VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sahar Mohsini
7136 Wytheville Circle
Fredericksburg, VA 22407
(202) 910-8382

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: May 13, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Potable Water Lead Testing Requirements: The VDOE recently distributed memos to licensed child day programs, certified preschools and religiously exempt child day centers, sharing the requirement to develop and implement a plan to test potable water pursuant to ? 22.1-289.057 of the Code of Virginia. The VDOE will begin determining compliance with this statute effective January 1, 2025. The memos can be found on the VDOE child care website: www.childcare.virginia.gov. New: MAT Seizure Rescue Nasal Spray Online Course The Medication Administration Training (MAT) Program recently announced the new MAT Seizure Rescue Nasal Spray (SRNS) online course. The training is available for free on the MAT Online Learning Center and will enable MAT-Certified providers to administer this emergency medication quickly and correctly in the event of an emergency seizure situation.

Comments:

An unannounced monitoring inspection was conducted 5/13/2024 between the hours of 11:25am through 12:15pm. There were a total of 2 children present, including one resident child (6 points) with the Provider. A total of 1 child file, 1 staff file, and 2 household member files were reviewed. The children were engaged in the following: engaging in free play and painting. Infant care was also observed. A complete inspection of the programming space, children and staff records, emergency drills, menu, attendance, and emergency procedures were completed today. No new staff have been hired since the last inspection. The provider advised there was no medication on site today. There was an adequate supply of age appropriate materials and toys. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 5/30/2024. Please email me at morgan.bryson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-800-A
Description:	Based on provider interview and documentation review, the provider has not developed a written emergency preparedness and response plan. Evidence: There was no emergency preparedness and response plan available at the time of inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-A
Description:	Based on record review and staff interview, the provider did not ensure that emergency evacuation procedures were practiced at least monthly with all caregivers and children in care. Evidence: The provider has not practiced any emergency evacuation drills with children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-B
Description:	Based on record review and staff interview, the provider has not ensured shelter-in-place procedures are practiced a minimum of twice per year. Evidence: The provider has not conducted any shelter-in-place drills within children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider did not ensure that children's records contain all required information. Evidence: Child #1's record did not contain documentation that verification of age and identity was completed and did not contain written parental authorization for emergency medical care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, the provider did not ensure parents are provided required information in writing before the child's first day of attendance. Evidence: Child #1 did not have documentation on file that the "Information for Parents" form was signed. In addition, the provider did not have documentation that the liability insurance disclosure, the policy for administration of medications, and the provisions of the emergency preparedness plan documents were provided to parents and signed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-520-C
Description:	Based on observation, the provider did not ensure that cribs did not have mesh sides. Evidence: The provider placed Child #1 (Age 6 months) in a bassinet with mesh on all sides during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider did not ensure that the diapering surface is nonabsorbent. Evidence: The diapering surface where infants are diapered was covered with a cloth material, making the changing pad absorbent.
Plan of Correction:	Not available online. Contact Inspector for more information.