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Ms. Robbin Reid
125 Squire Reach
Suffolk, VA 23434
(757) 537-8132

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Sept. 26, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
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:
The following areas of FDH standards were reviewed with the provider: Standard 980 - 1010 - Transportation Standard 210 - Annual training Standard 120 - Caregiver records (copies of model forms left) Standard 200 - The provider shall orient the assistant by the end of their first week of assuming job responsibilities Standard 920 - The menu shall list any substituted food Standard 690 - Diapering and toileting Standard 830.B - Shelter-in-place procedures shall be practiced a minimum of twice per year. The current license and most recent inspection reports are required to be posted on the premises of the FDH. Risk assessment and protocol for licensing inspections reviewed. Written information left. Background checks reviewed: Effective July 1, 2014 employees hired on or after July 1, 2014 are prohibited from working in a position that involves direct contact with a person or child receiving services until a criminal record clearance has been received, unless that person works under the direct supervision of another employee for whom a background check has been completed. Direct supervision means that the employee will remain within sight and sound supervision of an employee with a completed background check.

Comments:
An announced initial inspection was conducted on 9/26/2016 from 9:50am - 12:20pm. At the time of entrance there were four children in care with two caregivers. The ages of the children counted for a total of eight points. Children were observed playing games, singing songs and eating lunch with the assistant. Hand washing and toileting was observed. Records were reviewed for four children and two caregivers. The entire home including the backyard play area was reviewed. All areas of the FDH standards were reviewed with the provider which included written emergency procedures, emergency supplies, diapering procedures, nap procedures, the posted menu, documentation of emergency practice drills, attendance documentation, and training. Violations were found in the following areas of family day home standards: Administration, Physical Environment and Equipment and Emergencies.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review and interview, the provider failed to ensure the first aid kit contained adhesive tape. Evidence: 1. There was no adhesive tape in the two first aid kits for the family day home. 2. The provider confirmed that adhesive tape was lacking.

Plan of Correction: Adhesive tape will be purchased today and placed in first aid kit.

Standard #: 22VAC40-111-770
Description: Based on interview, the provider failed to ensure that a working portable battery-operated weather band radio and extra batteries shall be available at all times. Evidence: The provider stated a weather band radio was not available.

Plan of Correction: A battery-operated weather band radio has been ordered and should arrive by Wednesday, September 28th.

Standard #: 22VAC40-111-790
Description: Based on review and interview, the provider failed to post the telephone number for the emergency back-up individual in a visible area close to the telephone. Evidence: 1. The telephone number for the emergency back-up person for the family day home was not posted. 2. The provider confirmed this information was not posted.

Plan of Correction: The name and phone number for all emergency back-up persons was posted by the telephone during the inspection.

Standard #: 22VAC40-111-820
Description: Based on record review, the emergency plan for the family day lacked all of the required elements for shelter-in-place procedures. Evidence: The shelter-in-place procedures lacked written information regarding the designated safe location within the home.

Plan of Correction: The hall closet is the designated shelter location within the home. This information will be added to the written shelter-in-place emergency plan.

Standard #: 22VAC40-111-120-B
Description: Based on record review and interview, the provider failed to ensure that caregiver records shall contain the required elements: *Verification of age; *Job title; *Date of employment; *Name address and telephone number of a person to be notified in an emergency; * Documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record for caregiver #2 lacked the required elements. 2. The provider confirmed the required elements were not on file.

Plan of Correction: The record for caregiver #2 will be completed today.

Standard #: 22VAC40-111-70-A
Description: Based on record review and interview, the provider failed to ensure that before the child's first day of attendance, parents shall be provided in writing policies for termination of care. Evidence: 1. The enrollment record for child #1, child #2 and child #3 lacked written documentation of the policies for termination of care. 2. The provider verified this information was not included in the records of child #1, child #2 and child #3.

Plan of Correction: The termination policy for the FDH will be added to each child's record today. Each parent will be asked to review this information at pick-up this afternoon.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that outside areas of the family day home shall be maintained in a safe condition. Evidence: 1. Three areas of the backyard fence has areas of broken and splintered wood. These areas were on the bottom of the fence which are accessible to children. 2. Cracked and splintered wood is a safety hazard to children if touched or rubbed against.

Plan of Correction: Repairs to the fence were completed on the date of the inspection. A picture of the repaired fence was sent to the inspector on 9/27/2016.

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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