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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. Sandra Nicholas
2801 Montclair Court
Richmond, VA 23223
(804) 329-8830

Current Inspector: Florence Martus (804) 662-9772

Inspection Date: July 16, 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:
n/a

Comments:
A Subsidy Health and Safety Inspection was conducted on Tuesday, July 16, 2019 from approximately 11:20am to 2:30pm to review supplemental health and safety requirements. During the inspection, there were 8 children in care totaling 20 points in the care of two caregivers. Upon arrival, the children were observed going outside and during water play. The licensing inspector observed the children engaged in play with their peers and interacting with the caregivers. The licensing inspector later observed the caregivers and the children in the main area of the family day home as they prepared for lunch and nap time. The licensing inspector interacted with the children when appropriate throughout the inspection. The caregivers were observed having positive interactions with the children in care. The areas for childcare, bathroom, kitchen, indoor, and outdoor 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. The menu was posted and today?s lunch consisted of chicken nuggets, hash brown, bread, vegetables, strawberries, and milk. Medication is not administered and transportation is not provided at this time. During this inspection, five children?s records, three caregivers? records, and one household member?s records were reviewed. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:
Standard #: 22VAC40-665-190-A
Description: Based on a review of caregiver records and interview on 07/16/2019, the vendor did not ensure that two out of three caregivers had documentation that they were evaluated by a health professional and were issued a statement that the individual is determined to be free of communicable tuberculosis (TB) within the required time frame. Evidence: 1) The record for Caregiver #2 (DOH: 06/28/2019) did not contain documentation of a TB screening. 2) The record for Caregiver #3 (DOH: 06/28/2019) did not contain documentation of a TB screening. 3) During interview, Caregiver #1 reported that Caregiver #2 and Caregiver #3 have not provided documentation that they are free of communicable tuberculosis. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department .

Plan of Correction: Caregiver #2 and Caregiver #2 will complete their TB screening no later than 07/19/2019.

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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