VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Frances Motley
3819 Old Stevens Road, NW
Roanoke, VA 24017
(540) 985-0749

Current Inspector: James R Basham (804) 588-2370

Inspection Date: July 17, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 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 63.2 Licensure and Registration Procedures

Comments:

On July 17, 2019, an unannounced renewal inspection was completed. There were 7 children in care, 21 months to 5 years old, with a total of 14 points. The provider, her assistant, and one volunteer were present during the inspection. The inspector observed the children during coloring, puzzles, free choice play, number and letters learning, lunch, and nap time. The inspector reviewed the emergency preparedness plans and the required emergency supplies. The inspector reviewed 1 provider record, 1 assistant provider record, 1 household member record, and 5 children records, emergency drill documentation, and first aid kits. The inspector discussed emergency preparedness plans and food allergies. The inspector arrived at 10:30am and departed at 2:45pm.

Violations:

Standard #:	22VAC40-111-750-A
Description:	Based on observations, record review and discussion, the provider failed to ensure that the requirements as stated in the standards are met. Evidence: 1. A tube of Desitin was observed in the storage bin for Child #6, the Desitin was not labeled with a child's name as required by the standards. The provider confirmed that the Desitin belonged to Child #6. 2. There was not a written parent authorization noting any adverse reactions for the use of the Desitin as required by the standards. The provider confirmed that the Desitin had been applied to Child #6.
Plan of Correction:	The provider put the name of the child on the container and she will obtain the form today.
Standard #:	22VAC40-111-760-A-1
Description:	Based on observation and discussion, the provider failed to possess a first aid kit that contained all items required by the standards. Evidence: 1. The first aid kit did not have adhesive tape. 2. The first aid kit did not have an antiseptic cleaning solution or pads.
Plan of Correction:	The provider plans to replace these items.
Standard #:	22VAC40-111-800-B
Description:	Based on document review and interview with the provider, the provider failed to document in writing the annual review and update of the emergency plan. Evidence: 1. The most recent update to the emergency plan was dated 04/16/2016.
Plan of Correction:	The provider will obtain the new form online and update the form yearly.
Standard #:	22VAC40-111-120-B
Description:	Based on file review and discussion, the provider failed to ensure that each assistant and substitute record contains all of the elements as required by the standards. Evidence: Adult Record (2) did not contain the following items: date of employment, documentation that two or more references as to character and reputation as well as competency were checked, and documentation of the education and training as required by 22VAC40-111-230.
Plan of Correction:	The provider plans to have these items documented this week.
Standard #:	22VAC40-111-320-B
Description:	Based on observation and discussion, the provider failed to ensure that all unused electrical outlets accessible to children under five years of age shall have a child-resistant protective cover. Evidence: 1. An unused electrical outlet located next to a table in a room used by children, did not contain a protective cover; the outlet was located approximately 2 feet from the floor surface and was accessible to the children.
Plan of Correction:	The provider replaced the outlet cover during the inspection and plans to replace it right away in the future.
Standard #:	63.2-1720.1-B-2
Description:	Based on record review and discussion with staff, the provider failed to ensure that no person shall be hired for compensated employment prior to the provider obtaining an employment eligiblity letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Adult Records (2) had a documented hire date of 07/08/2019 and the fingerprint eligibility letter, located in the staff file was dated 07/09/2019.
Plan of Correction:	The provider plans to ensure that fingerprints are secured prior to hire.