VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Shirley Ferrell
1325 Oak Street
Danville, VA 24540
(434) 835-2045

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: May 5, 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 EMERGENCIES 8VAC20-800 NUTRITION 8VAC20-800 TRANSPORTATION 8VAC20-800 NIGHTTIME CARE 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:

An unannounced monitoring inspection was conducted on 05/05/2022. There were 7 children, ages 17 months- 4 years, totaling 16 points, with one care giver and assistant caregiver supervising present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, care of children, preventing the spread of disease, emergencies and nutrition. A total of 5 children?s records, 3 caregiver records, one household member and one pet record were reviewed. The children were observed in free choice play, small group activities and having lunch. The inspector arrived for the inspection at 10:20 am and departed the family day home at 12:30 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.036-A
Description:	Based on record review, the provider failed to ensure that every adult living in a family day home shall undergo all background checks in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: The most recent sworn statement in the record for Household Member 1 was signed and dated 07/0/2016. There was not a signed updated sworn statement completed in 2021.
Plan of Correction:	Will get it signed today.
Standard #:	8VAC20-800-790
Description:	Based on observation and discussion, the provider failed to ensure that the required telephone numbers shall be posted in a visible area close to the telephone. Evidence: The telephone number for the responsible person for emergency backup care was not posted.
Plan of Correction:	Will post.
Standard #:	8VAC20-800-920
Description:	Based on observation and discussion, the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated; given to parents or posted in an area accessible to parents; and list any substituted food. Evidence: There was not a menu for the current one-week period posted. The most recent posted menu was for April 2022.
Plan of Correction:	Will redo and post.
Standard #:	8VAC20-800-120-B
Description:	Based on record review and discussion, the provider failed to ensure that the assistant caregiver records shall contain all of the elements as required by the standards. Evidence: 1. The record for Caregiver 2 did not contain the following: verification of age; date of employment; and documentation that two or more references as to character and reputation as well as competency were checked before employment 2. The record for Caregiver 3 did not contain the following: verification of age; date of employment; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation of tuberculosis screening as required by the standards.
Plan of Correction:	Will get this information into the record.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and discussion, the provider failed to ensure that the child?s record shall contain all of the elements as required by the standard. Evidence: 1. The record for Child 1 did not contain the following information: name, address and telephone number of each custodial parent?s place of employment (there was no work number provided for the place of employment listed); and immunization records for the child. 2. The record for Child 2 did not contain the following information: immunization record for the child; and results of the health examination for the child. 3. The record for Child 3 did not contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there was no address for the second designated person); names of person other than custodial parents who are allowed to pick up the child; immunization record for the child; and results of the health examination for the child. 4. The record for Child 4 did not contain the following information: immunization record for the child; results of the health examination for the child; and documentation of the review of the child?s emergency contact information as required by the standard (the most recent review was 01/11/2021).
Plan of Correction:	Will talk to parents at pick-up and get information.
Standard #:	8VAC20-800-280
Description:	Based on observation and discussion, the provider failed to ensure that potentially poisonous substances were stored in areas inaccessible to children. Evidence: 1. There was an aerosol can of Lysol beside of the bathroom sink that was accessible to children. 2. There were multiple empty bottles of consumable alcohol observed on a table in the provider?s bedroom. One of the bottles, labeled Hennessy, was opened and contained a brown liquid solution. The provider stated that a 2 year old child uses the bedroom for rest time from time to time. The bottles were accessible to children.
Plan of Correction:	Will move downstairs.