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: Jan. 31, 2022

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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 22.1 Background Checks Code; carbon monoxide detectors 63.2 Licensure and Registration Procedures

Technical Assistance:

Discussed the following: *Remove limbs and metal canopy poles before resuming use of outdoor play area; *Ensure that cribs are moved away from wall and window, when occupied, to ensure children can not access curtains and wall decorations; *Discussed clarify the name/location of church that children will be evacuated to in the event of an emergency - this information is not noted in the written emergency plan for the FDH.

Comments:

An unannounced renewal inspection was conducted on 01/31/2022 from 9:51 am - 11:45 am. At the time of entrance there were three children in care with two caregivers. The ages of the children counted for a total of 12 points. Children were observed playing in the child care room with both caregivers. The provider was observed feeding two infants a bottle. Records were reviewed for the three children in care and both caregivers. Violations were observed in the areas of administration, caregiver training, equipment, emergencies, nutrition and background checks. These violations are listed on the violation notice and were reviewed with the provider at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview, the provider failed to ensure that all caregivers and household members have a completed sworn statement or affirmation in file. Evidence: 1. A sworn statement or affirmation was not on file for caregiver 1 and caregiver 2. a. Caregiver 1 stated she could not locate the completed sworn statement or affirmation for either caregiver.
Plan of Correction:	Caregiver 1 and caregiver 2 will complete a new sworn statement or affirmation.
Standard #:	8VAC20-800-800-B
Description:	Based on review, the provider failed to review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. Evidence: 1. The emergency plan for the family day home was last reviewed and updated on 11/30/2020 according to written documentation on file.
Plan of Correction:	The emergency plan will be reviewed and updated.
Standard #:	8VAC20-800-830-C
Description:	Based on interview, the provider failed to ensure that documentation shall be maintained of emergency practice drills. Evidence: The provider stated she could not locate the 2021 emergency log for the family day home.
Plan of Correction:	A fire drill will be conducted today, January 31, 2022, and noted on a new emergency log for this year - 2022.
Standard #:	8VAC20-800-920
Description:	Based on interview and review of home, the provider failed to ensure when meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted. Evidence: 1. The menu for the current one week period was not posted during the inspection which began at 9:51 am on 01/31/2022. a. The provider stated she had not had the opportunity to post the menu for the family day home.
Plan of Correction:	The menu will be posted.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, the provider failed to ensure that bottles shall be labeled with the child's full name and the date, if more than one infant is in care. Evidence: 1. Two bottles of formula were observed for child 2 and child 3. One of these bottles was not labeled or dated and the other bottle was not dated.
Plan of Correction:	The provider stated that she will ensure the bottles are labeled and dated going forward.
Standard #:	8VAC20-800-60-A
Description:	Based on record review, the provider failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked the following required information: a. A second emergency contact was not listed. 2. The enrollment record for child 2 lacked the following required information: a. An address for both emergency contacts; b. A work phone number for both parents; c. An address and place of employment for one parent.
Plan of Correction:	The provider stated that the parent of child 1 and child 2 will be asked to provide this information.
Standard #:	8VAC20-800-70-A
Description:	Based on record review the provider failed to ensure that before the child's first day of attendance, parents shall be provided with all required written policies for the family day home. Evidence: 1. The enrollment record for child 3 lacked documentation of the following: a. Whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by ? 63.2-1809.1 of the Code of Virginia; b. Policies for the administration of medications; c. Provisions of the family day home's emergency preparedness and response plan. 2. The enrollment record for child 1 and child 2 lacked the following: a. Provisions of the family day home's emergency preparedness and response plan.
Plan of Correction:	The provider stated that each family would be provided with copies of these written policies. Documentation will be placed in each child's record.
Standard #:	8VAC20-800-210-A
Description:	Based on record review and interview, the provider failed to ensure that caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver 1 received 14.5 hours of annual training in 2021 according to training certificates reviewed. 2. Caregiver 2 lacked any training hours for 2021. 3. The provider confirmed that neither caregiver 1 or caregiver 2 had obtained all of the 16 hours of required training in 2021.
Plan of Correction:	Both caregivers will obtain 16 hours of annual training in 2022.
Standard #:	8VAC20-800-540-A
Description:	Based on observation, the provider failed to ensure that when infant seats are occupied by a child, a safety strap shall be used and securely fastened. Evidence: 1. Child 2, age 6 months, was observed placed in an infant seat twice during the inspection without the safety strap engaged.
Plan of Correction:	Going forward the safety strap will always be engaged when an infant is placed in the infant seat.