VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bernadette Fumbanks
5909 W. Copper Mountain Drive
Spotsylvania, VA 22553
(708) 407-1454

Current Inspector: Shawanda Henderson (540) 216-1434

Inspection Date: July 20, 2021 , July 21, 2021 and July 22, 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 22VAC40-111 Nighttime Care 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

Technical Assistance:

The licensing inspector and provider discussed standard 22VAC40-111-(7)-320-F and 22VAC40-111-(7)-320-G regarding unvented fuel-burning heaters and fireplace inspections.

Comments:

An announced initial inspection was initiated remotely on July 20, 2021. An in-person inspection of the home was conducted on July 21, 2021 beginning at 10:00 AM and ending at 11:10 AM with the provider and one assistant. The provider is operating illegally, there were ten children, totaling 24 points, in care during the in-person inspection of the home. The children were observed playing at the playground, washing hands, and having a snack. Four children's records were reviewed. The provider, one staff member, and one household member's record was reviewed. There was no medication on site to be reviewed. Not all of the standards were able to be evaluated during this inspection. If you have any questions regarding this inspection, contact Shawanda Henderson at 540-216-1434 or shawanda.henderson@doe.virginia.gov.

Violations:

Standard #:	22VAC40-111-940-B
Description:	Based on observation the provider did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: There was no thermometer to measure the refrigerator and freezer compartment temperatures available during the in-person inspection.
Plan of Correction:	The provider will purchase a thermometer for the refrigerator/freezer by tomorrow, July 27, 2020.
Standard #:	22VAC40-111-100-A
Description:	Based on review of four children's records it was determined that not all records contained documentation of a physical within the first 30 days of attendance. Evidence: Child A (start date:11/04/2019) and child B (start date:10/21/2020) did not have documentation of a physical on file.
Plan of Correction:	The provider stated that she would contact the parents and request a copy of the most recent physical for the children. The documentation will be placed in the child's record.
Standard #:	22VAC40-111-30-A
Description:	Based on observation and provider interview, the provider failed to comply with relevant federal, state, or local laws, and other relevant regulations. Evidence: On July 21, 2021, there were 10 child children in the care of the provider and one assistant during the initial in-person inspection. State law requires that persons providing care for more than 4 children be licensed.
Plan of Correction:	The provider stated that her plan is to become a licensed family day home provider and willing to comply the standards and state laws.
Standard #:	22VAC40-111-60-B
Description:	Based on review of four children's records it was determined that not all of the records contained the required information. Evidence Child A, child B, child C, and child D's record did not have documentation of parent's work addresses and phone numbers. Child A's record did not have documentation of the child's insurance policy number.
Plan of Correction:	The provider will request the missing information from the parents and place it in the children's record.
Standard #:	22VAC40-111-80-B
Description:	Based on a review of documentation and interview with the provider, the provider failed to obtain proof of age and identity for all children enrolled in the program within seven days of attendance. Evidence: Child A (start date: 11/04/2019) did not have documentation of proof of age and identity on file.
Plan of Correction:	The provider stated that she will contact the parent to view a copy of the child's birth certificate. A copy of the documentation will be placed in the child's record.
Standard #:	22VAC40-111-90-A
Description:	Based on review of four children's records it was determined that not all records contained documentation of immunizations before the first date of attendance. Evidence: Child A (start date: 11/04/2019) did not have documentation of immunizations on file.
Plan of Correction:	The provider stated that she would contact the parent and request a copy of the most recent immunization for the child. The documentation will be placed in the child's record.
Standard #:	22VAC40-111-200-A
Description:	Based on a review of documentation and provider interview with the provider it was determined that the provider failed to orient assistants before the end of the first week. Evidence: Assistant A (start date: 03/01/2020) did not have documentation of orientation on file.
Plan of Correction:	The provider has completed the orientation with the assistant and documentation of orientation will be placed in the staff record.
Standard #:	22VAC40-111-280
Description:	Based on observation not all cleaning agents and disinfectants were kept inaccessible to children. Evidence: In the kitchen, there was Clorox spray, gain dish detergent, Totally Awesome Cleaner spray and all purpose cleaner were sitting on the counter accessible to the children. In the basement child care area, there was disinfectant cleaner spray on the changing table. All cleaners had a keep out of reach of children on the warning labels.
Plan of Correction:	The hazardous substance were relocated to a higher cabinet during the inspection. The cabinet was inaccessible to the children in care.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of documentation and interview with the provider it was determined that the provider failed to obtain documentation of a sworn statement or affirmation for assistants prior to the first day of employment. Evidence: Assistant A (start date: 03/01/2020) did not have documentation of a sworn statement or affirmation on file.
Plan of Correction:	The provider stated that she would print the Sworn Statement document and have the assistant complete it. The completed sworn statement will be placed in the staff record.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review not all assistants had a central registry finding with in 30 days of employment. Evidence: Assistant A (start date: 03/01/2020) did not have documentation of a search of central registry on file.
Plan of Correction:	The provider stated that she would have the Central Registry request completed and notarized by the end of the day. The central registry request will be mailed out today, July 26, 2021. Upon receipt a copy of the results will be sent to the inspector.
Standard #:	63.2-1721.1-B-2
Description:	Based on review of documentation and interview with the provider it was determined that the provider failed to obtain documentation that staff submitted to fingerprinting before the first day of employment. Assistant A (start date: 03/01/2020) did not have documentation of an eligible determination letter based on fingerprinting.
Plan of Correction:	The assistant has an appointment for fingerprinting today, July 26, 2021. The appointment confirmation will be sent to the inspector. The results of the background check will be placed in the staff record.