VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mennetta Smith
5811 Heming Ave
Springfield, VA 22151
(703) 347-9629

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: June 7, 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:

1. Reviewed/trained vendor on new subsidy regulations and training, hand-outs provided. 2. Forms provided: new emergency plan, fieldtrip/transporation permission, attendance form, and proof of identity.

Comments:

10:25-11:40am Conducted an unannounced annual subsidy inspection. Observed 1 child = 2 points with the vendor. Ratios and supervision were in compliance. An adult and 2 children household members were also present today. The child in care was playing with a stuffed animal and other toys during the inspection. Care is provided on both levels of the home, with the main play area and bathroom on the lower level. The vendor completed the annual child development training. Health, safety, and administrative non-compliances found. Note: The inspection report and forms were emailed later in the afternoon, as the vendor was preparing to the leave the home.

Violations:

Standard #:	22VAC40-665-170-B
Description:	Based on records reviewed, it was determined that 6 of 6 children's records did not include required information. Evidence: 1. Child #1 - Home/work address + phone numbers for 1 of 2 parents listed; and trip/transporation written permission. 2. Child #3 - Trip/transportation written permission. 3. Child #4 - Trip/transportation written permission. 4. Child #5 - Home/work address + phone numbers for 1 of 2 parents listed; address for the emergency contact person listed; and trip/transporation written permission. 5. Child #6 - Home/work address + phone numbers for 1 of 2 parents listed; address for the emergency contact person listed; and trip/transporation written permission. 6. Child #7 - Home/work address + phone numbers for 1 of 2 parents listed; address for the emergency contact person listed; and trip/transporation written permission.
Plan of Correction:	The vendor said she would have parents complete the missing information, and would have parents sign the permission form for her to transport the children.
Standard #:	22VAC40-665-210-B
Description:	Based on records reviewed, it was determined that 2 of 6 children's records did not include immunization records every 6 months until the age of 2 years old. Evidence: 1. Child #1 - Immunizations were dated January 2018, when the child was 21 months old. 2. Child #7 - Immunizations were dated July 2017, when the child was 7 months old.
Plan of Correction:	The vendor said she will ask the parents for updated immunization records.
Standard #:	22VAC40-665-230-E-1
Description:	Based on records reviewed and interview conducted, it was determined that the vendor has not completed a CPR training that includes an in-person competency demonstration component. Evidence: The CPR course completed on 4/15/19 was an online course, with no in-person demonstration component. The inspector verified this on the training website, and the vendor said that it was an online only training course.
Plan of Correction:	The vendor said she will take CPR in a class with an instructor.
Standard #:	22VAC40-665-230-E-2
Description:	Based on records reviewed and interview conducted, it was determined that the vendor has not completed a First Aid training that includes an in-person competency demonstration component. Evidence: The First Aid course completed on 4/15/19 was an online course, with no in-person demonstration component. The inspector verified this on the training website, and the vendor said that it was an online only training course.
Plan of Correction:	The vendor said she will take First Aid in a class with an instructor.
Standard #:	22VAC40-665-240-A
Description:	Based on observations made, it was determined that the floors/rugs/carpet were not maintained in a clean condition today. Evidence: The carpet on the stairs and in the hallway was stained/dirty, while the rug in the main daycare room had paper trash and dirt on it. Two pennies, which are a choking hazard, were found on the carpet at the bottom of the steps just outside of the main daycare area.
Plan of Correction:	The vendor said she will have the carpets cleaned, and hopes to have them replaced by the end of the year. The pennies were picked up by the vendor during the inspection.
Standard #:	22VAC40-665-240-C-2
Description:	Based on observations made, it was determined that electrical outlets did not have protective covers. Evidence: A total of 8 outlets did not have covers - 2 outlets were located on the wall a crib was against (used by Child #1), and 6 outlets were in the kitchen.
Plan of Correction:	Outlets will be checked and covered everyday.
Standard #:	22VAC40-665-260-A-4
Description:	Based on observations made, it was determined that the bathroom did not required supplies. Evidence: The bathroom located in the daycare area on the lower level of the home did not have soap or disposable/paper towels today.
Plan of Correction:	The vendor showed the inspector paper towels in the kitchen and said she takes them downstairs when needed. The vendor said she could put soap and paper towels in a latched cabinet under the bathroom sink.