VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Josephine Campbell
2519 Mandy Lane
Richmond, VA 23224
(804) 230-7877

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Nov. 20, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced renewal inspection was conducted today, November 20, 2019 to determine the providers compliance with family day home standards. The inspection was initiated at 11:45 am and concluded at 1:45 pm. Upon the inspectors arrival six children were in care with one caregivers for a value of seventeen points. One infant and a toddler were napping while the remaining four children were playing with the housekeeping plastic food. Children made plates of food for the provider. Later children danced to music and listened to a story before going down for a nap. Diapering was observed with hand washing noted. The provider interacted with the children in a positive manner. The family day home has age appropriate materials. The following required information was posted: license, most recent inspection notice, emergency numbers, daily schedule and menu. Today's lunch consisted of baked chicken, mashed potatoes, green beans and milk. The first aid kit and non-medical emergency supplies were inspected and found complete with extra items available. The inspector interacted with the caregiver and children in care. Two caregiver records were reviewed along with six children's records. Caregivers have current CPR and first aid training. Medications are not being administered. The provider does not provide transportation. The attendance record was reviewed. The emergency preparedness plan was current. The most recent evacuation drill was documented on 10/29/2019. The two shelter-in-place drill for 2019 were completed on 01/24/2019 and 06/07/2019. A lock down drill was conducted on 06/14/2019. Children do not use the deck on the rear of the house. A complete renewal application has been received by the Department. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on review of children's records, the provider did not obtain 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: The record of child #6, enrolled 08/27/2018, had documentation of a physical dated 08/09/2019 exceeding the allowable time of one month after attendance to obtain.
Plan of Correction:	Per the provider: I will make sure parents provide the physical at the time of enrollment.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: A hole approximately two inches in diameter was observed on the wall at bottom of the stairs in the main child care area. The hole created loose pieces of wallboard and paint chips and was accessible to children in care.
Plan of Correction:	Per the provider: I will patch the hole in the wall.
Standard #:	22VAC40-111-430-A
Description:	Based on observation, the provider did not ensure children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision have access to stairs. Evidence: 1. The licensing inspector observed an unsecured barrier at the bottom of the stairwell and an unsecured barrier at the top of the same stairwell. 2. A second stairwell did not have a barrier to prevent access to the stairs. 3. There were two children under the age of two years that had access to the two sets of stairs.
Plan of Correction:	The provider secured the barrier at the bottom of the stairwell. Per the provider: I will purchase new gates to be secured at the stairs so children will not have access.