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: Dec. 16, 2020 and Dec. 28, 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 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records

Technical Assistance:

New legislation effective July 1, 2020 reviewed - with emphasis on new out-of-state background check requirements. Written information has been provided regarding The Governor's Amended Order 63 - Requirement to Wear Face covering While Inside Buildings.

Comments:

This inspection was conducted by licensing staff using an alternate protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on 12/16/2020 and concluded on 12/28/2020. The provider was contacted by telephone to initiate the inspection. There were 5 children present with 2 caregivers. The inspector emailed the provider a list of items required to complete the inspection. The inspector reviewed 2 caregiver records and 2 children's records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the provider. The licensing inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care Programs.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on record review and interview, the provider failed toobtain 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: 1. Child 1 does not have documentation of a physical exam on file. Child 1 has an enrollment date of 07/06/2020. 2. The provider confirmed that she did not have a documented physical on file for child 1.
Plan of Correction:	The parent of child 1 will be asked to provide a current physical.
Standard #:	22VAC40-111-120-B
Description:	Based on record review and interview, the provider failed to maintain written documentation of caregiver reference checks. Evidence: 1. Written documentation was not available for the two verbal reference checks completed for staff 1. 2. The provider verified that she did not have written documentation of the two verbal reference checks conducted for staff 1.
Plan of Correction:	The DSS model form will be used to document the reference checks for staff 1.
Standard #:	22VAC40-111-30-E
Description:	Based on observation and interview, the provider failed to ensure that the home's activities, services, and facilities are conducive to the welfare of children in care when the home was not in compliance with the Governor's Special Order 63 which states, "all individuals ages five and older are required to wear face coverings while indoors at any indoor place shared by groups of people." Additionally, the provider was not in compliance with the Virginia Department of Labor and Industry temporary standard requiring staff in child care settings to wear cloth face coverings. Evidence: 1. The provider and the designated assistant did not have a face covering on during the inspection which began at 2:01 pm. 2. The provider stated it was the practice of the home to not wear a face covering when children were napping.
Plan of Correction:	The provider stated that face coverings are worn throughout the day and only removed during nap time. Going forward face coverings will be worn at all times to include nap.
Standard #:	22VAC40-111-200-C
Description:	Based on record review and interview, the provider failed to ensure that documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant. Evidence: 1. Written documentation of orientation training was not available for staff 1. a. Staff 1 has a hire date of 12/12/2017. 2. The provider stated she did not have written documentation of orientation training for staff 1.
Plan of Correction:	Orientation training will be documented on the DSS model form.
Standard #:	22VAC40-111-520-C
Description:	Based on observation and interview, the provider failed to ensure that cribs shall not have mesh sides. Evidence: 1. A 13 month old infant, child 2, was observed resting in a mesh sided portable crib. a. The inspection was conducted from 2:01 pm - 2:38 pm which was nap time. 2. The provider confirmed that this mesh sided portable crib was in use as a sleep space for child 2.
Plan of Correction:	The provider stated that she did have a regular crib and would use this for child 1 if she was not able to transition her to a rest mat.
Standard #:	22VAC40-111-530-A
Description:	Based on observation, the provider failed to ensure that rest mats when being used for sleeping or napping by children shall have linens consisting of a bottom cover or a one-piece covering that is open on three edges. Evidence: 1. Four children were observed napping on a rest mat with only a top cover. 2. The provider confirmed that the children had not been provided with a bottom cover on their rest mat.
Plan of Correction:	The provider stated that all children would be provided a bottom cover (sheet) when napping.