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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:
22VAC40-111 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 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.

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 monitoring 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 first 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. 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 #: 22VAC40-111-100-A
Description: Based on a review of records, the licensee did not obtain, for each enrolled child, documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Five children's records were reviewed. The record for child #1, who enrolled for care in the family day home on 6/5/17, did not contain the results of a physical examination. When asked if this documentation was available, the provider stated that she did not think a child of 4 months would have a physical exam yet.

Plan of Correction: The provider stated that she will ask child #1's parent to provide results of a well baby check or other physical examination today.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on a review of records and interview, the licensee did not ensure that each person living in the family day home has the results of a child protective services central registry within 30 days of a 14-year-old beginning to reside in the home or a person in the home becoming 14 years old. Evidence: 'the records for six provider / assistant / household members were reviewed. The record for household member #3 who is 14 years old, (DOB 1/29/03) did not contain the results of a child protective services central registry check. When asked, the provider stated that she had not obtained this documentation because she was not aware that it was required at age 14.

Plan of Correction: The provider stated that she will send out a request for household member #3's search of the central registry by the end of the week and will place the results in his record upon receipt.

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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