VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tinika M Jackson-Herndon
1101 Townsend Blvd
Apt 9
Fredericksburg, VA 22401
(540) 645-0777

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Sept. 8, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Discussed the requirements for shelter-in-place and lockdown drills. The Licensing Inspector emailed the vendor model forms that could be used in order to obtain all of the required information for child records and also sent a link for the Health & Safety Update training.

Comments:

An unannounced annual Subsidy Health and Safety Inspection (SHSI) was conducted with the provider on 9/8/23 from 9:20am to 10:15am. There were three children present with the provider, ranging in age from six-months to three-years-old, for a total of eight points. Children were observed watching a show and eating a snack. Snack was cheese crackers and milk. The provider?s record was requested. Three child records were reviewed. The attendance, menu, and drill log were reviewed. The provider is not certified in Medication Administration Training (MAT) and therefore cannot give medication without becoming MAT certified. The provider understands that she may only care for up to four children at a time without a license. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 9/27/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	8VAC20-790-190-B
Description:	Based on review of three child records, the vendor did not obtain all of the required documentation for child records. Evidence: 1. The records for Child A and Child C did not contain documentation of proof of the child?s identity. 2. The records for Child B and Child C did not contain documentation of the name, address, and telephone number for each custodial parent's place of employment. 3. The records for Child A and Child B did not contain 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. 4. The record for Child B did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-200-2-a
Description:	Based on interview, the vendor did not provide documentation of obtaining a national fingerprint-based criminal history record check for each caregiver. Evidence: The vendor could not locate their fingerprint results during the inspection or email a copy following the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-200-2-a
Description:	Based on interview, the vendor did not provide documentation of obtaining the results of a search of the central registry for each caregiver. Evidence: The vendor could not locate their central registry results during the inspection or email a copy following the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-200-2-d
Description:	Based on interview, the vendor did not provide documentation of a completed sworn disclosure statement for each caregiver. Evidence: The vendor could not locate their sworn disclosure statement during the inspection or email a copy following the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-210-B
Description:	Based on interview, the vendor did not undergo TB screenings at least every two years from the date of the initial screening. Evidence: The TB test submitted by the vendor was dated 2/3/20.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-230-A
Description:	Based on review of three child records, the vendor did not obtain documentation that each child had been adequately immunized before attending the family day home. Evidence: The record for Child A, with a start date of approximately 11/7/22, did not contain documentation of immunizations. The record for Child C, with a start date of approximately 8/27/23, did not contain documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-250-D-1
Description:	Based on review of documentation and interview, the vendor did not ensure that caregivers maintained current certification in cardiopulmonary resuscitation (CPR). Evidence: The CPR certificate presented by the vendor was dated 2/22/20 and expired on 2/22/22. (A-3)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-250-D-2
Description:	Based on review of documentation and interview, the vendor did not ensure that caregivers maintained current certification in first aid. Evidence: The first aid certificate presented by the vendor was dated 2/22/20 and expired on 2/22/23.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-250-F
Description:	Based on review of documentation and interview, the vendor did not ensure that caregivers who work directly with children attended at least 16 hours of training annually, to include the department's health and safety update course. Evidence: The vendor was unable to locate a certificate for the Health & Safety update course; and did not present certificates of training towards the annual requirement.
Plan of Correction:	Not available online. Contact Inspector for more information.