VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Bianca Bland
201 Deanes Station Road
Suffolk, VA 23435
(951) 442-1590

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Feb. 1, 2022 and Feb. 2, 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 22VAC40-111 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 22.1 Background Checks Code; carbon monoxide detectors 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:

Please review the standards related to safety when children are eating or drinking. 22VAC40-111-(12)-960-B Infants who cannot hold their own bottles shall be picked up and held for bottle feeding. Bottles shall not be propped. 22VAC40-111-(12)-960-C High chairs, infant carrier seats, or feeding tables with safety waist and crotch straps fastened according to the manufacturer's instructions shall be used for children under 12 months of age who are not held while being fed. 22VAC40-111-(12)-900-B Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Normally children under 12 months of age sleep in cribs - unless they are over 12 months of age but not developmentally ready to sleep on a cot, rest mat, or bed. No soft bedding of any kind may be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. Therefore best practice would be to generally avoid all of these items as well as plush or thick blankets in cribs.

Comments:

This inspection was conducted by licensing staff, in part by using an alternate remote protocol, including telephone contacts, documents review and interviews. An in-person tour of the program was also conducted A Renewal inspection was initiated on 2/1/2022 and concluded on 2/2/2022. The provider was contacted by telephone and a virtual inspection was conducted. The inspector also completed an "in-person" component of the inspection on site. On 2/2/2022 there were 11 children present and 2 caregivers staff during the site inspection. Two staff records and two children?s records were reviewed. The inspector reviewed requirements and compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. 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 #:	22.1-289.035-B-4
Description:	Based on record review and interview, the licensee did not obtain a copy of the results of a criminal history record information check and a sex offender registry check from any state in which a caregiver working in her home has resided in the preceding five years. Evidence: The documentation / file for caregiver #2, who was assisting in the care of children on 2/2/2020 during the inspection, did not contain results of a criminal history record information check and a sex offender registry check from the state of Illinois which caregiver #2 documented as a state of residence within the last 5 years on her Sworn Disclosure or Affirmation form. Caregiver #2 was hired 9/13/20219 but had not been working a regular schedule since January 2021. Out of state background checks were required to be obtained for current employees by 12/31/2020.
Plan of Correction:	The licensee stated that because caregiver #2 had not been regularly scheduled since January 2021 while enrollment and points were lower, she forgot that she needed to request the out of state background checks from Illinois. The licensee obtained a Sex Offender registry check on line for caregiver #2 during the inspection. The Illinois Criminal Record Check request for Caregiver #2 was sent out on 2/2/2022. The results will be forwarded to the licensing inspector upon receipt by the licensee.
Standard #:	8VAC20-800-900-B
Description:	Based on observation and interview, the licensee did not ensure that children are not allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Evidence: A n 18 month old toddler (child #3) whose date of birth is 7/31/2020 was sleeping in a crib with a half full bottle of white liquid resting next to her head. Children drinking while lying down is prohibited in family day homes and can pose a choking hazard to the child.
Plan of Correction:	The licensee removed the bottle from the crib and will ensure that children are not permitted to bring bottles in their cribs or cots where they will be lying down to rest. The licensee will ensure that children are not permitted to eat or drink while walking, running, playing, lying down, or riding in vehicles.
Standard #:	8VAC20-800-530-G
Description:	Based on observation, the licensee did not ensure that children under two years of age do not use pillows or filled comforters. Evidence: A toddler whose date of birth is 7/31/2020 was sleeping in a crib with her head resting on u-shaped pillow. There was also a quilted filled unknown fabric object between her head and the pillow. A thick plush blanket was bunched at the end of the crib near her feet. This child is 18 months old and may not use pillows or filled comforters in a family day home until the age of 2 years
Plan of Correction:	The licensee stated that she would remove these items from child #3's crib and would not allow children under two years of age the use of pillows or filled comforters going forward.