VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Gayle Dunn
1331 Hoskins Drive
Tappahannock, VA 22560
(804) 443-4993

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Feb. 11, 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

Comments:

A Subsidy Health and Safety inspection was conducted on February 11, 2019 to review supplemental health and safety requirements. The inspection was initiated at 10:00 am and concluded at 12:30 pm. Upon the inspector's arrival four children were in care and playing with toy cars, in the playhouse and with puzzles. A value of 9 point was calculated for all four children with one provider. Later children sat with the provider and sang the song "five little ducks". Hand washing was conducted before lunch and lunch was observed. Today's lunch consisted of salisbury steak, peas, oranges, bread and milk. The main area used for child care was inspected. The outdoor play area was not inspected due to inclement weather. The family day home is equipped with supplies and age appropriate materials. The provider had the following posted: emergency phone numbers, menu, attendance, last inspection notice and the license. The first aid kit and non-medical emergency supplies were checked and found complete. An evacuation drill was documented on 01/29/2019, an shelter-in-place drill on 01/29/2019 and a lock down drill on 01/29/2019. The inspector interacted with the provider and children in care. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Four children's records and two caregivers records were reviewed. Currently there is no medication being administered. No transportation provided. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-665-170-B-12
Description:	Based on review of children's records, the provider did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction; Evidence: Child #1, diagnosed with a food allergy, did not have a written care plan.
Plan of Correction:	Per the provider: The parent has told me the child does not have food allergies. I will call the parent today and request that she provide a doctors not that the child does not have any food allergies.
Standard #:	22VAC40-665-400-B-7
Description:	Based on review of the emergency preparedness plan and interview, the provider did not have written documentation addressing the continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: 1. The emergency preparedness plan did not address the Continuity of operations procedures to ensure that essential functions are maintained during an emergency. 2. The provider reported she was not aware of the requirement and did not have written procedures to ensure program functions were continued during an emergency.
Plan of Correction:	Per the provider: I will go on the web site tonight and review the new requirements and add the information that is missing.