VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Robbin Reid
125 Squire Reach
Suffolk, VA 23434
(757) 537-8132

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: April 1, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 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

Comments:

A renewal inspection was initiated and concluded on 4/1/2022. At the tim eo f the inspector's arrival at 12:10 pm there were 9 children present, ranging in ages from 2 to 4 years old, with 2 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 3 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 #:	22.1-289.036-A
Description:	Based on a review of records and interview, the licensee did not obtain a subsequent Search of the Central Registry for provider #1 within 5 years of the previous Search of the Central Registry. Evidence: Three provider / household member records were reviewed. The most recent results of the Central Registry Search available for provider #1 was dated 8/25/2016. The licensee confirmed during the inspection that she had not obtained more recent results from a Central Registry Search.
Plan of Correction:	The licensee stated that she would send a request for an updated Central Registry Search for Provider #1 within 10 days and forward the results to the licensing inspector upon receipt.
Standard #:	8VAC20-770-40-D-5-a
Description:	Based on a review of records and interview, the licensee did not ensure that a Search of the Central Registry is obtained within 30 days of a household member becoming 14 years old. Evidence: Three provider / household member records were reviewed. The record for household member #3 did not contain the results of a Search of the Central Registry. Household member #3 turned 14 years old more than 90 days prior to the inspection. The licensee stated that she requested a Search of the Central Registry for household member #3 but confirmed that the results had not been obtained and she had not yet made contact with the office of background checks to follow up.
Plan of Correction:	The licensee will contact the Office of Background Investigations within 10 days to follow up on the Search of the Central Registry for household member #3 and follow their instructions to obtain the results of the search. The results will be filed in the household member's record and forwarded to the licensing inspector upon receipt.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the licensee did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening. Evidence: Three provider / household member records were reviewed. The record for Provider #1 contained the most recent results of a Tuberculosis (TB) Screening which was conducted more than two years ago and dated 6/14/2018. The licensee confirmed that she did not have more recent documentation of results of a TB screening for provider #1.
Plan of Correction:	The licensee stated that she will make arrangements for provider #1 to obtain a new TB Screening within 10 days and maintain the documentation in provider #1's record.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of records and interview, the licensee was not able to demonstrate that each caregiver obtains a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Three provider / household member records were reviewed. The record for caregiver #1 did not contain documentation of any annual training conducted within the last 12 month period. The record for caregiver #2 contained documentation of 13 of the 16 required annual training hours for the 12 month period. The licensee confirmed that the required documentation of 16 hours of annual training had not been obtained for caregiver #1 or caregiver #2.
Plan of Correction:	The licensee will ensure that all caregivers obtain a minimum of 16 hours of annual training for the next 12 month period and will maintain documentation to demonstrate the training obtained.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview, the licensee did not ensure that all areas and furnishings of the family day home, inside and outside, are maintained in a clean, safe, and operable condition. Evidence: The fence surrounding the outdoor play space used by children on care had several sections in which a horizontal support board was missing and the sharp end of the nails along the length of the panel are exposed. The exposed nails would be accessible to children playing outdoors in the yard. There were no children in the yard at the time of inspection. The licensee acknowledged the exposed nails and is making arrangements to have the fence repaired.
Plan of Correction:	The licensee will bend the nails down with a hammer over the weekend so that the sharp tips of the nails are no longer exposed. She states that she is planning to have more extensive repairs to the fence done very soon and will closely monitor and alleviate any risks until then.