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Latest Child Care Guidance
(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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Current Inspector:

Inspection Date: April 5, 2018

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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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:
Discussed new background check requirements, and documentation required in the event that an assistant/substitute is hired.

Comments:
An unannounced monitoring inspection was conducted today from 10:30am-12:30pm. There were 5 children (8 points) directly supervised by the provider. The home, 1 staff record, 5 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely, doing crafts, singing, having an Easter Egg hunt outside, and eating snack. Hand washing procedures were also observed. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-710
Description: Based on review of medications, prescription medication was not maintained in the original, labeled container. Evidence: The prescription medication for child A was not in the original container with a prescription labeled attached.

Plan of Correction: Requested during the inspection.

Standard #: 22VAC40-111-830-C
Description: Based on record review and interview with the provider, documentation of evacuation drills was found to be incomplete. Evidence: Documentation of required monthly evacuation drills were not documented for March 2018.

Plan of Correction: I will make sure that I document all drills.

Standard #: 22VAC40-111-50-A
Description: Based on record review, there was no documentation of a written record of children's daily attendance. Evidence: A record of daily attendance was missing for the week of 04/02-04/05/2018.

Plan of Correction: I will make sure that I keep the attendance sheet up to date.

Standard #: 22VAC40-111-60-A
Description: Based on review of five children's records, the provider did not ensure all records had an annual update of the emergency information and that parents acknowledged with a signature. Evidence: Child B's record did not contain an annual update of the emergency contacts. The record was last updated on 8/06/2016. Emergency information is required to be updated annually with parents providing a signature that all information is correct and current.

Plan of Correction: I will ask the parents to review and update the information as needed.

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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