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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Patricia Temple
2261 Jeffrey Drive
Norfolk, VA 23518
(757) 639-4317

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Sept. 6, 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 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:
Today we discussed choking hazards, tuberculosis screening, reference checks and fireplace inspections.

Comments:
An unannounced renewal inspection was completed today from 11:00am and ended at 12:15pm. At the end of the inspection there were 8 children in care with 2 staff. Children were observed eating lunch, participating in age appropriate activities, hand washing, lunch and nap. The sample size was 5 children's records and 2 staff records where reviewed. The violations cited were in the area of choking hazards, tuberculosis screening, staff reference checks, annual fireplace inspection and appear on the violation notices.

Violations:
Standard #: 22VAC40-111-120-B
Description: Violation: Based upon record review and interview the licensee did not provide documentation of two or more references as to character and reputation for hired child care staff. Evidence: 1 ? During review of staff records two references were not provided for staff #2. a. Staff #2 has a documented date of hire as 8/14/17. 2 ? Staff#1 confirmed that there were not any references on file for staff#2.

Plan of Correction: The provider will confirm that staff provide two references by the date of September 15, 2017.

Standard #: 22VAC40-111-170-B
Description: Violation: Based on record review and interview the provider failed to ensure that the tuberculosis screening form is completed within the last 30 days. Evidence: 1 ? The record for staff 1 does not contain documentation of a tuberculosis screening within the last 30 days. a. Staff# 2 has a documented date of hire as 8/14/17. b. The tuberculosis screening in the record is dated 6/22 /16. 2 ? The provider confirmed that the tuberculosis screening was not completed within the last 30 days.

Plan of Correction: The provider will confirm that staff will have a current tuberculosis screening form. The provider advised tuberculosis screening form will be updated by September 15, 2017.

Standard #: 22VAC40-111-250-B
Description: Violation: Based on observation and interview the provider did not ensure that children were protected from materials that could be swallowed or present a choking hazard. Evidence: 1 - During the observation it was found that several small foam star shaped objects were accessible to children less than the age of 3 years old. a. The star shaped choking hazard objects were located on the floor of the children?s play room. b. When the items were placed in a ?No Choke Tube Tester? each fit fully inside the tester and failed the test. Therefore, the items present a choking hazard 2 ? The provider confirmed that the items failed the Choke Tube Test and were a choking hazard for the children in care.

Plan of Correction: Provider will use a choke tube tester to determine if additional items should be removed from the accessible toys.

Standard #: 22VAC40-111-320-G
Description: Based upon documentation review and interview the provider failed to ensure that wood burning fireplaces and associated chimneys are inspected annually. Evidence: During the inspection of the family day home the provider could not make available documentation showing the annual fireplace inspection.

Plan of Correction: Provider will schedule an appointment for a fireplace inspection and received documentation of inspection by the date of September 29, 2017.

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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