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Mrs. Christianne Desir
414 West 33rd St
Norfolk, VA 23508
(757) 623-3055

Current Inspector: Jeffrey Harris (757) 409-4668

Inspection Date: May 2, 2017

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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
63.2 General Provisions.
63.2 Child Abuse and Neglect
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.

Comments:
An unannounced monitoring inspection was conducted from 2:10 p.m. to 4:10 p.m. At the time of entrance, 9 children, ages 11 months to 3 years old, for a total of 24 points were in care with the provider and an assisitant. The records sample size consisted of 4 children?s records and 3 provider / assistant/ household member records. Children were observed resting quietly at nap time, having an afternoon snack of fresh strawberries and cinnamon bread, and watching a children's program on the television. Restroom and diapering procedures, hand washing and table sanitizing were also observed. Medication administration was not observed. The provider states that no children are currently administered medication while in care, there have been no accidents or injuries incurred by children in care requiring first aid or medical treatment and children are not routinely transported in a vehicle while in care. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, the licensee did not ensure that each enrolled child's record contains the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: Four children's records were reviewed. The record for child #4 contained only one of two required emergency contacts to be called in an emergency if the parents cannot be reached.

Plan of Correction: The licensee will speak with the parents today and ask that a second emergency contact person be added to the record by the end of the week.

Standard #: 22VAC40-111-70-A
Description: Based on a review of children's records, the licensee did not ensure that before the child's first day of attendance, every child's parents were provided in writing the current names of the adult assistant or substitute provider(s) and complete provisions of the family day home's emergency preparedness and response plan. Evidence: Four children's records were reviewed. 1.) The record for child #1 did not contain information regarding the family day home's emergency plan. The records for children #2, #3 and #4 did not list the location where the family day home would relocate in the event of an emergency requiring evacuation from the home 2.) The records for children #1, #2, #3 and #4 contain information that caregiver #3 and household member #2 may provide care for children up to 30% of the time each week if the Licensee needs to be away from the home. However, in discussing training requirements with the Licensee she stated that household member #2 no longer serves as an assistant caregiver. This change in arrangements should be updated in the records and reviewed with parents. If household member #2 will serve as an assistant, then the required 16 hours of annual training would need to be completed.

Plan of Correction: The licensee stated that she would update this information in the records and review the updates with parents this week.

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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