VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Kathleen Edwards
5129 Plantation Drive
Cape charles, VA 23310
(757) 331-1558

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: Sept. 27, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Technical Assistance given and Licensing Standards reviewed regarding: physical plant safety and record keeping.

Comments:

An unannounced monitoring inspection was conducted on September 27, 2022, from 1pm to approximately 2:20pm. There were four children present totaling 12 points and the provider. The Inspectors reviewed five children?s records and two staff/household records. The Inspectors observed staff and children?s interactions throughout the inspection. Children were observed free play and naptime. First aid kits were observed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the provider at the exit interview.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation and interview, it was determined that the provider did not ensure that a carbon monoxide detector was in the home. Evidence: 1. There was no carbon monoxide detector in the home. 2. Staff #1 confirmed there was no carbon monoxide detector in the home.
Plan of Correction:	The provider responded with the following: Staff #1 will purchase a carbon monoxide detector for the home this week.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, it was determined that the provider did not ensure that there is 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. Evidence: 1. Child #2 (date of enrollment 4/7/19) did not have a physical in their record. 2. Staff #1 confirmed that there was no physical to the child?s record.
Plan of Correction:	The provider responded with the following: Staff will obtain the physical for the Child #2 from the parents and place it in the children?s record.
Standard #:	8VAC20-800-60-A
Description:	Based on record review and interview, the provider did not ensure that children's record contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 1. In review of five children?s record, 4 of the 5 record did not contain the required emergency contact information. a. Child #1 had one of the two designated persons to contact. b. Child #2 had no address or phone number for both names listed. c. Child #3 did not have any emergency contact listed. d. Child #4 did not have the street address listed for the emergency contacts. 2. Staff #1 confirmed that the 4 of the 5 records did not contact the required information regarding the emergency contacts.
Plan of Correction:	The provider responded with the following: Staff will obtain the required information regarding the children?s emergency contact.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview, it was determined that the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The concrete area on the steps going into the family day home is cracked and elevated which poses a tripping and injury hazards to children in care. 2. The tall lamp post in the common child care area is unstable and leaning against the wall and TV stand. This poses as a falling hazards. Children sleep and nap in close proximity to the lamp. 3. The hallway towards the bathroom and education room has several boxes and cases of water and soda which minimizes the walking area to and from the rooms. This poses as a tripping hazard to the children in care. 4. The common child care area has several boxes and paperwork items stacked throughout the room which poses as a tripping and tipping hazard to the children. Children nap in close proximity to these items. 5. Staff #1 confirmed the physical plant concerns inside and out of the home and that items in the home poses tripping and injury hazards to the children in care.
Plan of Correction:	The provider responded with the following: Staff #1 will have a family member assist to have all repairs completed as well as rearrange the home to prevent any hazards to the children.
Standard #:	8VAC20-800-280
Description:	Based on observation and interview, it was determined that the provider did not ensure that poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, and pesticides be stored away in areas inaccessible to children. Evidence: 1. Upon entrance to the home were two cans of pesticides that have a warning label to keep out of reach of children. The two cans were accessible to children. 2. The kitchen had two cans of disinfectant wipes that have a warning label, ?Harmful to humans? that were in reach of children in care. 3. Staff #1 confirmed that the substances outdoor and in the kitchen were in reach of children.
Plan of Correction:	The provider responded with the following: Staff #1 immediately moved the cans during the time of the inspection away and out of reach from children.
Standard #:	8VAC20-800-410
Description:	Based on observation and interview, it was determined that the provider did not ensure that portable electric fans be securely mounted out of the reach of children. Evidence: 1. In the children?s common area in the home was a running floor fan in reach of children. 2. Staff #1 confirmed that the running fan was used routinely and in reach of children.
Plan of Correction:	The provider responded with the following: The floor fan will no longer be used.
Standard #:	8VAC20-800-500-F
Description:	Based on observation and interview, the provider did not ensure that trampolines are not to be used during the hours children are in care. Evidence: 1. In the outdoor play area, inspectors observed a 40 inch trampoline for children to play on. 2. Staff #1 confirmed that the trampoline is used for outdoor play while children are in care.
Plan of Correction:	The provider responded with the following: The trampoline will no longer be used and will be removed from the play area.
Standard #:	8VAC20-800-520-A
Description:	Based on observation and interview, the provider did not ensure that a crib be provided for children from birth through 12 months of age. Evidence: 1. Child #1, three months old, was sleeping on a bed. 2. The crib in the home was piled with bags, a car seat, and clothing. 3. Staff #1 confirmed that there is a crib available however is placing Child #1 on the bed to sleep.
Plan of Correction:	The provider responded with the following: The crib will be cleared and Child #1 will sleep and nap in the crib.