VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Balqees Bano
6006 Hydrangea Drive
Alexandria, VA 22310
(571) 723-5083

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: July 23, 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 8VAC20-820 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:

Consultation was given regarding announcement that 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. Reviewed repeat violations from previous inspections (indicated on violation notice). Advised that possible enforcement actions may occur as a result of such violations during renewal inspection.

Comments:

An unannounced, on-site monitoring inspection was conducted on 7/23/2024, as a part of the licensure period. The on-site inspection began at 10:00am and ended at 11:10am. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 15. The inspector reviewed 3 children?s records and 1 staff records on-site on 7/23/2024. This inspection included document review of policies and procedures, emergency drill logs, authorization forms, equipment, 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.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and interview, a required document was not posted on the premises. Evidence: No inspection notice was posted on the premises.
Plan of Correction:	Provider posted Acknowledgement form 7/23/24 inspection and will post completed/signed inspection upon receipt.
Standard #:	8VAC20-800-780-B
Description:	Based on record review, the provider did not annually review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: Child #1 1st day 6/8/2023, no documentation or parent's signature to acknowledge annual review of emergency information.
Plan of Correction:	Provider will review information with parent and have signed at pick up 7/23/24.
Standard #:	8VAC20-800-800-A
Description:	REPEAT Based on document review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan. Evidence: No documentation that emergency preparation/response plan was reviewed annually available at inspection.
Plan of Correction:	Provider will review and document review of emergency preparedness and response plan.
Standard #:	8VAC20-800-830-A
Description:	Based on document review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: No documentation of evacuation drills available at inspection.
Plan of Correction:	Provider will document all drills and maintain record for term of license.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child, containing all required information. Evidence: Child #3's record did not have name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.
Plan of Correction:	Provider will request information from parent at pick up 7/23/24 and remind parent that if no one is identified, what the home day care policy is regarding pickup.
Standard #:	8VAC20-800-90-C
Description:	REPEAT Based on record review and interview, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years. Evidence Child #1 (16 months old) DOL immunization 7/3/2023.
Plan of Correction:	Provider will request update immunization record for child. Provider will routinely review all children files for updated immunization records.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not nonabsorbent and washable. Evidence: there was a tear in the surface of the diaper pad, approximately 1 1/2 inches.
Plan of Correction:	Provider will purchase a new changing pad by 7/26/24 and discard old one.