VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Tonya Spralling
703 Hancock Avenue
Portsmouth, VA 23701
(757) 558-9034

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Nov. 25, 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 22VAC40-665 Special Care Provisions & Emergencies

Comments:

An unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 1:10 PM and departed at 2:30 PM. Five children totaling 11 points were in care with one caregiver. A sample size of five children's records were reviewed. The provider reported that no medication is administered to children and no children's injuries were reported. An exit meeting was conducted via telephone with the provider and on site with caregiver 1.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based upon review of five children's records and caregiver interview, the provider has not ensured that each child's record includes the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and documentation of the required annual review of the child's emergency contact information. Evidence: 1. The records provided for child number 2 and child number 3 include only two designated persons to be contacted if the parent cannot be reached. 2. The record provided for child 1 has not been updated since 5/30/2017. 3. The record provided for child 3 has not been updated since 8/15/2018. 4. The record provided for child 4 has not been updated since 7/16/2018. 5. Caregiver 1 verified the above listed missing information in the children's records.
Plan of Correction:	The provider responded with the following: All children's records will include at least two designated persons to be contacted in an emergency when a parent cannot be reached. All parents will be required to review, update and document the emergency information in the children's records at least annually.
Standard #:	22VAC40-111-250-A
Description:	Based upon observation and caregiver interview, the provider has not ensured that hanging items are out of reach of children under the age of five years. Evidence: 1. The door to a spare bedroom was not locked and did not have a child proof cover. There was an iron on an ironing board with the cord hanging down in this room. 2. Caregiver 1 verified that the door to this room was not locked and did not have a child proof latch.
Plan of Correction:	The provider responded with the following: A child proof door cover will be placed on this doorknob at all times the children are in care.
Standard #:	22VAC40-111-280
Description:	Based upon observation, the provider has not ensured that potentially hazardous substances are in areas inaccessible to the children. Evidence: 1. The door to the master bedroom was not locked and did not have a child proof clasp to make the area inaccessible to the children. Personal care and hygiene products are in this area. 2. Caregiver 1 verified that the door was not locked or covered by a child proof latch.
Plan of Correction:	The provider responded with the following: A child proof latch will always be on the door to the master bedroom or the door will be locked.
Standard #:	22VAC40-665-370-E-2
Description:	Based upon observation and caregiver interview, the provider has not ensured that the diaper changing surface is nonabsorbent . Evidence: 1. The mat on the diaper changing table has two two-inch tears. 2. Caregiver 1 verified that the diaper mat is torn.
Plan of Correction:	The provider responded with the following: A new mat will be purchased.