VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Wynel Harris
13806 Thornhill Court
Chester, VA 23836
(757) 288-2459

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Feb. 26, 2021 and March 1, 2021

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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 54.1 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

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A focused inspection was initiated on 2/26/2021 and concluded on 3/01/2021. The provider was contacted virtually to initiate the inspection. There were 4 children present and 2 caregivers. The inspector reviewed all items required to complete the inspection. The Inspector reviewed 2 children?s records and 2 caregiver records to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on record review, the provider did not ensure one of two children's records contained all of the required documentation. Evidence: The record of child #1 (start date: 2/18/20) did not have documentation of the following required information: one of two required emergency contact's name address and phone number; physician's phone number.
Plan of Correction:	Will have that done by tomorrow.
Standard #:	22VAC40-111-70-B
Description:	Based on record review, the provider did not ensure two of two children's records contained documentation of the parent's written acknowledgement of the receipt of required information. Evidence: 1. The record of child #1 (start date: 2/18/20) did not have documentation of the provision's of the family day home's emergency preparedness and response plan, liability insurance notification, and the required information to parents. 2. The record of child #2 (start date: 2/5/20) did not have documentation of the provision's of the family day home's emergency preparedness and response plan and the required information to parents.
Plan of Correction:	Will immediately contact the parents and have those forms signed.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, the provider did not ensure that one of two children?s record contained documentation of immunizations showing that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations. Evidence: The record of child #2 (start date: 2/5/2020) did not have the following documentation in the child?s immunization record; a statement that the child has been adequately immunized, signature or stamp and dated by a licensed physician, designee or local health department.
Plan of Correction:	Will contact the parent and ask for these things and will give the parent until Friday to submit the forms.
Standard #:	22VAC40-111-200-A
Description:	Based on caregiver record review, the provider did not ensure to orient the assistant by the end of their first week of assuming job responsibilities. Evidence: The record of caregiver #2 (start date 1/1/2021) had documentation of orientation dated 2/28/2021.
Plan of Correction:	In the future, I will make sure that all caregivers receive orientation within the first week of employment.
Standard #:	22VAC40-111-680-B
Description:	Based on an interview, the provider did not ensure that children's hands were washed with liquid soap and warm running water after diapering. Evidence: The provider revealed to the inspector that they do not wash the children's hands after diapering.
Plan of Correction:	Will start that practice immediately.