VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Monica Lancaster
1505 Colebrook Drive
Virginia beach, VA 23464
(757) 513-9790

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: March 16, 2020

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 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Technical assistance was provided in the following areas of the standards: 22VAC40-191 (Background checks); 22VAC40-111-60 (Children's records);

Comments:

An unannounced renewing inspection was conducted on 3/16/20 from 2:25pm -4:15pm. At the time of the inspection there were ten children in care, ages eight months old and seven years old, with two caregivers. Children were observed during rest period, eating snack and playing with toys. The provider stated there are no medications being administered at this time. Emergency plan and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice and were discussed with the provider during the exit interview.

Violations:

Standard #:	22VAC40-111-760-A-1
Description:	Based on a review of the family day home's first aid kit, it was determined that the licensee did not ensure that the first kit contained all of the required items. Evidence: 1. The first aid kit for the family day home did not include bandages. 2. Caregiver #1 confirmed that the first kit foir the family day home did not include all oft eh required items.
Plan of Correction:	The provider responded: I will obtain triangle bandages and place int he first aid kit.
Standard #:	22VAC40-111-100-A
Description:	Based on a review of five children's files, it was determined that the provider did not ensure that 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 is obtained. Evidence: 1. The record for child #5 (date of enrollment 2/25/18), present during the inspection, did not contain documentation of a physical examination. 2. Caregiver #1 reviewed the record for child #5, and confirmed the record did not contain documentation of a physical examination.
Plan of Correction:	The provider responded: The parents of child #5 will be contacted to provide a copy of the physical examination and has provided it. All children's files will be reviewed to ensure they contain a physical examination. New children to the family day home will have documentation of a physical examination on file within 30 days of enrollment.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of five children's records, it was determined that the provider did not ensure they maintain and keep at the family day home a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #1, present during the inspection, did not contain two emergency contacts, and the medical insurance policy number. 2. The record for child #2, present during the inspection, did not indicate whether or not the child had previously attended childcare. 3. The record for child #3, present during the inspection, did not indicate whether or not the child had previously attended childcare. 4. The record for child #4, present during the inspection, did not indicate whether or not the child had previously attended childcare. 5. The record for child #5, present during the inspection, did not indicate whether or not the child had previously attended childcare. 6. Caregiver #1 reviewed the records for child #1,child #2, child #3, child #4 and child #5, and confirmed the records were not complete.
Plan of Correction:	The provider responded: The parents of all the children will be asked to complete all missing information. All children's files will be reviewed to ensure they contain all of the required information. New children to the family day home will have their records reviewed to ensure they contain all of the required information prior to enrollment enrollment.