VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Zarate de Gallahan
8419 Forrester Blvd
Springfield, VA 22152
(703) 870-9286

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: May 8, 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 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

1. All outlets that do not have safety closures on the inside, regardless of height on the wall, must have protective covers. 2. The inspector will send State model forms for the provider to use or incorporate into her existing forms to ensure compliance with State requirements. 3. Approval of a Special-use permit from Fairfax County Zoning is required to legally care for more than 5 children at any given time. The inspector will send information.

Comments:

Conducted a scheduled initial licensing inspection at 10:00am. There were no children present at the time of the inspection. The inspection was conducted with 2 caregivers. All areas of the regulations were reviewed. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on records reviewed, 1 of 2 caregiver records did not include a required background check. Evidence: There was no documentation of a completed criminal record check for Caregiver #2.
Plan of Correction:	The provider said she will have Caregiver #2 complete the criminal record check.
Standard #:	8VAC20-770-60-B
Description:	Based on records reviewed, 1 of 2 caregiver records did not include a required background check. Evidence: There was no sworn disclosure statement completed for Caregiver #2.
Plan of Correction:	Caregiver #2 said she will complete the sworn disclosure statement.
Standard #:	8VAC20-800-800-A
Description:	Based on interview conducted, the family day home does not have a written emergency preparedness plan. Evidence: The provider has not yet completed the written emergency plan per State requirements.
Plan of Correction:	The provider said she will complete the State's emergency plan form.
Standard #:	8VAC20-800-100-A
Description:	Based on records reviewed, 2 of 2 children's records reviewed did not include documentation of a physical exam. Evidence: The records for Child #1 and #2 did not include a physical exam.
Plan of Correction:	The provider said she will have parents provide the required physical exams.
Standard #:	8VAC20-800-120-B
Description:	Based on records reviewed, the record for an assistant caregiver did not include required documentation. Evidence: The record for Caregiver #2 did not include the date of employment; name, address and phone number of an emergency contact person; and a minimum of 2 written reference checks.
Plan of Correction:	The provider said she will complete Caregiver #2's record.
Standard #:	8VAC20-800-60-B
Description:	Based on records reviewed, 2 of 2 children's records did not include required information. Evidence: The records for Child #1 and #2 did not include the information for parents form/a similar document that explains policies/procedures that parents sign; the medication policy form signed by parents; the emergency plan form signed by parents; and the liability insurance form signed by parents.
Plan of Correction:	The provider said she will make sure the children's records are completed according to State requirements.
Standard #:	8VAC20-800-90-A
Description:	Based on records reviewed, 1 of 2 children's records did not include documentation of immunizations. Evidence: The record for Child #1 did not include immunizations.
Plan of Correction:	The provider said she will have parents provide the required immunization documentation.