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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. Regina Moore
3700 Pinebark Road
Portsmouth, VA 23703
(757) 483-9689

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Sept. 28, 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 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.

An announced initial inspection was conducted from 12:10 p.m. until 2:20 p.m. The Applicant intends to operate a licensed family day home caring for up to 12 children between the ages of 1 month to 12 years of age. The provider is currently caring for children as a voluntarily registered provider. 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 children to include story time, rest period and infant feeding were observed. The applicant states that transportation will not be provided to children in care. Children do not swim or wade in water while in care. There is no medication being administered to children in care at this time. However, the provider does have current Medication Administration Training, should medication be needed. Four children's records and 2 Provider / Assistant 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.

Standard #: 22VAC40-111-60-B
Description: Based on a review of records, the provider did not ensure that all required components of the children's records were present. Evidence: Four (all) enrolled children's records were reviewed. The record for child #4, who enrolled in the family day home on 9/10/18, did not contain: 1. The name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The father was listed as the emergency contact on the enrollment form. A second contact was not listed. 2. The record for child #4 did not contain the name and policy number of the child's medical insurance. The provider name was written on the enrollment form but the policy number had not been completed.

Plan of Correction: The provider will ask the parent for this information today at pick up and will have the missing information documented in child #4's record by Monday, October 1, 2018.

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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