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Ms. Serena Mann
3924 Galleon Drive
Chesapeake, VA 23321
(757) 673-3607

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: March 30, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Today we discussed background checks, tuberculosis screening, and medication administration.

Comments:
An unannounced monitoring inspection for renewal was conducted today of the family day home, inside and outside and records. The inspection was conducted from 3:00pm ? 6:30pm. There were 8 children in care with the licensee and a new assistant. Interviews were conducted with children and staff present. Seven children?s records were reviewed. Children were observed in outside play, home work, inside play activities, provider and self-directed activities, and snack. Any repeat violations and or areas of non-compliance are identified on the violation notice. The provider reports that she is not administering any medication at this time. Children in care are transported for field trips and neighborhood outings by the provider.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on observation, record review and interview the provider failed to ensure that a physical examination is obtained either prior to attendance, within 30 days of attendance or a signed statement noting that the parent objects on religious grounds and certifying that to the best of the parent's knowledge the child is in good health and free from communicable or contagious disease is received. Evidence: 1. The records for child 4 and 8 have a documented date of enrollment as 3/3/18/13. There is not documentation of physical on file for the children. 2. The records for children 2 and 3 do not contain physical examinations. The documented date of enrollment for both children is 2/10/14. 3. Children 2, 3, 4 and 8 were present for care during the inspection. 4. The provider stated that parent of children 4 and 8 has chosen not obtain physicals however, a signed statement had not been obtained at the time of this inspection. 5. The provider confirmed that the records for children 2 and 3 do not include physical examinations.

Plan of Correction: The provider will obtain the required information from the parents. Going forward the provider understands that standards require documentation of 2 pieces of medical information 1- the immunization report, 2 - the physical report. If a parent chooses to be exempt from either one of the two the proper paper work must be on file.

Standard #: 22VAC40-111-120-A
Description: Based on observation, record review and interview the provider failed to maintain a record for each caregiver. Evidence: 1. There is an assistant present working with children during the inspection. 2. The licensee entered her vehicle and was backing up out of the driveway when the inspector was exiting her vehicle. 3. The licensee stated that the assistant began observing at the family day home on 3/23/15. 4. The assistant's sworn statement is dated 3/23/15. 5. The licensee stated that she did not have anything for the assistant other than the sworn statement.

Plan of Correction: The provider will ensure that all required information is documented for each caregiver.

Standard #: 22VAC40-111-60-B
Description: Based on observation, record review and interview the provider failed to ensure that all required information is obtained for each child's record. Evidence: 1. The record for child 6 and 7 have a documented date of enrollment as 9/2/14. However, the records contain only one emergency contact. Standards require two emergency contacts 2. Child 7 and 8 were in care during the inspection. 3. The provider confirmed that there was only one emergency contact in each child's record.

Plan of Correction: The provider will obtain an additional emergency contact for each child's record.

Standard #: 22VAC40-111-170-A
Description: The provider failed to ensure that a Tuberculosis Screening is obtained for each caregiver at the time of hire prior to coming into contact with children in care. 1. An assistant was present working with children in care during the inspection today. 2. The caregiver was observed assisting with snack preparations as well as serving snacks to children in care. 3. The documented date of hire for the caregiver is 3/23/15. 4. The caregiver does not have a Tuberculosis Screening on file. 5. The licensee stated that she thought she had sixty days for the assistant to get a TB test. 6. The assistant stated that she had not yet obtained a TB test.

Plan of Correction: The licensee will ensure that all caregivers obtain a Tuberculosis Screening at the time of hire.

Standard #: 22VAC40-111-240-A
Description: Based on observation the provider failed to ensure that areas outside are maintained in safe condition. Evidence: 1. A child was observed playing with a rake on the side of the home. This area was not within sight of a caregiver. There is a large stack of left over building materials including wooden boards with nails and split areas within reach of children. Additionally the stack is spread of an area approximately six feet long, four feet wide and six inches tall. The debris poses a tripping hazard. Furthermore, the debris has been exposed to elements and has absorbed moisture making the items heavier than they are normally. 2. The wooden gate leading from the front to the back yard is falling off the hinges and has loose picketts. As a result the gate is difficult to manage. There are screws that have been pulled out of the wood and are within reach of the children.

Plan of Correction: The provider will remove the building debris. The gate will be repaired or removed.

Standard #: 63.2-1720-F
Description: Based on observation the provider failed to ensure that no employee shall be permitted to work in a position that involves direct contact with a child receiving services until an original criminal history record has been received, unless such person works under the direct supervision of another employee for whom a background check has been completed in accordance with the requirements of this section. Evidence: 1. An assistant was present caring for children a lone during the inspection. 2. The licensee was observed entering her vehicle and backing her car down the drive as the inspector was walking toward the family day home. 3. The inspector walked up to the gate leading to the back yard where the assistant was supervising outside play with five children in care. An additional three children were napping inside the home. 4. When asked the resident child stated that her mother was going to the pick up kids from school. When asked the licensee stated that she was just running to pick something up.

Plan of Correction: The provider understands and will follow all regulations by not leaving any caregiver alone to supervise children in care until a criminal history record has been completed for the caregiver.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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