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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. Keysha Nieves
1015 Bethel Avenue
Hampton, VA 23669
(757) 817-5009

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: March 29, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes
22VAC40-665 General qualifications
22VAC40-665 Building or home maintenance.
22VAC40-665 Supervision and ratio requirements
22VAC40-665 Programs
22VAC40-665 Special Care Provisions & Emergencies
22VAC40-665 Special Services

Technical Assistance:
Discussed posting of evacuation and shelter place procedures.

Comments:
Licensing inspector arrived at 1:18pm and departed at 4:10pm to conduct a Subsidy Health and Safety inspection. At the time of the tour there was 9 enrolled children in care, 1 household child and 2 staff ( 26 points). Additional staff and visitor arrived at approximately 1:53. Children were observed napping, eating snack and freely playing in the kitchen. The sample size consisted of 5 children records, 3 provider records and 1 household record. Areas of non-compliance was reviewed with the provider. The results of the inspection will be reviewed with the administrator.

Violations:
Standard #: 22VAC40-665-230-B
Description: Based on record review, the vendor did not ensure with in first 90 days of employment or service all caregivers complete Virginia Preservice Training for Child Care Staff. Evidence : On March 29, 2019, confirmed with vendor staff #2 did not complete Virginia Pre service Training for Child Care Staff with in 90 days of employment. Vendor confirmed staff #2 has worked since October 2018.

Plan of Correction: Staff #2 will take the training or staff will not be able to assist.

Standard #: 22VAC40-665-230-E-1
Description: Based on record review, the provider did not ensure all caregivers had a current cardiopulmonary resuscitation CPR and First aid certification. Evidence: On March 31, 2019 , Staff # 1 and Staff #2 did not have current CPR and First aid. The vendor confirmed the staff did not have CPR and first aid.

Plan of Correction: The provider was aware it was expired. The training is scheduled for April 3.

Standard #: 22VAC40-665-400-B-7
Description: Based on record review, the vendor did not ensure there was continuity of operation procedures to ensure essential function are maintained during and emergency. Evidence: On March 29, 2019, the vendor did not add the procedures for continuity of operations to ensure that essential functions are maintained during an emergency in the center's emergency plan. Confirmed by provider.

Plan of Correction: Will review and include new requirement.

Standard #: 22VAC40-665-410-A-3
Description: Based on record review, the vendor did not ensure there was a at least a lockdown drill annually. Evidence: On March 29, 2019, confirmed with vendor that there was not a lockdown drill documented for 2018.

Plan of Correction: I will have lockdown by Monday.

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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