VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lakisha Leeks
613 Brandywine Drive
Newport news, VA 23602
(757) 884-9346

Current Inspector: Cassie Anderson-Leichty (757) 409-4668

Inspection Date: April 4, 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 8VAC20-770 Background Checks for Child Day Programs and Family Day Systems 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

Comments:

A renewal inspection was initiated and concluded on 4/4/2022. At the time of arrival, there were 6 children present, ranging in ages from 2 years to 4 years, with 1 staff supervising. 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 child records and 2 provider / Household member records were 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 #:	8VAC20-800-100-A
Description:	Based on a review of records and interview, the licensee did not obtain, for every child, documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence; 1. Two children's records were reviewed. 2. The records for child #1 (enrolled 9/1/2021) and child #2 (enrolled 11/16/2021) did not contain the results of a physical examination. 3. The licensee was unable to locate this documentation during the inspection.
Plan of Correction:	The licensee will try to locate this documentation, but will contact the parents of child #1 and child #2 parent today if she cannot find it and request that the parents bring in documentation from their children's last physical examination within 14 days.
Standard #:	8VAC20-800-50-A
Description:	Based on observation and interview, the licensee did not maintain a written record of all children in attendance each day. Evidence: 1. On the day of inspection, the attendance sheet contained the names of two children present. 2. There were four children in care at the time. 3. The licensee confirmed that only two of the four children present were documented on the written attendance sheet.
Plan of Correction:	The licensee will utilize an updated attendance form and will ensure that every child is signed in at the time of arrival and signed out at the time of departure each day.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of records and interview, the licensee did not maintain all required documentation in every child's record. Evidence: 1. Two children's records were reviewed. 2. The record for child #2 did not contain a signed authorization to obtain emergency medical care should an emergency occur and the parent cannot be reached immediately. 3. The licensee was unable to locate this documentation during the inspection.
Plan of Correction:	The licensee will obtain the written authorization for emergency medical care from the parent of child #2 by the end of the week and this documentation will be maintained in child #2's record.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of records and interview, the licensee did not ensure that before any child may attend the family day home, the provider obtains documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Two children's records were reviewed. 2. The record for child #2 (enrolled 11/16/2021) did not contain documentation that child #2 had been adequately immunized. 3. The licensee stated that she was unable to locate documentation regarding child #2's immunizations during the inspection.
Plan of Correction:	The licensee stated that she would try to locate this documentation but would contact the parent today to obtain a copy of child #2's immunizations if she could not locate it.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the licensee did not post the findings of the most recent inspection of the facility. Evidence: 1. During the inspection, the most recent inspection findings were not posted. 2. The licensee confirmed that this notice was not posted. She located the last inspection notice and posted it during the inspection.
Plan of Correction:	The licensee located and posted the previous violation notice during the inspection on 4/4/2022.