VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Katina Scott
2810 Seibel Road
Richmond, VA 23223
(804) 347-7372

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: April 24, 2019

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 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Technical Assistance:

n/a

Comments:

The licensing inspector completed an unannounced monitoring inspection on Wednesday, April 24, 2019 from approximately 10:10am to 12:45pm to determine the provider?s compliance with licensing standards. During this inspection, there were 7 children in care totaling 22 points in the care of two caregivers. The children were observed by the licensing inspector playing in their designated area in the home, interacting with peers, and playing with age appropriate toys. The children were also observed during circle time. The areas for childcare, bathroom, kitchen, and the indoor play area were inspected. The required postings were reviewed and found to be in compliance. The first aid kit and non-emergency supplies, daily attendance, and fire and shelter-in-place drills were inspected. During this inspection, five children?s records, one provider's record, one assistant provider's record, one household member?s, and one pet?s record were reviewed. Medication is not administered at this time. Transportation is provided and one vehicle was inspected today. Last documented evacuation drill: 03/11/2019 Last documented shelter-in-place: 03/18/2019 Today?s lunch consisted of milk, Salisbury steak, mashed potatoes, peas, and bread. If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at 804-662-9772.

Violations:

Standard #:	22VAC40-111-50-A
Description:	Based on interview and documentation reviewed on 04/24/2019, the provider did not keep a written record of children in attendance each day. Evidence: 1) During the inspection, the licensing inspector observed 7 children in care, but the daily attendance record was blank. 2) During interview, Assistant Provider #1 confirmed the attendance of each child in care had not yet been documented for the children in care on 04/24/2019.
Plan of Correction:	Per the Provider: Will write down children in attendance on a daily basis.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of five children?s records on 04/24/2019, the provider did not ensure that three of the five records reviewed contained the required information. EVIDENCE: 1) The record for Child #1 (DOE: 11/26/2018) did not contain the address for the first emergency contact listed. 2) The record for Child #2 (DOE: 11/26/2018) did not contain the address for the first emergency contact listed. A child?s record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 4) The record for Child #2 (DOE: 11/26/2018) did not contain proof of the child's identity and age. 4) The record for Child #4 (DOE: 04/07/2016) did not contain documentation of an annual update.
Plan of Correction:	Per the Provider: Emergency contacts will be obtained. Will follow up with the parent this evening to obtain proof of child's identity and age. Parent will sign acknowledgement of updated information today.
Standard #:	22VAC40-111-140-B-3
Description:	Based on a review of records and interview on 04/24/2019, the provider did not ensure that one provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1) The licensing inspector observed Provider #1's most recent CPR certification showed an expiration date of 04/01/2019. 2) During interview, Provider #1 confirmed the certification had expired and had not been renewed.
Plan of Correction:	Per the Provider: Will call and schedule CPR and First Aid class before the end of May.
Standard #:	22VAC40-111-140-B-4
Description:	Based on a review of records and interview on 04/24/2019, the provider did not ensure that one provider had current first aid certification. Evidence: 1) The licensing inspector observed Provider #1's most recent first aid certification showed an expiration date of 04/01/2019. 2) During interview, Provider #1 confirmed the certification had expired and had not been renewed.
Plan of Correction:	Per the Provider: Will call and schedule CPR and First Aid class before the end of May.
Standard #:	22VAC40-111-150-D-1
Description:	Based on observation and interview on 04/24/2019, the provider did not ensure a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care was maintained for an assistant provider who is left alone with the children. Evidence: 1) The licensing inspector observed Assistant Provider #1's most recent first aid certification showed an expiration date of 04/01/2019. 2) During interview, Provider #1 confirmed the certification had expired and had not been renewed. 3) During interview, Assistant Provider #1 stated he is alone with the children during transportation, which is provided on a daily basis.
Plan of Correction:	Per the Provider: Will call and schedule CPR and First Aid class before the end of May.
Standard #:	22VAC40-111-150-D-2
Description:	Based on observation and interview on 04/24/2019, the provider did not ensure a current certification in first aid was maintained for an assistant provider who is left alone with the children. Evidence: 1) The licensing inspector observed Assistant Provider #1's most recent first aid certification showed an expiration date of 04/01/2019. 2) During interview, Provider #1 confirmed the certification had expired and had not been renewed. 3) During interview, Assistant Provider #1 stated he is alone with the children during transportation, which is provided on a daily basis.
Plan of Correction:	Per the Provider: Will call and schedule CPR and First Aid class before the end of May.
Standard #:	22VAC40-111-210-A
Description:	Based on record review and interview on 04/24/2019, the provider did not ensure two caregivers obtained 16 hours of annual training. Evidence: 1) The record for Provider #1 did not contain documentation of 16 hours of annual training for 2018. 2) The record for Provider #2 did not contain documentation of 16 hours of annual training for 2018. 3) During interview, Provider #1 confirmed that 16 hours of annual training were not obtained for Provider #1 or for Provider #2 for 2018.
Plan of Correction:	Per the Provider: Moving forward, the necessary trainings will be completed. Training hours have already been scheduled for May 2019.
Standard #:	22VAC40-111-460-C
Description:	Based on interview and documentation reviewed on 04/24/2019, the provider did not ensure a pet's rabies vaccination was current. Evidence: 1) During the inspection, the licensing inspector observed that the current shot record for Dog #1 indicates the rabies vaccination expired on 03/21/2019. 2) During interview, Provider #1 confirmed the dog's rabies vaccination was not current.
Plan of Correction:	Per the Provider: Will call and schedule an appointment before May.