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Ms. Bianca Bland
201 Deanes Station Road
Suffolk, VA 23435
(951) 442-1590

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Sept. 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
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:
Due to the provider's non-compliance with the mandated federal crib standards, the provider must come into compliance and submit appropriate documentation to the licensing inspector within 30 days of receipt of the violation notice.

Comments:
An announced initial inspection was conducted from 9:45 a.m. until 1:20 p.m. The Applicant intends to operate a licensed family day home caring for up to 4 children between the ages of infant to 12 years of age. The provider is currently caring for 3 children in her home. There were 2 infants in care for a total of 8 points with the provider during today's inspection. Areas and equipment to be utilized by children in the licensed program were inspected. Required postings, emergency plans and emergency supplies were reviewed. The entire home, to include areas where children will be cared for, bathroom facilities, kitchen and outdoor play areas were inspected. Interactions with the infants to include infant feeding, holding rocking and cuddling the babies, floor play and rest time were observed. The applicant states that transportation will not be provided to children in care at this time, nor will medication be administered to children in care. Three children's records and 2 Provider / Household Member records were reviewed. The inspector reviewed General Procedures regarding issuance of a six month conditional license and recommendations at the conclusion of the conditional license. Corrections to violations cited will be reviewed at the first inspection within 2 months of the date of licensure. Please contact your licensing inspector at 757-802-5281 if you have questions.

Violations:
Standard #: 22VAC40-111-770
Description: Based on observation and interview, the provider does not have a portable battery operated weather band radio to be used in the event of an emergency. Evidence: The provider was asked to demonstrate that she has a portable battery operated weather band radio. She stated that she has a battery operated radio but that it is not a weather band radio.

Plan of Correction: The provider stated that she will purchase a portable battery operated weather band radio by the end of the week.

Standard #: 22VAC40-111-100-A
Description: Based on a review of records, the provider has not obtained documentation that each enrolled child has had 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: 1. Three enrolled children's records were reviewed. 2. The record for child #1, who began attending the family day home 6/2018 did not contain documented results of a physical exam having been conducted. 3. The provider stated that she has not yet been given this documentation from the parent.

Plan of Correction: The provider stated that she will speak to the parent today and request that this documentation be provided by the end of next week.

Standard #: 22VAC40-111-60-B
Description: Based on a review of records and interview, the provider did not ensure that each enrolled child's record contains the name and policy number of the child's medical insurance, if applicable. Evidence: 1. Three enrolled children's records were reviewed. 2. The records for child #1, #2 and #3 did not contain the name and policy number of the child's medical insurance or an indication that the child does not have medical insurance. 3. The provider confirmed that she does not have this documentation for the enrolled children.

Plan of Correction: The provider stated that she will ask the parents for this information today and will request that they furnish her a copy of the insurance card by the end of next week.

Standard #: 22VAC40-111-80-A
Description: Based on a review of records and interview, the provider did not obtain, within 7 days of each child's attendance in the family day home, Verification of the identity and age of the child. Evidence: 1. The records for 3 enrolled children were reviewed during today's inspection. 2. The record for child #3 did not contain documentation indicating that verification of the identity and age of the child had been reviewed. 3. Child #3 enrolled for care 8/1/18.

Plan of Correction: The provider stated that the mother does not have a birth certificate for her child yet. Now that she is aware that a letter of birth may be obtained from the hospital where the child was born, she will ask the parent to provide this to her within the next week.

Standard #: 22VAC40-111-90-A
Description: Based on a review of records, the provider has not obtained documentation that each enrolled child has been adequately immunized. Evidence: 1. Three enrolled children's records were reviewed. 2. The record for child #3 did not contain immunization documentation. 3. The provider stated that she has not yet been given this documentation from the parent.

Plan of Correction: The provider stated that she will speak to the parent today and request that this documentation be provided by the end of next week.

Standard #: 22VAC40-111-240-A
Description: Based on observation and interview, the provider was not able to demonstrate that all furnishings of the family day home are safe. Evidence: 1. The provider was not able to demonstrate that the crib used for an infant in care meets the most recent mandatory Federal Cribs Standards. 2. The crib located in the family day home is not labeled with the date of manufacture or other identifying information. 3. The provider stated that she did not have the associated paperwork for the crib and did not know when the crib was manufactured.

Plan of Correction: The provider stated that she will attempt to obtain the necessary documentation to demonstrate compliance of the crib with the most recent mandatory Federal Cribs Standards. If she is unable to obtain this documentation she stated that she will purchase a new crib that meets the requirements within 2 weeks.

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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