VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Marquaye Benjamin
2420 Barraud Ave
Norfolk, VA 23504
(757) 619-0489

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Oct. 20, 2023

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 63.2 Child abuse and neglect 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

The following areas of FDH standards were reviewed with the provider: 1. All caregivers will need 16 hours of annual training; 2. Requirements for emergency practice drills ( fire, lockdown, shelter); 3. Written allergy care plans for children with diagnosed food allergies; 4. Standard 450.A - Doors with clear glass panels that reach within 18 inches of the floor shall be clearly marked with decorative objects such as pictures, art work, or decals at the eye level of children in care; 5. Discussed daily review of outdoor play area to ensure garden tools and potential dangerous objects/chemicals are locked away; 6. CPSC guidelines for cribs; 7. Standard 840 - Injury records/documentation; 8. Standard 980 - Field trips; 9. Mat training must be obtained before medication is administered to children; 10. Standard 120..B - Caregiver records; 11. Approved organizations for CPR & First Aid certification; 12. Ask parent to list specific command when "Navy" is listed as the place of employment; 13. Standard 100.A - A physical exam is required ( for children) prior to or within 30 days of attendance. Suggest storing children's linens separately to avoid cross contamination. Outdoor floor mat should be removed and/or repaired as the fray is a possible trip hazard. Written information has been provided regarding: a. Current CPSC guidelines for cribs; b. USDA meal pattern guidelines: c. Risk Assessment Matrix; Discussed 22.1-289.02 of the Code of Virginia which requires a license if more than four (4) non-resident children are in care. Discussed the licensing and inspection process.

Comments:

An announced initial inspection was conducted on 10/20/2023 from 10:00 am - 1:00 pm. The inspector observed six children in care with three caregivers. The ages of the children in care counted for a total of 19 points. Children were observed playing in the child care room with the provider and assistants. One diaper change, hand washing and lunch was reviewed. Records reviewed for the provider and two caregivers/household members and the six children in care. The inspector additionally reviewed the backyard play area in addition to the entire home. Violations were found in the following areas of FDH standards: Administration, physical equipment and environment, preventing the spread of disease and emergencies. These violations are listed on the violation notice issued to the provider and were reviewed at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-800-790
Description:	Based on observation, the provider failed to ensure that the following telephone numbers shall be posted in a visible area close to the telephone: *The responsible person for emergency backup care; *The regional poison control center. Evidence: 1. The telephone number for poison control and an individual designated for emergency backup care were not posted. a. The provider confirmed that these telephone numbers were not posted.
Plan of Correction:	Caregiver has ensured numbers were posted and visible.
Standard #:	8VAC20-800-30-A
Description:	Based on observation and interview, the provider failed to ensure compliance with the FDH standards and relevant state or local laws, and other relevant regulations. Evidence: 1. The provider was operating outside of the Code of Virginia requirements for unlicensed family day homes as there were 6 children in care during the inspection which lasted from 10:00 am - 1:00 pm on October 20, 2023. a. A family day home license has not been issued by the Department of Education. 2. Sections 22.1-289.02 and 22.1-289.011 of the Code of Virginia require a license from the Commonwealth of Virginia - Department of Education if more than four (4) children are in care at any one time. 3. The provider stated that all of the six children in care were daycare - non-resident children.
Plan of Correction:	Disenrolling 2 of the 6 children until further notice.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked: a. Address and phone number for the second designated emergency contact; b. Policy number for child's medical insurance. 2. The enrollment record for child 2 lacked: a. Address of the second designated emergency contact; b. Name of child's medical insurance; 3. The enrollment record for child 3 lacked: a. Work address for Mother and Father; b. Second designated emergency contact; c. Name and policy number for child's medical insurance. 4. The enrollment record for child 4 lacked: a. The policy number of the child's medical insurance. 5. The enrollment record for child 5 lacked: a. Second designated emergency contact. 6. The enrollment record for child 6 lacked: a. Address for employer for one parent; b. Phone number for first emergency contact; c. Second designated emergency contact.
Plan of Correction:	Caregiver will ensure all records / files are updated & completed between 10/24/2023 and 11/01/2023.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin. Evidence: 1. The following toppling hazards were observed inside of the home: a. Unsecured cubby in the foyer which is utilized for parent sign-in and is at the front entry into the family day home. This cubby measures 4 feet x 4 feet; b. Unsecured book/toy storage unit in child care room measuring 90 inches x 48 inches; c. Unsecured metal 5 shelf storage unit measuring 6 feet x 18 inches. 2. Three cracks were observed on the outdoor play structure w/ slide. a. These cracks in the plastic are a pinch point hazard for children. 3. One crib in use for infant napping does not meet current CPSC guidelines for cribs as this crib has a manufacturer date of May 2009. a. Cribs manufactured before June 28, 2011 do not meet current Federal guidelines for cribs. 4. Two cribs in use for infant napping lack any type of written documentation to determine if they meet current CPSC guidelines for cribs. a. The provider stated she did not have any written documentation to verify if these two cribs complied with current CPSC guidelines.
Plan of Correction:	Caregiver has ensured the following: Secured cubby in foyer - 10/21/23 Secured book/toy storage unit in child care room - 10/21/23 Secured metal shelving unit in child care room-10/21/23 Outdoor play structure pinch points sealed and fixed-10/21/23 Outdated cribs replaced- 10/30/2023 In process of replacing unverifiable cribs - 11/4/23
Standard #:	8VAC20-800-330-A
Description:	Based on interview, the provider failed to ensure that a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. Evidence: The provider stated she did not have a landline telephone available in the family day home.
Plan of Correction:	In process of getting land line installed.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child. Evidence: 1. Caregiver 2 did not wash her hands with soap and running water after changing the diaper of child 3 at approximately 11:05 am. a. Caregiver 2 utilized hand sanitizer to clean her hands after the diaper change.
Plan of Correction:	Proper diapering was reinforced by counseling caregiver 2.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the provider failed to ensure that children's hands are washed with liquid soap and warm running water after diapering. Evidence: 1. Caregiver 2 did not wash the hands of child 3 after a diaper change at approximately 11:05 am. a. After the diaper change child 3 was returned to the child care room for play.
Plan of Correction:	Retrained caregiver 2 in the proper diaper station changing procedures - to include washing of the hand of children before and after change.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider failed to ensure that the diapering surface shall be cleaned and sanitized after each use. Evidence: 1. Caregiver 2 did not clean and sanitize the diapering surface after changing the diaper of child 3 at approximately 11:05 am.
Plan of Correction:	Caregiver will ensure diapering station will be cleaned/sanitized after each use. Proper diaper station sanitizing/cleaning was reinforced by counseling of caregiver 2.