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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: Sept. 5, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
VENDHOM-000 INTRODUCTION.
VENDHOM-000 Administration
VENDHOM-000 Caregiver Qualifications and Training
VENDHOM-000 Physical Plant
VENDHOM-000 Caregivers and Supervision
VENDHOM-000 Programs
VENDHOM-000 Special Care Provisions & Emergencies
VENDHOM-000 Special Services

Technical Assistance:
Keep an eye on your changing pad. It is beginning to show wear and tear. If the outer covering tears and exposes the filling it can no longer be considered non-absorbent and cannot be cleaned and sanitized well.

Comments:
An unannounced annual Subsidy Health and Safety inspection was conducted from 11:45 a.m. to 3:00 p.m. to review supplemental health and safety requirements. At the time of entrance, there were 6 children, ages 4 months to 2 years old, for a total of 16 points, with one caregiver. A second caregiver returned from an errand within 10 minutes. All of the children were sleeping except one infant who was being held by the caregiver. The records sample size consisted of 4 children?s records and 6 caregiver, assistant caregiver / household member records. Children were observed resting quietly at nap time, an infant was observed being held and rocked, being bottle fed and diapered and eventually sitting calmly in an infant bouncy seat. The vendor states that no medication is being administered to children in care at this time and that no children are currently transported in a vehicle. There have been no accidents or injuries requiring first aid or medical treatment incurred by children in care since the last inspection. The vendor states that there are no children currently enrolled who have diagnosed food allergies. 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. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice.

Violations:
Standard #: VENDHOM-000-005-B
Description: Based on observation and interview, the vendor does not maintain a a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The vendor keeps a sign in and out log which notes the children present on each day. However, the log does not indicate the time or arrival and departure for each child. The vendor acknowledged that the form she currently uses does not contain this information.

Plan of Correction: The vendor stated that she will create a new form today which allows her to document the arrival and departure of each child in care as it occurs. She states that she will begin using the form tomorrow.

Standard #: VENDHOM-000-012-D
Description: Based on a review of records and interview, the vendor does not have documentation that orientation training for caregivers shall be completed on each of the required specific topics prior to the caregiver working alone with children or within seven days of the date of employment or the date of subsidy vendor approval. Evidence: Documentation of caregiver orientation is present in the assistant caregiver's record which outlines the information reviewed. It does not include training on Playground safety, shaken baby syndrome, safe sleep procedures or food allergies.

Plan of Correction: The vendor stated that a new orientation training will be given to the assistant today and documented today which will include all of the areas of training included in the Subsidy Requirements. The vendor stated that much of the required information was obtained in the 10 hour Virginia Preservice Training that both she and the assistant recently completed.

Standard #: VENDHOM-000-029-B-5
Description: Based on a review of the Vendor's written Emergency Preparedness Plan, the plan does not include information on Lockdown Procedures. Evidence: The written Emergency Plan for the home contained information on Evacuation Procedures and Shelter In Place Procedures but did not include information on Lockdown Procedures.

Plan of Correction: The vendor stated that she will add the required information to her current plan ensuring that all of the required elements listed in the Vendor Agreement / Requirements are included in the document today. This updated information will be shared with Parents of enrolled children and assistant caregivers by tomorrow.

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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