VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Angela Hines
354 Starboard St
Portsmouth, VA 23702
(757) 537-6749

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: May 23, 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 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted on May 23, 2022. The inspectors arrived at 10 AM and departed at approximately 12PM. Present in the home were 10 children, totaling 30 points, and two providers. The youngest child in care was 10 weeks old. Children were observed during circle time, story time, free play, and lunch. First Aid kits and emergency preparedness documents were observed. A sample size of five children's records were reviewed and four staff records. It was reported that no medication has been administered to children in care and no children's injuries were reported. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the program director at the exit interview.

Violations:

Standard #:	8VAC20-800-960-B
Description:	Based on observation and interview, it was determined that the provider did not ensure that infants who cannot hold their own bottles be picked up and held for bottle feeding. Bottles shall not be propped. Evidence: 1. Child #1, 16 weeks old, was observed in a bouncy chair with a bottle propped with a blanket. 2. Staff #2 was supervising Child #1 and confirmed she propped the bottle with a blanket.
Plan of Correction:	The provider responded with the following: Staff will ensure that bottles are not propped and that infants are picked up and held for bottle feeding.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, it was determined that the provider did not ensure bottles were appropriately labeled with the child?s full name and the date, if more than one infant is in care. Evidence: 1. Two infant children were present during the inspection that were bottle fed. a. Child #1, age 16 weeks, did not have a date on their bottle. b.Child #2, age 5 month old, did not have a name or date on the bottle. 2. Staff #1 confirmed that typically dates are not written on feeding bottles.
Plan of Correction:	The provider responded with the following: Moving forward, all staff will ensure names and dates are placed on all feeding bottles.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, it was determined that the provider did not ensure that follow-up Tuberculosis Screenings are obtained every two years from the date of the first screening by staff. Evidence: 1. The records for Staff #1 and Staff #2 contain tuberculosis screening that are past due for update. a. The most recent tuberculosis screening for Staff #1 was dated April 27, 2020. b. The most recent tuberculosis screening for Staff #2 was dated April 29, 2020. 2. The provider acknowledged that a new TB screening was required two years from the date of the last screening and documents were not available in the records of Staff #1 and Staff #2 to indicate that they had been completed.
Plan of Correction:	The provider responded with the following: Staff #1 and Staff #2 will obtain the required TB screening this month at the Health Department.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider did not ensure that the family day home be maintained in a safe condition. Evidence: 1. A lit three-wicked candle was left unattended in the living room posing as a fire and safety hazard. Children were present in the family day home.
Plan of Correction:	The provider responded with the following: Moving forward, no candles will be lit in the family day home while children are in care.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider did not ensure that a child-resistant protective covers be installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. An unused electrical outlet was observed without a protective cover beside the children?s table. 2. Four children, under the age of five years old, were observed sitting at the table in which an unused outlet was accessible.
Plan of Correction:	During the inspection, the provider immediately placed a protective cover to the outlet. Moving forward, the provider will ensure all unused outlets contain a protective cover.
Standard #:	8VAC20-800-430-D
Description:	Based on observation, it was determined that the provider did not ensure that children did not have access to stairs. Evidence: 1. A protective gate was not in placed on the stairs from the daycare center room leading to the entrance of the kitchen. 2. The family day home currently had 10 children in care in which the stairs were easily accessible.
Plan of Correction:	The provider responded with the following: Staff will ensure that a protective gate is in place at the stairs.
Standard #:	8VAC20-800-520-A
Description:	Based on observation and interview, the provider did not ensure that a crib be provided for children from birth through 12 months of age. Evidence: 1. Child #1 the age of 16 weeks old, date of enrollment March 14, 2022, did not have a designated crib and has been sleeping in a mesh sided bassinette which does not meet licensing standards for a family day home. 2. Staff #1 confirmed that the bassinette was currently being used as a designed sleep area by Child #1.
Plan of Correction:	The provider responded with the following: Staff #1 will purchase a new crib for the family day home.
Standard #:	8VAC20-800-540-A
Description:	Based on observation and interview, it was determined that the provider did not ensure that when a feeding or activity table is occupied by a child, a safety strap shall be used and securely fastened. Evidence: 1. Three of the four children placed in activity/feeding tables, from the age range of 11 months to 16 months, did not have their safety strap securely fastened. 2. Staff #2 confirmed the three children were not appropriately fastened with a safety strap.
Plan of Correction:	The provider responded with the following: Staff will ensure that all children when placed in a feeding/activity table be appropriately and securely fastened.
Standard #:	8VAC20-800-600-B
Description:	Based on observation, it was determined that the provider did not ensure that infants and toddlers spend no more than 30 minutes of consecutive time confined in a chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour. Evidence: 1. Four children, from the age range of 11 months to 16 months old, were observed during the inspection in their feeding/activity table for over an hour.
Plan of Correction:	The provider responded with the following: Provider will ensure that infants and toddlers do not spend more than 30 minutes of consecutive time confined in a chair and will allow children to have more time to move around.