VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Eartherdell Dunston
709 Waters Road
Chesapeake, VA 23322
(757) 547-1263

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: Sept. 9, 2021 and Sept. 15, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

The notification of birth letter, issued by the hospital registrar, meets the requirement for verification of age and identity for a child.

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 monitoring inspection was initiated on 09/09/2021 and completed on 09/15/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 3 children present with two caregivers. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 children's records and 1 caregiver record was 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.

Violations:

Standard #:	22VAC40-111-890
Description:	Based on observation, the provider failed to ensure that When food is brought from home, the following shall apply: The food container shall be clearly labeled in a way that identifies the owner. Evidence: 1. One plastic container of milk was not labeled with child 2's name. a. The provider stated that this milk was provided by the parent of child 2 for his bottle.
Plan of Correction:	The milk container will be labeled with the child's name.
Standard #:	22VAC40-111-60-B
Description:	Based on record review and interview, the provider failed to obtain verification of proof of the child's age and identity for all enrolled children. Evidence: 1. The enrollment record for child 1 lacked documentation of verification of age and identity. a. The provider confirmed that she had not viewed the birth certificate or birth letter for child 1.
Plan of Correction:	The parent of child 1 has requested a birth certificate. The parent will be asked this afternoon if a birth letter is available and when the birth certificate is expected to arrive.
Standard #:	22VAC40-111-140-B-3
Description:	Based on record review and interview, the provider failed to maintain current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council. Evidence: 1. The Heart Saver CPR certification, for the provider, expired on June 30, 2021. a. The provider confirmed that an updated CPR class had not been completed.
Plan of Correction:	The provider stated she has had difficulty obtaining a class but has signed up for a CPR class in October of 2021.
Standard #:	22VAC40-111-140-B-4
Description:	Based on record review and interview, the provider failed to maintain current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council. Evidence: 1. The Heart Saver First Aid certification, for the provider, expired on June 30, 2021. a. The provider confirmed that an updated CPR class had not been completed.
Plan of Correction:	The provider stated she has had difficulty obtaining a class but has signed up for a first aid class in October of 2021.