VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Mary Bellamy
3477 Beaverdam Road
Franklin, VA 23851
(757) 562-7821

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Sept. 26, 2023

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 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Technical Assistance:

The Licensee must send evidence to the licensing inspector that the background checks have been requested no later than 10 days of this notification dated 10/2/2023. The applicant must also then forward the results to the licensing inspector upon receipt.

Comments:

A monitoring inspection was initiated and concluded on 9/26/2023. There were 5 children present with the provider and an assistant. The point total was13. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Children were observed resting at nap time, eating an afternoon snack and playing with playdoh and various other tabletop toys. A total of 5 child records and 3 caregiver / household member records were reviewed. The inspection started at 2:30 pm and concluded at 4:20 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of records and interview, the licensee did not ensure that all employees, undergo a background checks prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: Three Provider / Assistant / Household Member records were reviewed. The record for Assistant #2 contained the most recent result s of a Criminal Record Check that were dated 6/19/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal Record Check had not been requested for Assistant #2 .
Plan of Correction:	The licensee will request an updated Criminal History Check for assistant caregiver #2 within 10 days of receipt of this report (by 10/13/2023), send a copy of documentation of the request to the inspector and a copy of the results upon receipt. The results will be placed in the caregiver / household member records upon receipt.
Standard #:	22.1-289.036-A
Description:	Based on record review and interview, the licensee did not ensure that every applicant or agent who is or will be involved in the day-to-day operations of the family day home, who is or will be alone with, in control of, or supervising one or more of the children; and any adult living in the family day home undergoes required background checks prior to issuance of a license as a family day home and every five years thereafter. Evidence: Three Provider / Assistant / Household Member Records were reviewed. The record for provider #1 contained the most recent result s of a Criminal Record Check that were dated 6/15/2028, more than 5 years ago. The record for Household Member #3 contained the most recent result s of a Criminal Record Check that were dated 6/28/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal History Check had not been requested for Provider #1 and Household Member #3.
Plan of Correction:	The licensee will request an updated Criminal History Check for Provider #1 and Household Member #3 within 10 days of receipt of this report (by 10/12/2023), send a copy of documentation of the request to the inspector and a copy of the results upon receipt. The results will be placed in the caregiver / household member records upon receipt.
Standard #:	8VAC20-800-100-A
Description:	Based on a review of records and interview, the licensee did not always obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Five children's records were reviewed. The record for child #1, who began attending the family day home 7/17/2023, did not contain the results of a physical examination. The licensee acknowledged that this documentation was not present in the child #1's record.
Plan of Correction:	The licensee will speak to the child's parent today and request that the results of a physical exam for child #1 be submitted within 2 weeks.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains all of the required information. Evidence: Five children's records were reviewed. The record for child #2 did not contain the address for one of the two required individuals to be contacted in an emergency if the parents could not be reached. The record for child #4 and child #5 did not contain the address for either of the two required individuals to be contacted in an emergency if the parents could not be reached. The licensee acknowledged that this information was not in the record for child #2, #4 and #5.
Plan of Correction:	The licensee will request this information today and place it the records for child #2, #4 and #5 by no later than 10/13/2023.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the licensee did not always obtain, for each caregiver and adult household member, a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Three provider / assistant / Household member records were reviewed. The record for household member #3 contained the most recent results of a tuberculosis (TB) screening which were dated 6/10/2021. The licensee confirmed that she had not obtained more recent result s of a TB screening for household member #3.
Plan of Correction:	The licensee will request that Household Member #3 obtain an updated TB screening within 2 weeks. The results will be placed in Household Member #3's record.