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Mrs. Judith Stuver
1085 Tolstoy Court
Virginia beach, VA 23454
(757) 426-1158

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Feb. 29, 2016

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 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted on 2/29/16 from 10:45am - 12:35pm. At the time of entrance there were 12 children ages two years old to five years old (24 points) in care with two caregivers. A tour of the home was conducted and children were observed playing inside and outside with toys, doing arts and crafts projects, and eating lunch. Records were reviewed for five children and three caregivers/household members. There is no medication at the family day home. Emergency plan and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed during the exit interview. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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).

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on a review of five children's records, it was determined that the provider did not ensure that they maintain and keep at the family day home a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #2, present during the inspection, did not contain documentation of the name and policy number of the child's medical insurance. The record also only contained documentation for one of the two designated persons to call in case of an emergency if the parent cannot be reached. 2. The record for child #3, present during the inspection, did not contain the addresses for the two designated persons to call in case of an emergency if the parent cannot be reached, and the father's place of employment. 3. The record for child #5, present during the inspection, did not contain documentation of the name and policy number of the child's medical insurance. The record also only contained documentation for one of the two designated persons to call in case of an emergency if the parent cannot be reached. 4. Caregiver #1 confirmed the records for child #2, child #3, and child #5 were not complete.

Plan of Correction: Parents will be asked to provide the missing information so the records will be complete.

Standard #: 22VAC40-111-180-A
Description: Based on a review of three caregiver/household member records, it was determined that the provider did not ensure that each caregiver has a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record for caregiver/household member #1 contained documentation for a tuberculosis screening that was completed on 1/26/14. 2. The record for caregiver/household member #3 contained documentation for a tuberculosis screening that was completed on 1/26/14. 3. The provider confirmed that an updated tuberculosis screening had not been completed for caregiver/household member #1 or caregiver/household member #3.

Plan of Correction: Caregiver/household member #1 and caregiver/household member #3 will complete updated tuberculosis screenings.

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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