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Ms. Rhonda Bost
14 Shoal Court
Portsmouth, VA 23703
(757) 515-8690

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Sept. 11, 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
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 10:10am - 11:30am. At the time of the inspection there were 3 children in care, age 2 years (6 points), with 2 caregivers present. Records were reviewed for 3 children and 2 caregivers. Children were observed engaging in morning activities and snack time. The provider stated there are no medications being administered at this time. Areas of non-compliance are identified on the violation notice and were discussed with the provider during the exit interview.

Violations:
Standard #: 22VAC40-111-770
Description: Based on observation and interview, it was determined the provider did not ensure that a working portable battery-operated weather radio shall be kept in a designated area and be available to caregivers at all times. Evidence: 1. There was no working battery-operated weather radio located in the family day home during the inspection. 2. The provider stated she has a working weather radio but that it was not in the family day home the time of the inspection.

Plan of Correction: The provider responded: Weather radio has been recovered and new batteries placed to satisfy the emergency supply requirements.

Standard #: 22VAC40-111-100-A
Description: Based on record review and interview, it was determined the provider did not ensure that documentation of a physical examination by or under the direction of a physician is obtained prior to a child?s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for child 1 and child 2 does not contain documentation of a physical examination. 2. Child 1 has an enrollment date of 2/9/17 and child 2 had an enrollment date of 1/5/17. 3. Child 1 and child 2 were in care at the time of the inspection. 4. The provider confirmed that the records for child 1 and child 2 do not contain documentation of a physical examination.

Plan of Correction: The provider responded: Appointments have been rescheduled for earlier times (as early as possible) to satisfy physical examination requirements.

Standard #: 22VAC40-111-120-B
Description: Based on record review and interview, it was determined the provider did not ensure that assistants? records contain all required information. Evidence: 1. The record for staff 1 did not contain documentation of 2 or more reference checks, a date of employment, and documentation that orient. 2. The provider confirmed that the record for staff 1 does not contain all required information.

Plan of Correction: The provider responded: Staff records will be updated asap.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview, it was determined the provider did not ensure that children?s records contain all required emergency contact information. Evidence: 1. The record for child 1 did not contain the name, office address or phone number for the child?s physician. 2. The record for child 2 and child 3 did not have addresses listed for the second emergency contact. 3. Child 1, 2 and 3 were in care at the time of the inspection. 4. The provider confirmed that the records for child 1, 2 and 3 did not contain all required emergency contact information.

Plan of Correction: The provider responded: Children's records will be updated asap.

Standard #: 22VAC40-111-90-A
Description: Based on record review and interview, it was determined the provider did not ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: 1. The record for child 1 does not contain an immunization record. 2. Child 1 has an enrollment date of 2/9/17 and was in care at the time of the inspection. 3. The provider confirmed that the record for child 1 does not contain documentation of immunizations.

Plan of Correction: The provider responded: Appointments have been rescheduled for earlier times (as early as possible) to satisfy immunization requirements.

Standard #: 22VAC40-111-240-A
Description: Based on observation, it was determined the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe condition. Evidence: 1. There is a piece of trim missing from the shed door located on the outside play area that has 5 exposed nails with sharp edges. The nails are within reach of the children. 2. There is a guardrail missing on both sides at the base of the stairs, resulting in an opening of 6 inches. Openings on guardrails greater than 4 inches are an entrapment hazard. A. A 2 year old child was observed putting her head and part of her body through the opening of the guardrails during the inspection. B. The provider confirmed that the openings were 6 inches in diameter.

Plan of Correction: The provider responded: 1. the screws from the shed have been removed, 2. extra balusters have been added to the stairway to satisfy the requirements.

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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