in? 22.1-289.035 of the Code of Virginia are complete. New applicants for employment and volunteering hired on or after July 1, 2024, may be provisionally hired if the applicant has received qualifying results on a fingerprint-based background check through the Central Criminal Records Exchange or the Federal Bureau of Investigation. Current employees must continue to meet the requirements set out in ? 22.1-289.035 of the Code. Previous background check requirements apply to all applicants and volunteers hired prior to July 1, 2024. * Discussion that the term ?resided? or lived in any other state is not limited to only a legal residence. The regulation, Background Checks for Child Day Programs and Family Day Systems in 8 VAC 20-770 states that ?living in? means to reside in a place for an extended or permanent period of time. The Code of Virginia 22.1-289.035 B 4. and 22.1-289.036 states that all applicants for employment are required to obtain the out-of-state background checks for any state the applicant has lived in the past five years. This would include a person living in another state due to a military assignment or to attend school for an extended period of time.

Comments:

An unannounced, on-site renewal inspection was initiated on 08/09/2024 and completed on 08/09/2024. The on-site inspection began at 10 am and ended at 12 pm. The inspector reviewed compliance in the areas listed above. There were 3 children present and 2 staff. The inspector reviewed 6 children?s records and 2 staff records on-site on 08/09/2024. This inspection included: ? document review in regards to policies and procedures, emergency drill logs, authorization forms, a total of 3 household records, ? tour of the facility, ? interviews, and ? observations Information gathered during the inspection determined non-compliance with the applicable standards, and these violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on review, 2 of 6 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (08/09/2024), documentation of a physical examination was not available for review for: Child #5, and Child #6. 2. The start date for both Child #5, and Child #6 was listed as 07/01/2024.
Plan of Correction:	Talk to parent, obtain completed documentation.
Standard #:	8VAC20-800-70-B
Description:	Based on review, 2 of 6 children files indicated that the Provider did not obtain the parent's written acknowledgement of the receipt of information. Evidence - On the date of inspection (08/09/2024) the following documents (with the signature of the child's parent) were unavailable for review: 1. Information for Parent form for - Child #5, and Child #6 2. Decision to Administer Medication form for - Child #5, and Child #6
Plan of Correction:	Talk to parent, obtain completed documentation.
Standard #:	8VAC20-800-90-A
Description:	Based on review, 1 of 6 children files indicated that prior to a child attending the Family Day Home (FDH), the Provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence - 1. On the date of inspection (08/09/2024), an initial immunization page for Child #5 was not available for review. 2. The start date for Child #5 was listed as - 07/01/2024,
Plan of Correction:	Talk to parent, obtain completed documentation.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 6 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (08/09/2024), the immunization on record for Child #3 was dated - 12/28/2023. 2. Based on the information on file, Child #3 was under the age of two years on the date of inspection.
Plan of Correction:	Talk to parent, obtain completed documentation.