VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carol Bautista
3405 Burrows Avenue
Fairfax, VA 22030
(703) 283-1644

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: March 24, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 63.2 Licensure and Registration Procedures

Technical Assistance:

1. Reviewed hiring and training requirements for new staff. 2. Recommended a rubber mat be placed under/around the indoor slide. 3. Caregivers must be physically present in the childcare areas of the home to be counted in the staff:child ratios. 4. Enrollment forms should be completed in entirety prior to the child's first day of attendance. it is the provider's responsibility to review and follow-up with parents as needed to ensure completion.

Comments:

This inspection was conducted by staff using an alternative remote protocol, including phone interview, records review, and a virtual observations. An on-site inspection was not conducted at this time. An unannounced monitoring inspection was conducted at 9:40am, as a 60-day follow-up to the initial inspection. The provider was contacted by phone to initiate the inspection. There were 7 children present = 19 points with the provider + assistant #2. A potential new-hire assistant caregiver was present and was reported to be "shadowing" this week. The required new-hire paperwork remains in-process. Ratios and supervision were in compliance at the time of inspection. Children were observed playing and preparing to eat a morning snack. Each child brings their own food daily. The home was well supplied with toys and equipment for the children, and appeared clean and organized today. Information gathered during the inspection determined there were areas of non-compliance with applicable standards or laws reviewed. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov Note: Current regulation and Code numbers are handwritten on the original inspection report issued to the provider. 3/28/22 - A revised Violation Notice was issued, along with this Inspection Summary.

Violations:

Standard #:	8VAC20-800-890
Description:	Based on observations made and interview conducted, it was determined that drink cups/water bottles for each child were not labeled to identify which belonged to each individual child. Evidence: The cups/bottles were observed lined up on the counter without name labels, and Assistant #2 reported labels had not been applied.
Plan of Correction:	Will label each cup w/ permanent marker "childs name" [sic]
Standard #:	8VAC20-800-100-A
Description:	Based on records reviewed, it was determined that 1 of 3 children's records did not include documentation of a physical exam within 30-days after the first day of attendance. Evidence: 1. Child #2 - There was no documentation of a physical exam. The child's first day of attendance was 8/9/21.
Plan of Correction:	#2 requested physical exam
Standard #:	8VAC20-800-60-B
Description:	Based on records reviewed, it was determined that 1 of 3 children's records reviewed did not include required information. Evidence: 1. Child #7 - 1 of 2 emergency contacts was left blank on the enrollment form. 2. Child #7 - The first date of attendance was not documented in the child's record accurately. The first date of attendance documented in the child's record, 9/13/21, was reported by the provider to actually be the date the child was placed on the waitlist. The provider wrote in a plan of correction submitted post-inspection that the first date of attendance was 3/21/22.
Plan of Correction:	Obtained additional ER contact for child #7. Updated paperwork.
Standard #:	8VAC20-800-90-A
Description:	Based on records reviewed, it was determined that 1 of 3 children's records did not include documentation of immunizations before the child was permitted to attend. Evidence: Child #7 - There was no documentation of immunizations. The child's first day of attendance was reported to be 3/21/22.
Plan of Correction:	Childs first day was 3/21/22. Obtained physical and immunizations on 3/25/22. See below note. We prioritize wait list based on date we recieve application and child l#7 was on wait list since 9/13/21. Child #7 started 3/21/22. [sic]
Standard #:	8VAC20-800-340-C
Description:	Based on observations made and interview conducted, it was determined that the bathroom used by the children had no paper towels. Evidence: When asked by the inspector how children dry their hands, assistant #2 reported a cloth towel was used.
Plan of Correction:	Install paper towel holder in bathroom.