VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Diane Seward
1513 Lake James Drive
Virginia beach, VA 23464
(757) 581-0085

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: May 17, 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-111-60-B (Children's records); 22VAC40-185-(2)-120 (Caregiver records); 22VAC40-111-(9)-680 (Hand washing); ; 22VAC40-111-(9)-680 (Hand washing); 22VAC40-111-(11)-760 (Emergency supplies); 22VAC40-111-(11)-830 (Emergency drills); 22VAC40-111-(12)-920 (Menus)

Comments:

An unannounced monitoring inspection was conducted on 5/17/19 from 9:55am - 11:15am. During the inspection there were four children in care, ages 15 months old to three years old (10 points), with one caregiver present. Records were reviewed for six children and two caregivers/household members. Children were observed during playing outside and eating snack. There is no medications in 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 #:	22VAC40-111-770
Description:	Based on observation and interview, it was determined that the licensee did not ensure that a working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. Evidence: 1. There was no working portable battery-operated weather band radio available during the inspection. 2. There was a portable weather band radio at the family day home, but the provider stated that she did not have any batteries to demonstrate it was operational.
Plan of Correction:	The provider responded: Batteries will be purchased for the portable weather band radio.
Standard #:	22VAC40-111-800-A
Description:	Based on a review of documentation and interview, it was determined that the provider did not ensure that the amily day home shall have a written emergency preparedness and response plan. Evidence: 1. There was no written emergency preparedness and response plan for the family day home. 2. Caregiver #1 confirmed there was no written emergency preparedness and response plan for the family day home.
Plan of Correction:	The provider responded: I will complete a written emergency preparedness and response plan for the family day home.
Standard #:	22VAC40-111-100-A
Description:	Based on a review of five children's files, 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 records for child #1, child #2, child #3, child #4, child #5, and child #6 did not contain documentation of a physical examination. 2. The provider confirmed that none of the children's records contained documentation of a physical examination.
Plan of Correction:	The provider responded: The parents of all the children will be asked to provide a copy of the physical examination. All children's files will be reviewed to ensure they contain a physical examination. New children to the family day home will have documentation of a physical examination on file within 30 days of enrollment.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of six children's records, it was determined that the provider did not ensure that a record is maintained for each child that contains all of the required items. Evidence: 1. The records for child #1, child #2, child #3, child #4, child #5, and child #6 did not contained any of the required items. 2. The provider confirmed that none of the children's records contained all of the required information.
Plan of Correction:	The provider responded: The parents of all the children will be asked to complete all of the required information.
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 131 degrees. 2. The provider 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: Going forward while children are in care the water temperature will be maintained within the required temperature range.