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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: Oct. 19, 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.
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:
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)

Comments:
An unannounced monitoring inspection was conducted on 10/19/18 from 9:55am - 12:00pm. At the time of the inspection there were four children in care, ages two years old to four years old (8 points), with two caregivers present. Records were reviewed for five children and three caregivers/household members. Children were observed playing inside and doing learning activities. 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 #: 22VAC40-111-100-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 8/28/18) did not contain documentation of a physical examination. 2. Caregiver #1 acknowledged that the record for child #1 did not contain documentation of a physical examination.

Plan of Correction: The provider responded: The parents of child #1 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 #: 22VAC40-111-120-B
Description: Based on a review of three caregivers records, it was determined that the provider did not ensure that assistants' records contain all of the items required by the Licensing Standards. Evidence: 1. The record for caregiver #3 did not contain documentation of two written references and orientation training. 2. Caregiver #1 reviewed the record for caregiver #3, and acknowledged that the record was not complete.

Plan of Correction: The provider responded: Documentation for orientation training and two written references will placed in the record for caregiver #3. All new caregivers will have all required information in their record prior to beginning employment.

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 #4, present during the inspection, did not contain the address for the second emergency contact. 2. The record for child #5, present during the inspection, did not contain the employer information for the father, and the medical insurance policy number. 3. Caregiver #1 reviewed the records for child #4 and child #5, and acknowledged the records were not complete.

Plan of Correction: The provider responded: The parents of child #4 and child #5 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 #: 22VAC40-111-350-E
Description: Based on observation, it was determined that the provider did not ensure that the hot water at taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: 1. When the Licensing Inspector checked the temperature of the water in the bathroom used by the children in care, the thermometer displayed 132 degrees. 2. Caregiver #1 acknowledged that the water temperature in the bathroom was not maintained within the temperature range required by the standards.

Plan of Correction: The provider responded: I turned down the the temperature setting on the hot water heater during the inspection. Going forward while children are in care the water temperature will be maintained within the required temperature range.

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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