VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patricia Harrell
207 South Lloyd Street
Suffolk, VA 23434
(757) 292-5560

VDSS Contact: Melinda Popkin (757) 802-5281

Inspection Date: Aug. 19, 2019

Complaint Related: No

Areas Reviewed:

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 requirement that 16 hours of training be obtained each year. The vendor currently has 5 hours documented and will obtain / locate documentation for an additional 11 hours before the end of the current 12 month period ends. Today we discussed the storage of medication, cleaning products and any items marked with a warning label or a label which reads "keep out of reach of children". The vendor has designated areas for storing cleaning products and will ensure that they are in place at all times that children are present for care.

Comments:

An unannounced Subsidy Health and Safety monitoring inspection was conducted from 12:00 p.m. to 3:00 p.m. At the time of the inspection there were 3 children in care with the vendor. The records sample size consisted of 1 Vendor records. The records for the 3 enrolled children (the vendor?s grand children, ages 6, 7 and 9 years old) contained only an immunization record. There are no children in care who have food allergies and there have been no accidents or injuries incurred by children in care. Children will not be transported in a vehicle during care. Children will play outdoors in the back yard or front lawn under direct supervision of the vendor. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance.

Violations:

Standard #:	22VAC40-665-170-B
Description:	Based on a review of records and interview, the vendor has not received, in writing from the children's parent, the required information and documentation. Evidence: When asked for the required documentation for her three grandchildren who are enrolled and present during the inspection, the vendor stated that she only had immunization records for the children. The vendor had blank forms printed for all of the required child record items, but had not had the parent(s) complete and sign them as required.
Plan of Correction:	The vendor states that these documents will be completed and signed today at the time the parent comes to retrieve them. The vendor states that she will send copies of this documentation to the inspector this week and will maintain these items in a children record at the home.
Standard #:	22VAC40-665-250-A
Description:	Based on observation and interview, the vendor did not ensure that all potentially hazardous substances are stored in areas which are inaccessible to children. Evidence: There was an aerosol can of Ant and Roach killer spray sitting on the kitchen counter top at the time of inspection. There were 2 bottles of mouth wash sitting on the sink ledge in the restroom used by children in care at the time of inspection. The vendor confirmed that these items were accessible at the time of inspection and stated that she would move these items to an area not accessible to the children. There were many health and beauty items observed being stored in the vendor's bedroom on a dresser top and throughout the room today. The door to the bedroom was closed, but not locked or secured so that children cannot access it. Included in these accessible items were perfumes, lotions and hair products - items containing alcohol or marked keep out of reach of children should be secured in a location not accessible to children in care. There were 3 children in care at the time, ages 8, 9, and 11 years old.
Plan of Correction:	The vendor stated that she would move these items to an area not accessible to the children today.
Standard #:	22VAC40-665-410-B
Description:	Based on a review of available documentation and interview, the vendor was unable to demonstrate that she documented and maintained a record of the dates of the practice drills for one year. The vendor stated that she has practiced emergency drills with the children but stated that she has not documented the dates when they practiced evacuation, shelter in place, and lock down drills as required by the vendor agreement.
Plan of Correction:	The vendor has forms for documenting the evacuation, shelter in place, and lock down drills and will begin documenting the dates when they are practiced beginning this week.