VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tender Loving, Building Two
103 West 35th Street
Norfolk, VA 23504
(757) 622-1502

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: Nov. 15, 2021

Complaint Related: No

Areas Reviewed:

All areas of Standards were reviewed.

Technical Assistance:

New requirements became effective on October 13, 2021. The facility has not yet fully complied with the following requirements: - Required new employee orientation topics and documentation - Allergy management plans for those children with diagnose food allergies - - required procedures in the emergency preparedness plan and required documentation regarding evacuation, shelter-in-place and lockdown drills - - written policies regarding the prevention of shaken baby syndrome and abusive head trauma including procedures to cope with crying babies or distraught children. The facility is to review the new requirements and work with their assigned inspector to ensure future compliance.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on 10\23\2021 and concluded on 11/15/2021. The director was contacted by telephone to initiate the inspection. There were 18 children present and 3 staff. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 5 children?s records and 4 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-780-510-P
Description:	Based upon review of the medications stored for administration to children in care and staff interview, the facility has not ensured that when medication expires it is returned to the parent within 14 days or disposed of by the facility. Evidence: 1.There was an epipen stored for emergency administration to child 2. The epipen expired on 5/20/2021. 2. Staff 4 confirmed that the epipen for child 2 was expired.
Plan of Correction:	The facility responded with the following: The epipen will be returned to the parent. Emergency procedures will be developed with the parent until the epipen prescription can be renewed. Our medication procedures will be followed to ensure that the expiration dates on medications are routinely checked. Parents will be notified prior to the expiration of the medication so that refills can be obtained and brought to the facility.