VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Beverly Williams
5040 Krick Street
Norfolk, VA 23513
(757) 239-0365

VDSS Contact: D'Nae Goodwin (757) 404-3063

Inspection Date: May 10, 2023

Complaint Related: No

Areas Reviewed:

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

Comments:

A Subsidy Health and Safety Inspection (SHSI) was conducted on May 11, 2023, from 9:45am to about 11:30am after attempts to complete an SHSI inspection since March 1, 2023. Present with the vendor were a total of 11 children in which 4 of the children were transported to school in the morning. The vendor has an assistance to help in the home while transporting other children to and from school. The children were observed watching TV and playing with blocks during the inspection. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program. The violations were discussed with the vendor at the exit interview.

Violations:

Standard #:	8VAC20-790-170-D
Description:	Based on observation and interview, it was determined that the vendor did not ensure that the family day home does not exceed the capacity of children cared for as allowed by law or regulation. Evidence: 1. Licensing inspectors observed a total of 11 children in the home. a. Vendor is registered to have a total of 4 children in care at any given time per their voluntary registered agreement. 2. Vendor confirmed watching over 4 children in her home at any given time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-190-A
Description:	Based on record review and interview, it was determined that the vendor did not ensure that they maintain, and keep at the family day home, written or electronic information for each enrolled child, which shall be made available to the department's representative upon request. Evidence: 1. Of the 11 children enrolled, there were 8 children without written or electronic information for each enrolled child. 2. The vendor confirmed that the home daycare did not have all the children?s information and records complete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-190-B
Description:	Based on record review and interview, it was determined that the vendor did not ensure to obtain children?s information to include: 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. Evidence: 1. Child #2, Child #3, and Child #5 do not have a listed emergency contact if the parents cannot be reached. 2. Staff #1 confirmed that there are no listed emergency contacts for Child #2, Child #3, and Child #5 in their records.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-190-B-12
Description:	Based on record review and interview, it was determined that the vendor did not ensure that a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction is in the record. Evidence: 1. Child #6 has a diagnosed food allergy per their physical and no written care plan with regards to the steps to be taken in the event of a suspected or confirmed allergic reaction in the record. 2. Staff #1 confirmed that there was no written care plan for Child #6 regarding their food allergies.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-200-2
Description:	Based on record review and interview, it was determined that the vendor did not ensure that there is documentation that background checks were completed. Evidence: 1. Staff #2 does not have the appropriate documentation that background checks were completed. 2. Staff #1 confirmed that there are no background checks completed for Staff #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-200-2-a-1
Description:	Based on record review and interview, it was determined that the vendor did not ensure that satisfactory results of the fingerprint-based national criminal background check are completed . Evidence: 1. Staff #2 (date of hire September 2022) does not have satisfactory results of the fingerprint-based national criminal background check 2. Staff #1 confirmed that there are no staff satisfactory results of the fingerprint-based national criminal background check for Staff #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-200-2-a-2
Description:	Based on record review and interview, it was determined that the vendor did not ensure that satisfactory results of the Virginia Child Protective Services Central Registry check was completed. Evidence: 1. Staff #2 (date of hire September 2022) does not have satisfactory results of the Virginia Child Protective Services Central Registry check in their record. 2. Staff #1 confirmed that there are no Virginia Child Protective Services Central Registry check for Staff #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-200-3
Description:	Based on record review and interview, it was determined that the vendor did not ensure that tuberculosis screening results were in the case file. Evidence: 1. Vendor did not have up to date tuberculosis screening results in the records. a. Staff #1 did not have a recent tuberculosis screening completed in the past 2 years. b. Staff #2 did not have a tuberculosis screening completed prior to employment and working with children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-210-A
Description:	Based on record review and interview, it was determined that the vendor did not ensure that each caregiver must be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. Staff #1 and Staff #2 did not have an up-to-date TB screening completed. There was no documentation of any TB screening completed. 2. Staff #1 confirmed that there was no documentation of a completed TB screening for Staff #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-230-A
Description:	Based on record review and interview, it was determined that the vendor did not ensure that before a child may attend the family day home, the vendor shall obtain documentation that the child has been immunized according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Staff #1 confirmed that they do not possess the appropriate documentation for immunization of children. a. Child #2 does not have immunization records in their file. b. Child #5 does not have immunization records in their file. c. Child #6 does not have immunization records in their file. d. Child #7 does not have immunization records in their file. e. Child #8 does not have immunization records in their file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-250-B
Description:	Based on record review and interview, it was determined that the vendor did not ensure that within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: 1. Staff #2 (September 2022 ) did not complete the Virginia Preservice Training for Child care Staff sponsored by the Department of Education. 2. Staff #1 confirmed that Staff #2 did not complete the Virginia Preservice Training for Child care staff.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-250-D-1
Description:	Based on record review and interview, it was determined that the vendor did not ensure that all caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval: Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 do not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff #1 confirmed that current staff in the home do not have a certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-250-D-2
Description:	Based on record review and interview, it was determined that the vendor did not ensure that all caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval: Current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #1 and Staff #2 do not have a current certification of first aid appropriate to the ages of children in care. 2. Staff #1 confirmed that current staff members in the home do not have a current certification of first aid appropriate to the ages of children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-260-A
Description:	Based on observation and interview, it was determined that the vendor did not ensure that areas and equipment of the family day home shall be maintained in a safe and operable condition. Evidence: 1. The hallway to the children?s bathroom has a closet door that is off its hinge and placed on the ground. This poses as an injury hazard to children. 2. The hallway has several boxes and books along the wall going towards the children?s bathroom which does not give clear walkways for the children. This poses as an injury and tripping hazard to children in care. 3. The carpet in the living room is tearing and has threads extended out of the carpet which poses as a tripping hazard. 4. Staff #1 confirmed that the door off the hinge, the boxes and books in the hallways and the carpet posses hazards to the children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-260-C-2
Description:	Based on observation and interview, it was determined that the vendor did not ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the kitchen where the children eat snack and lunch, there is an electrical outlet by the kitchen table that does not have protective covers. 2. In the living room area near a child?s pack and play, there is an electrical outlet that does not have protective covers and in reach of children in care. 3. Vendor confirmed that are no electrical outlet covers in the kitchen and living room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-270-A
Description:	Based on observation and interview, it was determined that the vendor did not ensure that potentially poisonous substances, such as, but not limited to, cleaning agents, disinfectants, pesticides, and shall be in areas inaccessible to children. Evidence: 1. In the kitchen, there were disinfectant sprays, disinfectant wipes, and cleaning agents that were in reach and accessible to children in care. 2. In the living room area of the family dayhome, there were disinfectant wipes beside the changing table accessible to children in care. 3. Staff #1 confirmed that the cleaning agents were accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.