VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Edynerris Aquinde
980 Avery Way
Virginia beach, VA 23464
(757) 339-7040

Current Inspector: Adrianna Walden (757) 404-2487

Inspection Date: Oct. 25, 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 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

Technical Assistance:

The following was discussed with the licensee: 8 VAC20-800-620-A When providing care for a child with special needs, a written recommendation by the child's physician, psychologist, or other professional who has evaluated or treated the child should be obtained on how to care for and provide appropriate activities. 8 VAC 2-800 -620 F-G The provider and the parent of the child with special needs shall mutually determine a recommendation for the level of staffing necessary to care for and supervise the child based on the child's chronological and functional age and degree of disability. Within 30 days of the child's enrollment, the provider shall provide the department's representative a written recommendation for the level of staffing necessary to care for and supervise the child

Comments:

An unannounced renewal inspection was conducted on 10/25/2021. Upon arrival there were 2 children in care. Both children were observed during nap. A total of 3 children's records and 4 caregiver/household records were reviewed. 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 program.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on a record review and interview the licensee did not have documentation that all children had a physical examination by a physician. Evidence: Child #1 and #2 did not have documentation of having a physical examination. The licensee confirmed she did not have a copy of the examinations.
Plan of Correction:	The licensee will contact the parents today and request physical examinations. The form will be printed out and given to parents for their convenience.