VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lisa Giggetts
2111 Oak Avenue
Newport news, VA 23607
(757) 298-9979

VDSS Contact: Nicole Jeffress (804) 773-1847

Inspection Date: July 21, 2022

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code 63.2 Child abuse and neglect 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:

Today we discussed the use of a wading pool with children in care in terms of direct and constant supervision, written authorization from parents, children in diapers or pull-ups, emptying pool after each use and when it is not currently in use. Both your child attendance sheet (kept current at all times, as children arrive and leave the program) and the name and phone number for your "back up provider" should be in clear view so that a first responder easily sees it if you are unable to assist them upon their arrival. Today we discussed the trampoline located in the provider's back yard and it was clarified that this piece of equipment is ONLY used for household children or family, during hours when the voluntary Registered day home is NOT operating. Also discussed was the use of a portable basinet / crib for the infant enrolled. Once the infant is capable of pushing up onto his arms, he will need to be in a deeper crib so that he is not able to topple from the crib if he pushes or pulls up on his own. Accessible means that a child is "capable" of reaching or accessing it. Areas that children are "not allowed" to enter are not inaccessible unless the children are not capable of reaching or entering the space due to locks, safety mechanisms, gates etc.

Comments:

An Initial subsidy health and safety (SHSI) inspection was initiated and concluded on 7/21/2022. There were 4 children, ages 7 months to 4 years of age, present with the Vendor supervising. A Voluntary Registered Monitoring inspection was also conducted on this date. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-190-B
Description:	Based on a review of records and interview, the vendor did not maintain a complete record for each enrolled child. Evidence: 1. Four children's records were reviewed. 2. The record for child #1 and child #2 did not contain documentation of the child?s nickname (if any) or sex. 3. The records for child #1, #2 and #4 did not contain documentation that the vendor viewed proof of the child s identity; 4. The record for child #1 did not contain the name, address, and telephone number for each custodial parent s place of employment. 5. The record for child #1, #2 and #3 did not contain the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached. 6. The record for child #1 and child #2 did not contain information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation OR an indication that these were not applicable.. None of the records contained information on physical problems; pertinent developmental information; and any special accommodations needed OR an indication that these were not applicable. 7. The record for child #1 and child #2 did not contain the names of persons other than the custodial parent who are authorized to pick up the child. 8. None of the four records contained written authorization, signed by the parent, for emergency medical care should an emergency occur and the parent cannot be located immediately. 9. The record for child #2, #3, and #4 did not contain signed permission to transport child or signed permission for field trips. The provider stated that she had taken the children in care to a movie theater the day prior to the inspection. 9. The provider stated that many of these documents had been given to the parents but had not been completed or signed and returned to her.
Plan of Correction:	The vendor states that she will review the documentation in each child's record and communicate with parents to make arrangements for any missing documentation to be completed, signed by the parent, and returned to the vendor. The vendor states that all children's record documentation has been collected from parents and placed in the record as of 7/25/2022.
Standard #:	8VAC20-790-190-B-16
Description:	Based on a review of records, observation and interview, the vendor did not ensure that each enrolled child's parent provides written permission for swimming or wading activities as well as a written statement of the child's swimming ability, if applicable. Evidence: There was a blow-up wading pool located in the back yard of the home at the time of the inspection. The provider stated that she has verbal authorization from the parents to allow the children to be in the wading pool. The vendor confirmed that there was no written authorization available for the children to participate in swimming or wading activities. The provider stated that she has provided these forms to parents but has not received the completed / signed paperwork back from the parents.
Plan of Correction:	The vendor states that she will review the documentation in each child's record and communicate with parents to make arrangements for any missing documentation to be completed, signed by the parent, and returned to the vendor within one week. Children will not swim or wade until or unless written authorization is obtained from the parent. The vendor states that all children's record documentation has been collected from parents and placed in the record as of 7/25/2022.
Standard #:	8VAC20-790-190-B-17
Description:	Based on a review of records and interview, the vendor did not provide a written agreement with the parents of enrolled children that she will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. Evidence: None of the four records reviewed had an agreement that the vendor will contact parents if their child is ill and that parents will pick their child up as soon as possible if requested by the vendor. The vendor confirmed that this documentation was not in the records and that she has provided forms and information to parents but has not received some of the completed / signed paperwork back from the parents.
Plan of Correction:	The vendor states that she will review the documentation in each child's record and communicate with parents to make arrangements for any missing documentation to be completed, signed by the parent, and returned to the vendor. The vendor states that all children's record documentation has been collected from parents and placed in the record as of 7/25/2022.
Standard #:	8VAC20-790-230-A
Description:	Based on a review of records and interview, the vendor did not obtain, prior to each child attending, documentation that each child has been immunized according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations. Evidence: None of the four children's records reviewed contained documentation of immunizations. The vendor confirmed that the children's immunization records had been requested but not received.
Plan of Correction:	The vendor states that she will review the documentation in each child's record and communicate with parents to make arrangements for any missing documentation to be completed, signed by the parent, and returned to the vendor within one week. An immunization record and documentation that the child is adequately immunized will be obtained prior to the enrollment of children in the future. The vendor states that all children's record documentation has been collected from parents and placed in the record as of 7/25/2022.