VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Gissela Medina Maldonado
3212 Gary Court
Falls church, VA 22042
(703) 388-6169

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: July 10, 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 Medication Administration 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 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 54.1 Provider must be MAT certified to administer prescription medication 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 ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new. * 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.

Comments:

This initial inspection was initiated by licensing staff and concluded on 07/10/2024, between the hours of 9 am to 12 pm. There were 8 children present (20 points), ranging from infant to preschool-age, with 4 caregivers supervising. The children were engaged in the following: freeplay, music, song, dance, story time, art, center activities within the room, nap time, bathroom breaks, hand washing, getting ready for lunch, and other organized activities. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication (no meds on site); special care and emergencies; and nutrition. A total of 15 children files, and 4 staff files were reviewed. Information gathered during the inspection determined that there were (10) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	8VAC20-800-800-B
Description:	Based on review, the Provider did not review the Emergency Preparedness and Response Plan (EP&RP) at least annually, updated the plan as needed, and document in writing each review and update. Evidence - 1. On the date of inspection, the last documented review of the FDH EP&RP was dated - 07/07/2023). 2. The Provider confirmed this finding on the date of inspection.
Plan of Correction:	Will update documentation.
Standard #:	8VAC20-800-830-B
Description:	Based on review, it was determined that a shelter-in-place drill was not conducted during 2023, and so far to date in 2024. Evidence - 1. On the date of inspection (07/10/2024), after a review of the posted drill log. A shelter-in-place drill was neither recorded in 2023, or to date in 2024. 2. This log was posted on the wall with other posted documentation.
Plan of Correction:	Will perform all drills by end of year. The first will be held within the next month.
Standard #:	8VAC20-800-100-A
Description:	Based on review, 1 of 15 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 (07/10/2024), the following children did not have a physical available for review: Child #11 (start date - 04/17/23), Child #12 (start date - 04/17/23), Child #15 (start date - 06/03/24). 2. All three children were still enrolled in the child care program.
Plan of Correction:	Will obtain missing documentation.
Standard #:	8VAC20-800-120-B
Description:	Based on review, 2 of 4 staff files indicated that not all of the required documentation was contained within each file. Evidence - On the date of inspection (07/10/2024), the following information was not available for the following staff: 1. Staff age verification for - Staff #3, and Staff #4 2. 1 of 2 references for - Staff #3, and Staff #4 3. Both staff share the same start date of 07/03/2024.
Plan of Correction:	Will obtain missing information and documentation.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 2 of 15 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. One of two emergency contacts (and their information) was listed for the following children: Child #5, and Child #13. 2. The start date for Child #5 was listed as 12/11/23. The start date for Child #13 was listed as 05/01/24.
Plan of Correction:	Will obtain missing documentation.
Standard #:	8VAC20-800-90-A
Description:	Based on review, 2 of 15 children files indicated that the Provider did not obtain documentation that all children had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before a child may attend the Family Day Home (FDH). Evidence - 1. On the date of inspection (07/10/2024), the following children did not have an initial immunization page within their file: Child #6, and Child #15. 2. The start date for Child #6 was listed as 11/15/23. The start date for Child #15 was listed as 06/03/24.
Plan of Correction:	Will obtain missing documentation.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 15 children files indicated that the 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 (07/10/2024), Child #13 had an immunization page on file that was dated - 10/02/23. 2. Based on the information on file, on the date of inspection, Child #13 was under the age of two years.
Plan of Correction:	Will obtain missing documentation.
Standard #:	8VAC20-800-170-A
Description:	Based on review, 1 of 4 staff files indicated that the Provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening (TB) form. Evidence - 1. On the date of inspection (07/10/2024), Staff #3 (start date - 07/03/2024) did not have initial TB documentation available for review. 2. Staff #3 was on site providing care of the children on the date of inspection.
Plan of Correction:	Will obtain missing documentation.
Standard #:	8VAC20-800-180-A
Description:	Based on review, the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 8VAC20-800-170), every two years from the date of the documentation of the last screening or TB test. Evidence - 1. On the date of inspection (07/10/2024), the TB documentation of file for Staff #1 was dated - 03/09/22. 2. This finding was confirmed on the date of inspection by the Provider.
Plan of Correction:	Will obtain missing documentation.
Standard #:	8VAC20-800-200-C
Description:	Based on review, 1 of 4 staff files indicated that documentation of the orientation was not signed and dated by the provider and assistant. Evidence - 1. On the date of inspection, an orientation was not available for review for Staff #2. 2. The start date for Staff #2 was listed as 12/20/23.
Plan of Correction:	Will obtain missing documentation of training.