VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Adelaide Nyamedi
15039 Coronet Place
Waterford, VA 20197
(571) 258-9124

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Aug. 26, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and 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 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussion was held regarding 4 cribs with a manufacturer's date of 03/2011 that were confirmed to be in compliance.

Comments:

An unannounced renewal visit was conducted today between the hours of 2:00pm and 4:30pm. There were 10 children (29 points) supervised by 2 staff. A sample of 10 children's files and 2 staff files were reviewed. The children were engaged in the following: toy play, singing, movie time, snack, bottle feeding, diapering and engaged with staff. Interactions between the children sand staff were positive. The physical space, records and equipment were reviewed. 6 cribs were inspected and found to be in compliance. Areas of non-compliance are identified in the violation notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles-lopez@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-750-A
Description:	Based on record review, 2 out of 10 children's files did not have written parent's authorization for the application of non-prescription topical skin products. Evidence: Child #1 and #3's record did not have a signed authorization form available.
Plan of Correction:	I will ask the parents for the missing information.
Standard #:	22VAC40-111-920
Description:	Based on observation and interview, a menu for the current one-week period was not provided to parents. Evidence: 1) The menu for the current week was not available for review. 2) Menu for the previous week was not available for review.
Plan of Correction:	We will put it up today.
Standard #:	22VAC40-111-960-E
Description:	Based on observation and interview, bottles were not labeled with the children's full name and date, when more than one infant is in care. Evidence: In the date of inspection, 3 infants were in care in the FDH. In the kitchen area, bottles were not labeled nor dated for 0 out of the 3 infants under care.
Plan of Correction:	We are going to start labeling now everyday.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 3 out of 10 children's records were incomplete. Evidence: 1) Child #1 did not contain addresses for 2 emergency contacts and parent's signed acknowledgement of the day home's policies and procedures. 2) Child #2 did not contain address for 1 emergency contact, insurance policy number and parent's signed acknowledgement of the day home's policies and procedures. 3) Child #3 did not contain addresses for 2 emergency contacts and parent's signed acknowledgement of the day home's policies and procedures.
Plan of Correction:	I will ask the parents for the missing information.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, 3 out of 10 children's files did not have documentation that parents were provided with required information before the first day of attendance. Evidence: 1) Child #1, #2 and #3's records did not include a copy of liability insurance form signed by the parents. 2) Child #2, #3 and #4's records did not include a copy of the FDH's policy for medication administration.
Plan of Correction:	I will ask the parents for the missing information.
Standard #:	22VAC40-111-210-A
Description:	Based on record review and interview, caregivers did not obtain 16 clock hours of training annually. Evidence: 2 out of 2 staff files reviewed did not have evidence of training hours for the current licensing period.
Plan of Correction:	We will work on the training hours.
Standard #:	22VAC40-111-430-A
Description:	Based on observation, children under two years of age have access to stairs. Evidence: 1) A stair with 3 or more risers is accessible to children under care. 2) No gate or barrier is installed to prevent access to the stairs.
Plan of Correction:	We will put up a gate.
Standard #:	22VAC40-111-690-E
Description:	Based on observation, the provider did not have accessible a foot operated system to dispose of soiled diapers and wipes. Evidence: 1) While diapering, staff was observed placing soiled diapers and wipes in a plastic bag on the floor. The provider has one but it was not in the diapering area.
Plan of Correction:	We will place a small trash can next to the diapering area and leave the big one outside.