VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Serkalem Nirayo
4209 Main Street
Alexandria, VA 22309
(703) 901-5052

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: June 4, 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 ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:

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.

Comments:

An unannounced renewal inspection was conducted on June 4, 2024, from 9:15am-11:15am. At the time of entrance, 4(8pts) children were in care with one caregiver present. The inspector reviewed 4 children?s records and 4 /staff/household member's records. Children were observed during toy play, puzzles, engaged in group activities and outdoor play time. Areas of non-compliance are identified on the violation notice. Repeat violations were found and are identified within this report. If you have any questions about this inspection, please contact the Licensing Inspector, Karen Dickens at karen.dickens@doe.virginia.gov.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and interview, the findings of the current inspection were not posted in a conspicuous place on the licensed premises. Evidence: 1. The family day home did not have the findings of the most recent inspection posted. The findings posted was dated 05/31/2023. The last inspection was 03/19/2024. 2. Caregiver #1 confirmed that the findings for the most recent inspection was not posted.
Plan of Correction:	The provider will print the findings of the last inspection and post them today.
Standard #:	8VAC20-800-760-A-1
Description:	Repeat Violation Based on observation and interview, the first aid kit did not contain required supplies. Evidence: 1. The first aid kit did not contain a first aid instructional manual. 2. Caregiver #1 confirmed that the first aid kit did not contain a first aid instructional manual.
Plan of Correction:	The provider will purchase a first aid instructional manual and place it in the first aid kit.
Standard #:	8VAC20-800-920
Description:	Based on observation, the menu for the current one week period was not dated. Evidence: 1. The menu for the current one week period was not dated.
Plan of Correction:	The menu will be dated today.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1's record (Start date-10/30/2023) did not contain documentation of a physical examination by or under the direction of a physician.
Plan of Correction:	The provider has contacted the parents to obtain a copy of the child's health examination form from the physician.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation Based on record review and interview, children's records did not contain required information. Evidence: 1.Child #1's record(Start date-10/30/2023) did not contain signed acknowledgement of the Information for Parents and documentation of the Liability Insurance Declaration. 2.Child #2's record(Start date-10/30/2023) did not contain signed acknowledgement of the Information for Parents and documentation of the Liability Insurance Declaration. 3.Child #3's record(Start date-10/30/2023) did not contain signed acknowledgement of the Information for Parents and documentation of the Liability Insurance Declaration. 4.Child #4's record(Start date-06/28/2022) did not contain signed acknowledgement of the Information for Parents form. 5.Caregiver #1 confirmed that the Information For Parents and Liability Insurance Declaration form were not in the children's records.
Plan of Correction:	The provider will complete the Information for Parents Form and Liability Insurance Declaration forms and have the parents to sign it and document the record.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: 1. Child #1's record(Start date-10/30/2023) did not contain documentation of additional immunizations. The last immunization record was dated 02/03/2022.
Plan of Correction:	The parents have been contacted to get a copy of the child's updated immunization records from the physician.