VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Letitia Paige
2216 Parker Avenue
Portsmouth, VA 23704
(757) 397-1100

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: March 12, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Inspector spoke with the provider about menu and staff records during this inspection.

Comments:

An unannounced monitoring inspection was conducted on 03/12/2020 from 11:15am-12:30pm. At the time of inspectors' arrival there were 5 children in care with the provider for a total of 16 points. Children were observed playing, eating lunch, handwashing and toileting, and napping. A sample of 5 children's records,1 provider record and 2 assistant records were reviewed. Medications are not being administered at this time. There have been no injury reports since the last inspection. Areas of noncompliance are detailed in the violation notice and were discussed with the provider at the conclusion of this inspection.

Violations:

Standard #:	22VAC40-111-830-A
Description:	Based on record review and interview it was determined the provider did not ensure emergency evacuation drills were practiced monthly. 1. There were no evacuation drills documented on the log for January and February 2020. 2. The provider confirmed that drills were not practiced in January and February 2020.
Plan of Correction:	Provider will practice drills monthly.
Standard #:	22VAC40-111-60-B
Description:	Based on record review and interview it was determined the provider did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child #3(enrolled 9/5/19) did not contain the medical insurance policy name and number. 2. The record for child #4 did not contain any of the required information in 60-B aside from date of birth. 3. The record for child #5(enrolled 10/30/18) did not contain the medical insurance policy name and number. 3.
Plan of Correction:	Provider will request this documentation from parents at pick up.
Standard #:	22VAC40-111-240-A
Description:	Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. In the bathroom area there was peeling drywall. 2. In the main childcare area there was a 1/4" gap between the electrical outlet plate cover and the drywall/plaster.
Plan of Correction:	Provider will repair the drywall in both areas.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review and interview, it was determined that the licensee did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #2(hired 10/21/13) and staff #3(hired 3/4/19) did not contain documentation of a completed search of the central registry finding. 2. Staff confirmed that the search of the central registry findings were not in the record for staff # 2 or staff #3.
Plan of Correction:	Staff will get Central Registry searches completed.
Standard #:	63.2-1720.1-B-2
Description:	Based on record review and interview it was determined the provider did not ensure that each staff member submit to fingerprinting. Evidence: 1. The record for staff #2(hired 10/21/13) did not contain documentation of fingerprinting. 2. The provider confirmed that there was no record of fingerprinting in the staff record. 2.
Plan of Correction:	Staff will submit to fingerprinting.