VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dana Smith-Washington
6012 Steeplechase Lane
Suffolk, VA 23435
(757) 779-3206

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: June 16, 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 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

Technical Assistance:

Children were not observed using outdoor equipment during today's inspection. However, outdoor equipment was observed stored on the back deck of the home. We discussed the use of outdoor play equipment and some of the the safety requirements that would apply to the use of this equipment in the future: 8VAC20-800-500 C. Stationary outdoor playground equipment shall: 1. Not be installed over concrete, asphalt, or any other hard surface; 2. Be placed at least six feet from the perimeter of other play structures or obstacles; and 3. Be firmly anchored with ground supports that are covered with materials to protect children from injury. Children were observed washing their hands and it was noted that some children had difficulty reaching the sink in the bathroom. Please ensure that children are able to safely access the taps by providing a step or platform that enables them to reach the water and soap safely. As a reminder - within the current 12 month period, two shelter in place drills must be practiced and documented on your emergency drill log.

Comments:

A monitoring inspection was initiated and concluded on 6/16/2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 6 children present, ranging in ages from 1 year to 5 years, with the Licensee 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 4 caregiver / household 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 was unable to demonstrate that documentation of a physical examination by or under the direction of a physician was obtained prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Two children's records were reviewed. The record for child #2 (enrolled 12/21/2022) did not contain the results of a physical examination. The licensee confirmed that this documentation was not in the file and she was unable to provide this documentation during the inspection.
Plan of Correction:	The licensee stated that she had requested this documentation from the parent and thought she had received it. The licensee will contact the parent this week and ask that the documentation be provided within 2 weeks. The parent has already stated to the licensee that child #2 has a scheduled appointment in the near future before he may start kindergarten in the fall.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that documentation that the child is adequately immunized is obtained before the child may attend the family day home. Evidence: Two children's records were reviewed. The record for child #2 (enrolled 12/21/2021) did not contain any documentation of the child's immunizations. The licensee confirmed that this information was not contained in the record and was unable to provide documentation of adequate immunizations during the inspection.
Plan of Correction:	The licensee stated that she had requested this documentation from the parent and thought she had received it. The licensee will contact the parent this week and ask that the documentation be provided within 2 weeks. The parent has already stated to the licensee that child #2 has a scheduled appointment in the near future before he may start kindergarten in the fall.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that each caregiver in the family day home obtains a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Four Provider / Assistant / Household member records were reviewed. The record for Assistant Caregiver #3 did not contain documentation of annual training for the current year. The licensee confirmed that Caregiver #3 occasionally cares for children but only rarely when attendance warrants it. The licensee was unable to provide documentation of annual training for Caregiver #3 during the inspection.
Plan of Correction:	The licensee will speak with caregiver #3 and request that training be started immediately with the goal of having 16 hours within 30 days. The licensee has requested a link to the Virginia preservice training which would constitute 10 of the 16 required annual training hours if completed. This training will be shared with caregiver #3 this week.
Standard #:	8VAC20-800-320-G
Description:	Based on a review of documentation and interview, the licensee was not able to demonstrate that wood burning stoves and fireplaces and associated chimneys are inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. . Evidence: The licensee conformed that her fireplace was wood burning. When asked if an inspection of the fireplace and chimney(s) had been conducted within the past 12 months, the licensee stated that it had not been.
Plan of Correction:	The licensee stated that she was not aware that the fireplace required an annual inspection. She stated that she would call this week and schedule an inspection for the earliest available appointment date.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the licensee did not ensure that the surface used for changing children's diapers was Separate from surfaces used for any child's activities. Evidence: The licensee was observed changing a toddler's diaper on a cot. The cot was also used by the child for rest time after the diaper was changed.
Plan of Correction:	The licensee stated that she does have a dedicated diapering mat to be used for changing diapers. Diapers will only be changed on this dedicated diapering mat which will then be cleaned and sanitized after use. Equipment used by children will not be used as a diapering surface.