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: March 12, 2020

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 Child abuse and neglect 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); 22VAC40-111-70 (Written information for parents);; 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 3/12/20 from 5:30pm - 6:15pm. During the inspection there were two children in care with two caregivers. Children were observed playing outside and eating snack. Records were reviewed for six children and two caregivers/household members. 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 #:	22VAC40-111-790
Description:	Based on a tour of the family day and interview, it was determined that the provider did not ensure that any of the required telephone numbers were posted in a visible area close to the telephone. Evidence: 1. A 911 or local dial number for police, fire and emergency medical responders was not posted. 2. The phone number for the regional poison control center was not posted.
Plan of Correction:	The provider responded: I will post all of the required phone numbers in a visible area close to the telephone.
Standard #:	22VAC40-111-830-C
Description:	Based on a review of documentation, it was determined that the provider did not ensure that documentation shall be maintained of emergency evacuation and shelter-in-place drills. Evidence: 1. The provider was unable to locate documentation to demonstrate that the emergency evacuation and shelter-in-place drills had been completed. 2. Caregiver #2 confirmed that he could not locate the emergency drill log.
Plan of Correction:	The provider responded: I will make sure all emergency drills are documented and will be available for viewing.
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 #2 did not contain documentation of a physical examination. 2.Caregiver #2 confirmed that the record for child #2 did not contain documentation of a physical examination.
Plan of Correction:	The provider responded: The parents of child #2 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 #:	22VAC40-111-70-A
Description:	Based on a review of six children's records, it was determined that the provider did not ensure that before the child's first day of attendance, parents shall be provided in writing all of the required information. Evidence: 1. The records for child #1, child #2, child #3, child #4, child #5, and child #6 did not contained all of the required items. 2. The provider confirmed that the children's records only contained the child enrollment forms.
Plan of Correction:	The provider responded: The parents of all the children will be asked to complete all of the required information.