VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Delores Williams-Brooks
305 West Roanoke Street
Richmond, VA 23225
(804) 231-1879

VDSS Contact: Nicole Jeffress (804) 773-1847

Inspection Date: Sept. 18, 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

Comments:

An unannounced Subsidy Health & Safety inspection was conducted Wednesday, September 18, 2019 from approximately 12:00 PM until 2:00 PM to determine compliance with Subsidy Health and Safety vendor requirements. One child was in attendance, being supervised by one caregiver. Based on the child?s age there was a total of 4 points. The child was observed being held, fed and talked to by the caregiver. The child was also observed sleeping. 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. Two children's records and one caregiver?s record were reviewed. Violations were cited during the inspection. See violation notice for additional information. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to me within five business days from today. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions, please contact the licensing inspector at (804) 662-9790.

Violations:

Standard #:	22VAC4-665-340-F
Description:	Based on observation and interview, the vendor does not provide a crib for children from birth through 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot, rest mat or bed during the designated rest periods. Evidence: 1. Child #1 (two months of age) was observed sleeping in a bassinet during the inspection. The vendor stated that she did not have a crib for Child #1.
Plan of Correction:	I will set up a crib for the infant in care. The infant does not come every week but I will get a crib for the infant.
Standard #:	22VAC40-665-160-B
Description:	Based on observations, records reviewed and interview, the written attendance did not document the arrival and departure of each child as it occurred. Evidence: The vendor stated that she uses the print off from the subsidy POS machine to keep record of attendance. Child #1 (start date 09/17/19) is enrolled in the subsidy program. The attendance for Child #1 was not being recorded.
Plan of Correction:	I will use the attendance form that was given to me during the inspection.
Standard #:	22VAC40-665-210-A
Description:	Based on review of two children?s records and interview, the vendor did not 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: The record for Child #1 (start date 09/17/19) did not contain documentation of immunizations.
Plan of Correction:	I will have the parent give me a copy of the immunizations.
Standard #:	22VAC40-665-400-A
Description:	Based on documentation review, the vendor did not have a written emergency preparedness plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. Evidence: The emergency preparedness plan did not address lockdown situations, reunifications with families and accommodations or special requirements for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation, and how to provide continuity of operations procedures to ensure that essential functions are maintained during an emergency.
Plan of Correction:	I will complete the emergency preparedness plan form that was given to me during the inspection.
Standard #:	22VAC40-665-410-B
Description:	Based on interview, the vendor did not maintain a record of the dates of the practice drills for one year. Evidence; The practiced drill log could not be located during the inspection. The vendor stated the drills had been completed but could not locate the drill log.
Plan of Correction:	The basement was recently flooded and I could not find the record for emergency drills. I will use the drill log form that was given to me during the inspection.