VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Wynel Harris
13806 Thornhill Court
Chester, VA 23836
(757) 288-2459

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: May 18, 2022

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 8VAC20-800 Nighttime Care 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. 63.2 Child abuse and neglect

Comments:

A renewal inspection was conducted on 5/18/2022 10:43 a.m. ? 3:15 p.m. There were 9 children present ranging in ages from 3 months to age 5 and initially 1 staff supervising and at 11:16 a.m. 2 staff supervising. The inspectors reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of 5 child records and 3 staff records were reviewed. The information gathered during the inspection determined violations with applicable standards. A violation notice was issued. If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-730-D
Description:	Based on observation and interview, the provider failed to keep all medications in a locked place using a safe locking method that prevents access by children. Evidence: On 5/18/2022, the inspectors observed provider/caregiver/household member?s over-the-counter medications in an unsecured upper kitchen cabinet. The provider showed a locked pouch for their prescription medications but indicated she was not aware that over-the-counter medications must also be locked.
Plan of Correction:	The over-the counter medications have been locked in the upper kitchen cabinet.
Standard #:	8VAC20-800-60-B
Description:	Based on child record review, the provider failed to ensure that three of five children?s records contained all of the required information. Evidence: 1. Children records reviewed 05/18/2022 for C2 (DOA 04/14/21) and C3 (DOA 02/01/21) failed to contain documentation of the required annual review of emergency contact information with parents. 2. The record for C4 (DOA 12/6/2021) did not document the name, the address, and phone number of the child?s physician; two emergency contacts with name, address, and phone number; and medical insurance name and policy number.
Plan of Correction:	The parents have completed the information documented in the child's record. At the time the information was requested from the parent they did not have the full information.
Standard #:	8VAC20-800-70-B
Description:	Based on child record review, the provider failed to document in the child?s record the parent?s written acknowledgement of the receipt of required information. Evidence: Record for C4 (DPA: 12/06/2021) did not document parent?s written acknowledgement of: Information to Parents; Policy for the Administration of Medications; Provisions of the Home Emergency Preparedness and Response Plan; and Liability Insurance Declaration.
Plan of Correction:	The provider documented the parent's written acknowledgement of Information to Parents Policy for the Administration of Medication; Provision of the home Emergency Preparedness and Response Plan and Liability Insurance Declaration.
Standard #:	8VAC20-800-80-A
Description:	Based on child record review, the provider failed to obtain proof of the child?s age and identity within seven business days of attendance as required. Evidence: Record for C1 (DOA 04/25/2022) did not document the provider?s verification of age and identity (element on form was blank). Record for C3 (DOA 02/01/2021) indicated that the child?s age and identity did was verified 03/31/2021.
Plan of Correction:	The provider received documentation confirming verification of age for both children.
Standard #:	8VAC20-800-90-A
Description:	Based on child record review, the provider failed to obtain documentation that each child was adequately immunized accordingly to the requirements of the Code of Virginia and applicable State Board of Health regulations prior to attending the family day home. Evidence: Immunizations for C3 (DOA 2/11/21) were dated 03/05/21. Immunizations for C5 (DOA 02/22/2022) were dated 03/02/22.
Plan of Correction:	The immunizations had been conducted on those dates because the parent had not received the past immunization from doctors. The parent had new immunizations conducted by new pediatrician. Also the parent had completed a religious exempt form.
Standard #:	8VAC20-800-210-A
Description:	Based on file review, the provider failed to ensure that one of two caregivers obtained 16 hours of annual training. Evidence: The caregiver record for S2 (DOH 01/01/2021) contained verification of 2 hours of required annual training between 01/01/2021-12/31/2021.
Plan of Correction:	Ongoing training has been scheduled for both caregivers. The 16 hours training will be completed.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview the provider failed to maintain the inside furniture and an outside play structure in a safe and operable condition. Evidence: 1. On 05/18/2022, the inspectors observed a wooden playhouse in the children?s fenced play area where children were playing that had rotten flooring, peeling paint on the walls, and protruding nails. The provider acknowledged the disrepair and noted plans to repair the playhouse. 2. The inspectors observed peeled paint on the rails of two cribs. Provider acknowledged a child biting the rails caused the peeled paint.
Plan of Correction:	1. The children playhouse will receive new floors, new wooden walls, and new railing. The provider has contracted for the structure. Due to the repairs necessary the children are not allowed on the structure. 2. The peeling paint on cribs came from a baby biting on the rail because of teething. The provider has installed cushioning and covered the portion.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider failed to ensure that all unused electrical outlet and surge protectors accessible to children were covered with child resistant protective covers. Evidence: On 05/18/2022, inspectors observed a surge protector and electrical outlet beside the provider?s television cabinet accessible to a crawling child in care during the inspection without child resistant protective covers.
Plan of Correction:	The two unused electrical outlet have surge protectors which was located behind the television entertainment chest. The television entertainment chest has been moved closer to wall and the toddler/crawling child can't reach the outlet due to blockage.
Standard #:	8VAC20-800-350-E
Description:	Based on observation, the provider failed to ensure the hot water at taps available to children were maintained within a range of 105 - 120 degrees Fahrenheit. Evidence: On 05/18/2022, the inspector tested the hall bathroom sink used by the children in care with a digital thermometer. The hot water temperature registered at 127 degrees.
Plan of Correction:	The water heater has been turned down or temperature has been lowered to the range of 105-120 degrees Fahrenheit.
Standard #:	8VAC20-800-430-B
Description:	Based on observations, the provider failed to ensure that pressure mounted gates are not used as protective barriers at stair openings. Evidence: On 05/18/2022, the inspectors observed a pressure mounted gate propped at the base of a stairwell leading to the upstairs floor as the protective barrier at the stair opening.
Plan of Correction:	At the opening of stairway the provider has attempted several gates but how the railings are made the general gates do not provide stability. Therefore, a customized gate for stairwell will be made by a carpenter.
Standard #:	8VAC20-800-500-C
Description:	Based on observation, the provider failed to ensure that stationary outdoor playground equipment was placed at least 6 feet from obstacles. Evidence: On 05/18/2022, the inspectors measured distances that ranged between 3?6? and 5? between the swing set, climbing structure, and slide and the garden timbers surrounding the play area and mature trees (obstacles) in the fenced play area.
Plan of Correction:	The provider began removing the beams surrounding the playground near the fence.
Standard #:	8VAC20-800-530-G
Description:	Based on observation and interview, the provider failed to ensure that children under two years of age shall not use pillows. Evidence: On 05/18/2022, the inspectors observed an infant (3 months old) in a crib using a pillow. The provider advised that the parent provided the specifically designed pillow for their child?s flat head. The provider was unclear that the specific item provided is considered a pillow.
Plan of Correction:	The Head Shaping Pillow was placed in the crib to prevent flat head syndrome. It is pediatrician recommended ergonomic headrest for babies. During inspection the pillow was removed immediately.
Standard #:	8VAC20-800-570-A
Description:	Based on observation and interview, the provider exceeded 16 points based on the ages of the children in care without an additional caregiver being present. Evidence: On 05/18/2022, the inspectors observed the provider providing single supervision of nine children (21 points) between 10:43 a.m. until 11:16 a.m. until another caregiver arrived at the home. The provider acknowledged that her regularly scheduled assistant had an emergency and was unable to come to the home.
Plan of Correction:	The assistant had an emergency doctor appointment for her child, due to a surgical technicality. The substitute provider was contacted. The assistant had been present in the beginning of her shift. The provider was alone with the children until the substitute provider after being called for assistance.