VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Mary Almy
1315 Coltrane Dr
Portsmouth, VA 23701
(757) 541-3144

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Nov. 4, 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 8VAC20-820 HEARINGS PROCEDURES 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

Technical Assistance:

Licensing standards were reviewed regarding staff files, children files, and emergency preparedness plans.

Comments:

An unannounced renewal inspection was conducted on November 4, 2022, from 1pm to approximately 2:20pm. There were six children present totaling 13 points and the provider. The Inspector reviewed five children?s records and two staff records. Children were observed during naptime and one child getting picked up for the day. First Aid kits were observed and a tour of the house was given. Information gathered during the inspection determined non-compliance with applicable standards or law and a violation was documented. The violation is listed on the violation notice issued to the center and were reviewed with the provider at the exit interview.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of two caregiver records, it was determined that the facility did not ensure that all employees before five years since the dates of the last most recent search of the central registry complete an updated search of the central registry. Evidence: 1. The record for Staff #1 contained a search of the central registry finding that was dated 4/27/17. 2. The record for Staff #2 did not have results of a central registry finding. There was no last know 3. Staff #1 confirmed that the central registry finding was sent out on 6/2/22 however they never received and never followed up on results of the registry check.
Plan of Correction:	The provider responded with the following: The provider followed up during the time of the inspection with DSS. It was requested that provider re-submit the central registry checks through the portal.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and observation, it was determined that the provider did not ensure that there is a name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: 1. The record for child #1 did not have the required emergency contact information for two designated persons to reach in case of an emergency of the parents cannot be reached. 2. Staff #1 confirmed that there was no emergency contact listed for child #1.
Plan of Correction:	The provider responded with the following: Staff #1 will obtain the emergency contact information for child #1.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, it was determined that the provider did not ensure that follow-up Tuberculosis Screenings are obtained every two years from the date of the first screening by staff. Evidence: 1. The records for Staff #1 and Staff #2 contain tuberculosis screening that are past due for update. a. The most recent tuberculosis screening for Staff #1 was dated March 20, 2017. b. The most recent tuberculosis screening for Staff #2 was dated December 8, 2019. 2. The provider acknowledged that a new TB screening was required two years from the date of the last screening and documents were not available in the records of Staff #1 and Staff #2 to indicate that they had been completed.
Plan of Correction:	The provider responded with the following: During the inspection, provider called her physician and set up an appointment for a TB screening. She will send the results to LI.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider did not ensure that the family day home be maintained in a safe condition. Evidence: 1. There were two lit candles observed unattended in the living room and entrance to the home posing as a fire and safety hazard. Children were present in the family day home. 2. Staff #1 confirmed that there were two lit candles in the home and aware that it poses as a fire and safety hazard.
Plan of Correction:	The provider responded with the following: The provider will no longer use candles when children are in care.