VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Jenita Harris
2207 Des Moines Avenue
Portsmouth, VA 23704
(757) 339-1991

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Oct. 18, 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 8VAC20-770 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:

An unannounced renewal inspection was conducted on 10/18/2023 from 10:51 am - 12:30 pm. At the time of entrance there were four children in care with the provider. The ages of the children counted for a total of nine points. Children were observed during free play in the child care room. Lunch and nap was reviewed after free play. The provider read stories to children during nap. Records reviewed for five children and the provider. Information gathered during the inspection determined non-compliances with applicable standards and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-800-830-C
Description:	Based on observation and interview, the provider failed to ensure that documentation shall be maintained of emergency shelter-in-place drills. 1. The emergency log for the FDH did not have documentation of any shelter-in-place practice drills for 2022 or 2023. 2. The provider stated that shelter drills had been conducted but not noted on the emergency log.
Plan of Correction:	The shelter drills will be added to the emergency log for the FDH.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, the provider failed to 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: 1. Child 2, enrollment date 03/06/2023, lacks documentation of a physical exam. 2. Child 3, enrollment date 09/05/2023, lacks documentation of a physical exam. 3. The provider confirmed that documentation of a physical exam was not on file for these children.
Plan of Correction:	Each parent will be asked to provide a copy of the child's physical exam.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, the provider failed to ensure that before the child's first day of attendance, parents shall be provided in writing the parent agreement for the family day home. Evidence: 1. A signed parent agreement was not on file for 3 children in care during the inspection: a. Child 1 - enrollment date - 10/17/2023; b. Child 2 - enrollment date - 03/06/2023; c. Child 3 - enrollment date - 09/05/2023. 2. The provider confirmed that a written/signed parent agreement was not on file for these children.
Plan of Correction:	Each parent will be given a copy of the parent agreement for the FDH. This will be reviewed with the parent and a signed copy placed in child's record.
Standard #:	8VAC20-800-80-A
Description:	Based on record review, the provider failed to ensure that within seven business days of the child's first day of attendance at the family day home, the provider shall obtain from the parent verification of the identity and age of the child and name and locate of previous day care programs and schools the child h as attended. Evidence: 1. Documentation of age & identity and previous child care attendance was not on file for child 2 and child 3. 2. Both children have been in care more than 7 days and the provider confirmed this information was not on file.
Plan of Correction:	Verification of proof of identity and previous child care attendance will be obtained from each parent and documented in children's records.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to ensure that areas of the family day home shall be maintained in a safe condition. Evidence: 1. One spindle on the porch railing, leading up to the front porch/entry door for the FDH, is loose. a. This creates an opening a child could fall through. 2. Six screws were observed protruding from the back of the fence panel play board where the objects have been attached. a. The screws have a sharp point.
Plan of Correction:	The spindle will be re-attached. Covers had been placed over the screws however, they have come off. The provider stated some type of new repair will be made to ensure the screws are covered and remain covered.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider failed to ensure that the diapering surface shall be maintained in a way that is nonabsorbent. Evidence: One small tear was observed in the plastic of the diaper changing pad.
Plan of Correction:	A new diaper changing pad will be obtained.