VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Chrissy Cooper
205 Tracy Drive
Suffolk, VA 23434
(757) 272-5217

VDSS Contact: Melinda Popkin (757) 802-5281

Inspection Date: April 18, 2019

Complaint Related: No

Areas Reviewed:

63.2 Licensure and Registration Procedures 22VAC40-191 Background Checks for Child Welfare Agencies 22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes 22VAC40-665 General qualifications 22VAC40-665 Building or home maintenance. 22VAC40-665 Supervision and ratio requirements 22VAC40-665 Programs 22VAC40-665 Special Care Provisions & Emergencies 22VAC40-665 Special Services

Technical Assistance:

Today we discussed the annual training requirements for caregivers. By the end of the annual subsidy agreement (before a new agreement is signed in May 2019) the vendor should have a minimum of 16 hours of annual training documented.) The vendor has installed a new outdoor play structure. At this time, children on care are not utilizing the equipment. We discussed the requirement today that outdoor play structures may not be installed over a hard surface - which may include compacted dirt.

Comments:

An unannounced Subsidy Health and Safety inspection was conducted on April 18, 2019 to review supplemental health and safety requirements. There were 4 children present, approximate ages 8 months to 3 years, for a total of 12 points, in care at the time of arrival with the vendor. The records sample size consisted of 2 children?s records and 3 vendor / household member records. Children were observed playing with toys and sitting in infant seats. The vendor states that no medication is administered to children in care at this time and that children are not routinely transported in a vehicle. Children play outdoors in the back lawn with direct supervision and close proximity of the vendor. The new play equipment is not being utilized by children in care nor is the trampoline according to the vendor. The vendor reports that there have been no accidents or injuries requiring first aid or medical treatment incurred by children in care since the last inspection. There are no children currently enrolled who have diagnosed food allergies.

Violations:

Standard #:	22VAC40-665-170-A
Description:	Based on a review of records and interview, the vendor sis not have written or elecronic records containing the required information for each enrolled child. Evidence: Four children were observed in care with the vendor. The vendor confirmed that these four children were enrolled for care in her home. When children's records were requested, the vendor stated that she did not have a record for 2 of the four children present (#3 and #4). The vendor stated that the two children for whom she did not have a record were attending for the first time that day and that she had expected the children (who are siblings) to come with their parent to complete paperwork and briefly observe the program. However, the parent arrived intent on dropping the children for care and getting to work and took the paperwork with her. The vendor stated that she knew the children's first name and the mother's name and phone number. There was no record for either child and the vendor did not know how old they were. The vendor estimated that Child #3 was approximately two years old and that child #4 was under 10 months of age as he was not yet mobile.
Plan of Correction:	The vendor stated that she would require the parent of child #3 and child #4 to complete the enrollment paperwork for both children before bringing them back for care after today.
Standard #:	22VAC40-665-170-B
Description:	Based on a review of records and interview, the vendor did not ensure that enrolled children's records contain all of the required elements. Evidence: Two children's records were reviewed. The records for child #1 and child #2 did not contain: - Proof of the child's identity and age - The name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached. Child #1did not contain an emergency contact. Child #2 contained the Name and phone number, but not the address of an emergency contact.
Plan of Correction:	The vendor stated that she would require the parent of child #1 and child #2 to complete the missing information on the enrollment paperwork for their children before bringing them back for care after today.
Standard #:	63.2-1721.1-B-3
Description:	Based on a review of records and interview, the vendor did not maintain a copy of the results of a search of the central registry for a household member who is residing in the vendor's home. Evidence: The vendor stated that she is the only caregiver of the enrolled children but that 2 of her children reside in the home. The records for all household member's were reviewed. The record for household member #3 did not contain a copy of the results of a Search for the Central Registry. The vendor confirmed that documentation of a search of the central registry for household member #2 was not available to review.
Plan of Correction:	The vendor stated that she is going to check with the agency to see if the screening that was done previously is available and obtain a copy if it is. Otherwise, a new form for a Search of the Central registry will be completed and mailed out by the end of the week.