VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Deneen Kelly
5507 Troy Road
Richmond, VA 23224
(804) 233-5333

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: June 24, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes 22VAC40-665 General qualifications 22VAC40-665 Building or home maintenance. 22VAC40-665 Supervision and ratio requirements 22VAC40-665 Programs 22VAC40-665 Special Care Provisions & Emergencies 22VAC40-665 Special Services

Technical Assistance:

N/A

Comments:

An unannounced Subsidy Health & Safety inspection was conducted Monday, June 24, 2019 from approximately 9:15 AM until 12:00 PM to determine compliance with Subsidy Health and Safety vendor requirements. Four children were in attendance being supervised by one caregiver. Based on the children?s age there was a total of 12 points. Children were observed reading books, singing songs, eating snack and lunch, watching children?s programs on T.V., taking bathroom breaks and having their diapers changed, washing hands and playing with toys. All areas in the home used by children were inspected. A walk through of the home was completed with the caregiver. Administrative documentation was reviewed. Four children's records and one caregiver?s record were reviewed. Violations were cited during the inspection. See violation notice for additional information. If you have any questions, please contact the licensing inspector at (804) 662-9790.

Violations:

Standard #:	22VAC40-665-170-B
Description:	Based on review of four children's records, the caregiver did not ensure the record for one child contained the required information. Evidence: 1. The caregiver stated she has been caring for Child #3 for about two weeks and the parent still needs to submit all of the paperwork. 2. The record for Child #3 did not contain first date of attendance; name, address, and phone number for each custodial parent?s place of employment or school attendance, if applicable; name, address, and phone number of at least one person designated by the parent to contact in case of an emergency, if the parent cannot be reached; If applicable, information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; information on other physical problems; pertinent developmental information, and any special accommodations needed; names of persons besides the custodial parent who are authorized to pick up the child; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds; special instructions including but not limited to recommendations for the care and activities of a child with special needs, exception to infant being fed on demand, etc.; a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction, if applicable.
Plan of Correction:	The parent has the forms and I will ask the parent to bring them to me.
Standard #:	22VAC40-665-210-A
Description:	Based on the review of four children's records, the vendor did not ensure before a child attended the family day home, the vendor obtained documentation of immunizations for one child. Evidence: The record for Child #2 (documented start date 1/2/19) did not contain documentation of immunization. Child #2 was present in the home during the inspection.
Plan of Correction:	Child #2 just got updated shots and I will ask for a copy of the shot record.
Standard #:	22VAC40-665-390-A-1
Description:	Based on observation and interview, the vendor did not ensure the first aid kit contained the required items. Evidence: A digital thermometer could not be located during the inspection. The vendor stated she could not find it and would need to buy a new one.
Plan of Correction:	I will buy a new thermometer today.
Standard #:	22VAC40-665-400-B-7
Description:	Based on documentation review, the caregiver did not ensure the emergency preparedness plan contained continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: During the inspection, the emergency preparedness plan was reviewed. The plan did not contain written plans on how the caregiver will ensure continuous operation procedures are in place to ensure essential functions are maintained during an emergency. This subsidy requirement became effective on October 17, 2018 and was required to be in place by December 15, 2018.
Plan of Correction:	I will complete the updated emergency preparedness plan that includes this information.
Standard #:	22VAC40-665-410-A-1
Description:	Based on documentation review and interview, the vendor did not ensure an evacuation procedure was practiced monthly. Evidence: The drill log indicated the last practiced evacuation drill was completed on 03/19/19. The vendor stated an evacuation drill was not completed for April and May.
Plan of Correction:	I will make sure to do a fire drill this month and every month afterwards.
Standard #:	22VAC40-665-410-A-3
Description:	Based on record review and interview, the vendor did not ensure lockdown procedures were practiced at least annually. Evidence: The record of emergency drills did not indicate a lockdown drill had been completed in 2018 or 2019. Caregiver #1 stated a lockdown drill had not been practiced.
Plan of Correction:	I will complete a lockdown drill this month.