VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Debbie Greene
2204 Aquia Drive
Stafford, VA 22554
(910) 376-1574

Current Inspector: Shawanda Henderson (540) 216-1434

Inspection Date: July 22, 2021 and July 23, 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 22VAC40-191 Background Checks for Child Welfare Agencies 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures

Technical Assistance:

Provided consultation on: 1) recommend use of model form "Record of Daily Attendance" to ensure that first and last names of children along with arrival and departure times are listed clearly; 2) written information for parents must include the name of the person and amount of time per week that an adult assistant/substitute is caring for the children in place of the provider; 3) an assistant shall not be left alone with children for more than 2 hours per day; an assistant left alone with children must have current CPR/first aid certification 4) HB1823 adds ? 22.1-289.058 to the Code of Virginia. This bill requires all licensed child day programs and religiously exempt child day centers, certified preschools, family day system homes and certain other programs that serve preschool-age children operating in a building built before 2015 to be equipped with at least one carbon monoxide detector.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A renewal inspection was initiated on 7/22/21 and concluded on 7/23/21 with an exit interview. The provider was contacted by telephone and a virtual inspection was conducted. There were six children present, ranging in ages from two to four, with the provider supervising. The inspector reviewed compliance in the areas of administration, personnel, caregiver training, physical environment and equipment, care of children, preventing the spread of disease, and emergencies. A total of two child records and six caregiver/household member records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on a review of two children's records, the provider did not obtain documentation that each child has received a physical examination by or under the direction of a physician prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 4/18/21) did not have documentation of a physical examination.
Plan of Correction:	Provider stated she has asked the parent to provide a copy of the most recent physical.
Standard #:	22VAC40-111-120-B
Description:	Based on review of two assistant/substitute provider records, it was determined that not all records contained all required information. Evidence: the record for assistant #1 and substitute provider #1 did not contain verification of age. .
Plan of Correction:	Provider stated she will obtain verification of age and add to caregiver's record.
Standard #:	22VAC40-111-140-B-1
Description:	Based on a review of documentation, it was determined that not all substitute providers had high school completion or the equivalent. Evidence: Substitute provider #1, who acted as a substitute provider from approximately 11:30 am - 4:00 pm on 7/19/21, did not have documentation of a high school diploma or equivalent in their file.
Plan of Correction:	Provider stated she will obtain verification of high school diploma or equivalent and add to caregiver's record.
Standard #:	22VAC40-111-140-B-2
Description:	Based on a review of documentation, it was determined that not all substitute providers had documentation of three months of programmatic experience. Evidence: Substitute provider #1, who acted as a substitute provider from approximately 11:30 am - 4:00 pm on 7/19/21, did not have documentation of three months of programmatic experience in their file.
Plan of Correction:	Provider stated she will obtain verification of 3 months (516 hours) of programmatic experience working with preschool age children and add to caregiver's record.
Standard #:	22VAC40-111-200-A
Description:	Based on review of two caregiver records, and an interview with the provider, it was determined that not all caregivers received orientation training that includes job responsibilities, requirements for parental notification, standards related to their responsibilities, emergency evacuation, relocation, and shelter-in-place procedures, location of emergency numbers, child abuse and neglect, and confidentiality by the end of their first week of assuming job responsibilities. Evidence: the record for assistant #1 (Date of hire: 8/26/20) and substitute provider #1 (date of hire: 9/10/20) did not have documentation of orientation training.
Plan of Correction:	Provider stated she has conducted orientation with all caregivers and will add signed documentation of this orientation to caregiver's record.