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: Aug. 16, 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 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 8/16/19 from 2:45pm - 3:45pm. During the inspection there were no children in care. Any areas of the standards related to direct service were not able to be determined during this inspection and will reviewed during the next inspection. 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 #:	22VAC40-111-800-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 #:	22VAC40-111-830-C
Description:	Based on observation and interview, it was determined that the provider did not ensure that documentation shall be maintained of emergency evacuation and shelter-in-place drills. Evidence: 1. There was no documentation available for viewing during the inspection to demonstrate that the provider had been completing emergency evacuation drills and shelter-in-place drills. 2. The provider stated that she had completed the emergency drills with the children, but had not documented the drills.
Plan of Correction:	The provider responded: Going forward I will document emergency drills on the emergency log.
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 record for child #1did not contain documentation of a physical examination. 2. The provider confirmed that the record for child #1 contained documentation of a physical examination.
Plan of Correction:	The provider responded: Child #1 was at the doctor's getting a physical examination today, and will provide a copy to me. 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 #:	22VAC40-111-430-A
Description:	Based on observation and interview, it was determined that the provider did not ensure that children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Evidence: 1. There is a set of stairs that lead to the room over the garage that children under two years of age have access to. 2. The provider confirmed that the stairs were accessible to children under two years of age.
Plan of Correction:	The provider responded: The gate that usually blocks access to the stairs is broken. we will repair the gate or purchase a new gate. Until the gate is replaced or repaired, children under two years of age will not be allowed in this area of the house.