VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms Ayshanti Ruffin
568 1st Avenue
Suffolk, VA 23434
(757) 715-2009

VDSS Contact: Anita Drewry (757) 404-5261

Inspection Date: Sept. 19, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

A new subsidy health and safety (SHSI) inspection was conducted on September 19, 2023 from approximately 8:50 am to 10:20 am. Provider was present with two children, for a total of five points. Children were observed playing freely. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, and emergency supplies. Provider record and three child records were reviewed. Violations were found and noted on the violation notice.

Violations:

Standard #:	8VAC20-790-180-B
Description:	Based on observation and review, provider did not ensure there is a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Provider did not have documentation of arrival and departure of each child. Attendance records were requested and provider presented a document that showed a column title with ?time in? and three times listed under it. There was no further information noted.
Plan of Correction:	Provider made an attendance sheet that documents child's name, date, time in and time out to be used.
Standard #:	8VAC20-790-190-B
Description:	Based on review, provider did not ensure 3 of 3 child records have documentation of required information. Evidence: The following was found during record review: 1. The record for child #1 (start date 5/21/2023) did not have parents? employment information. 2. The record for child #2 (start date 5/15/2023) did not have parents? home information, parents? employment information and proof of child?s identity. 3. The record for child #3 (start date 6/3/2023) did not have parents? employment phone number, emergency contact information, written authorization for emergency medical care should an emergency occur, written statement that the provider will notify the parent when the child is ill and that the parent agrees to pick up the child and any written agreements between the parent and vendor.
Plan of Correction:	Provider will request all information and update each child's record.
Standard #:	8VAC20-790-260-L
Description:	Based on observation and interview, provider did not ensure stairs with three or more risers that do not have protective barriers or guardrails on each side shall not be accessible to children over the age of two years. Evidence: The brick stairs leading onto the porch to the front door have three risers and there are not protective barriers or guardrails on each side of the stairs. Provider stated children have outdoor time in the driveway area in front of the home and the stairs are used regularly.
Plan of Correction:	Provider will ask landlord if it possible to add handrails.
Standard #:	8VAC20-790-270-A
Description:	Based on observation, provider did not ensure potentially poisonous substances are stored away from food and in areas inaccessible to children. Evidence: All purpose cleaner and toilet bowl cleaner were observed in an unlocked cabinet under the sink in the bathroom used by children. The items were labeled ?caution and/or warnings? and ?keep out of reach of children?.
Plan of Correction:	Provider will put locks on the cabinet.
Standard #:	8VAC20-790-300-A
Description:	Based on observation and interview, provider did not ensure she can provide direct care and supervision of each child at all times to include awareness of and responsibility for each child in care including being near enough to intervene if needed. Evidence: The childcare room is on the first floor of the home and the only bathroom is on the second floor. Provider stated she always goes upstairs with a child that needs to use the restroom. Before going upstairs, she sits the other children on the floor downstairs and has them sit still while she is gone. Provider stated she has a camera so that she can watch the children downstairs while she is upstairs. Provider could not give a response as to how she could help a child upstairs and be able to intervene downstairs if a child needed something. Provider stated she cares for children 6 weeks ? 4 years.
Plan of Correction:	When provider goes upstairs, she will leave remaining children downstairs in a high chair or seat that they can be secured with a safety strap. Provider will supervise children downstairs by camera.
Standard #:	8VAC20-790-390-E
Description:	Based on interview, provider did not ensure the diapering surface is nonabsorbent and washable. Evidence: Provider could not produce the diapering surface she uses when changing a child?s diaper. Provider described a disposable pad but could not locate one nor could she show any other surface that is used to change a child?s diaper. Child #1 was present and observed to be wearing a disposable diaper.
Plan of Correction:	Provider purchased a non-absorbent folding diaper pad to use for diapering.
Standard #:	8VAC20-790-410-A-1
Description:	Based on observation, provider did not ensure first aid kit includes required items. Evidence: The first aid kit did not have tweezers or a digital thermometer.
Plan of Correction:	Provider will purchase these items and add them to the first aid kit.
Standard #:	8VAC20-790-420-A
Description:	Based on interview, provider did not ensure there is a written emergency preparedness plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. Evidence: Provider stated she did not have a written emergency preparedness plan.
Plan of Correction:	Provider will complete the state model form emergency preparedness plan.