VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Leibin Oliva
517 Four Mile Road
Apt. 103
Alexandria, VA 22305
(703) 419-5196

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: June 11, 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 VAC 20-800 Transportation 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 was held on the topics of current enrollment, current staffing, and training.

Comments:

This renewal inspection was initiated by licensing staff and concluded on 06/11/2024, between the hours of 10 am to 1 pm. There were no children present with 1 resident child (2 points), preschool-age, with 1 caregiver supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing; programming; medication; special care and emergencies; and nutrition. A total of 6 children files, 3 household records, and 1 staff file was reviewed. Information gathered during the inspection determined that there were (6) 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 #:	8VAC20-770-60-B
Description:	Based on review, 3 of 6 children files indicated that not all of the required authorizations was contained within each child's record. Evidence - 1. On the date of inspection (06/11/2024), the following children did not have an emergency medical authorization on file: Child #1, Child #5, and Child #6. 2. For Child #1, while an emergency medical authorization was on file, it did not specifically authorize the provider. 3. For Child #5 and Child #6, the back page (page 2) of the Child's Record was blank. This page is where this authorization is generally located.
Plan of Correction:	This information will be completed by the child's parent and placed on file.
Standard #:	8VAC20-800-780-B
Description:	Based on review, 3 of 6 children files indicated that annually, the Provider did not review with each child's parent the emergency contact information (required in 8VAC20-800-60 B 2) to ensure the information was correct, and obtained the parent's signed acknowledgment of this review. Evidence - 1. On the date of inspection (06/11/2024), the following children's last review of their emergency contact information was documented more than one year ago: Child #2, #3, and #4. 2. All three were dated - 05/03/2023.
Plan of Correction:	This will be reviewed and signed.
Standard #:	8VAC20-800-830-A
Description:	Based on review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence - 1. On the date of inspection (06/11/2024), the "fire drill" log indicated that practice drills were not conducted during the months of April and May of 2024. 2. This was confirmed on the date of inspection by the Provider.
Plan of Correction:	A drill will be conducted in June, and monthly thereafter.
Standard #:	8VAC20-800-70-B
Description:	Based on review, 1 of 6 children files indicated that not all of the required documentation was contained within each child's file. Evidence - 1. On the date of inspection (06/11/2024), the following documents were missing for Child #1: Information for Parent form, Program Decision to Administer Medications form, Liability Insurance Declaration, and an Authorization to Apply a Non-Prescription Topical Skin Product form. 2. The start date for Child #1 was listed as 07/28/2023.
Plan of Correction:	This documentation will be completed by the child's parent and placed on file.
Standard #:	8VAC20-800-90-A
Description:	Based on review, 1 of 6 children files indicated that the Provider did not obtain documentation that the child 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 (06/11/2024), an immunization page was not available for Child #6. 2. The start date of Child #6 was listed as 08/14/2023.
Plan of Correction:	This will be obtained.
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 a child under the age of two years. Evidence - 1. On the date of inspection (06/11/2024), the current Immunization page on file for Child #1 was dated - 07/21/2023. 2. On the date of inspection, based on the information on file, Child #1 was listed as being under two years of age.
Plan of Correction:	This will be updated.