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Ms. Mary Almy
1315 Coltrane Dr
Portsmouth, VA 23701
(757) 541-3144

Current Inspector: Chris Robinson (757) 404-2322

Inspection Date: April 13, 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
22VAC40-111 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.

Technical Assistance:
Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-111-(2)-60-B (Children's records); 22VAC40-111-(2)-70-A (Staff records); 22VAC40-111-(7)-520-C (Cribs)

Comments:
An unannounced monitoring inspection was conducted on 4/13/18 from 10:00am - 12:30pm. At the time of the inspection there were ten children in care, ages six months old to five years old (26 points), with two caregivers present. Records were reviewed for five children and three caregivers/household members. Children were observed playing with outside, playing inside, eating lunch, and during rest period. There was no medication at the family day home. Emergency plan and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice and were discussed with the provider during the exit interview.

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on a review of the emergency drill log and interview, it was determined that the provider did not ensure that shelter-in-place procedures shall be practiced a minimum of twice per year with all caregivers and children in care during all shifts that children are in care. Evidence: 1. The Licensing Inspector reviewed the emergency drill log and did not find evidence that shelter-in-place procedures were completed during the year of 2017. 2. The provider reviewed the emergency drill log and confirmed that shelter-in-place drills were not completed 2017.

Plan of Correction: The provider responded: Going forward, we will complete shelter-in-place drills each year.

Standard #: 22VAC40-111-100-A
Description: Based on a review of five children's records, it was determined that the provider did not ensure that 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 is obtained. Evidence: 1. The record for child #1 (date of enrollment 2/01/18) did not contain documentation of a physical examination. 2. The record for child #3 (date of enrollment 1/3/18) did not contain documentation of a physical examination. 3.The record for child #3 (date of enrollment 1/11/18) did not contain documentation of a physical examination. 4. Caregiver #1 confirmed that the record for child #1, child #2, and child #3 did not contain documentation of a physical examination.

Plan of Correction: The provider responded: The parents of child #1, child #2, and child #3 will be asked to provide a copy of the child's physical examination. All newly enrolled children will have documentation of a physical examination within 30 days.

Standard #: 22VAC40-111-60-B
Description: Based on a review of five children's records, it was determined that the provider did not ensure they maintain and keep at the family day home a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #1, present during the inspection, did not contain the employer information for the father, medical insurance policy number and the street number, the address for the second emergency contact, and any documentation of whether or not child #1 had and allergies, or chronic physical and developmental problems. 2. The record for child #2, present during the inspection, did not contain the employer information for the father 3. The record for child #3, present during the inspection, did not contain a second emergency contact. 4. The record for child #4, present during the inspection, did not contain the medical insurance policy number. 5. Caregiver #1 reviewed the records for child #1, child #2, child #3, and child #4, and confirmed the records were not complete.

Plan of Correction: The provider responded: The parents of child #1, child #2, child #3, and child #4 will be contacted to complete all missing information. All children's files will be reviewed to ensure they contain all of the required information. New children to the family day home will have their records reviewed to ensure they contain all of the required information prior to enrollment enrollment.

Standard #: 22VAC40-111-90-A
Description: Based on a review of five children's files, it was determined that the provider did not ensure that documentation was obtained to show that each child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of health regulations prior to attendance in the family day home. Evidence: 1. The record for child #1 (date of enrollment 2/1/18), present during the inspection, contained an immunization record that was not signed by a physician. 2. The record for child #4 (date of enrollment 1/11/18), present during the inspection, did not contain an immunization record.

Plan of Correction: The provider responded: The parents of child #1 and child #4 will be contacted to provide a copy of an immunization record that is signed by a physician. All children's files will be reviewed to ensure they contain an immunization record. New children to the family day home will have documentation of an immunization record on file prior to enrollment enrollment.

Standard #: 22VAC40-111-540-B
Description: Based on observation, it was determined that the provider did not ensure that infant walkers are not used in the family day home when children are in care. Evidence: 1. The Licensing Inspector observed a child using an infant walker during the inspection. 2. Caregiver #1 confirmed that an Infant walker was being used, but stated she did not know that infant walkers were not allowed.

Plan of Correction: The provider responded: One informed that infant walkers were not allowed, I immediately removed the child from it and removed it from the family day home.

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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