VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Burlene Tharpe
1420 Selma Lane
Henrico, VA 23223
(804) 819-1921

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: June 29, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-790 SUBSIDY REGULATIONS

Technical Assistance:

n/a

Comments:

A Subsidy Health and Safety Inspection was conducted on Wednesday, June 29, 2022 to review supplemental health and safety requirements. The inspector was on site from 2:40pm to approximately 4:35pm. During this inspection, there were six children present in the care of two caregivers. The children were observed in their designated areas in the home, interacting with peers, and playing with age appropriate toys. The areas of childcare, kitchen, the indoor and outdoor play areas were inspected. The caregivers were observed having positive interactions with the children. The required postings were reviewed and found to be in compliance. The first aid kit and emergency supplies, daily attendance, and emergency drills were reviewed. Five children's records, two caregivers' records, and one household member's records were reviewed. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. 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 #:	8VAC20-790-190-B-12
Description:	Based on a review of five children's records and interview, the vendor did not have a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1) The record for Child #5, enrolled on 02/03/22, indicated the child has a diagnosed food allergy. The record did not contain a written care plan. 2) During interview, Caregiver #1 acknowledged a written care plan was not obtained for Child #5.
Plan of Correction:	The written allergy care plan will be requested and filed for Child #5.
Standard #:	8VAC20-790-420-B-5
Description:	Based on a review of documentation and interview, the vendor did not ensure that the written emergency preparedness plan addresses lockdown procedures. Evidence: 1) The emergency preparedness plan did not contain procedures for: methods to alert caregivers and emergency responders; methods to secure the family day home and designated lockdown locations; methods to account for all children in the lockdown locations; methods of communication with parents and emergency responders; accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during lockdown; and procedure to reunite children with a parent or authorized person designated by the parent to pick up the child. 2) During interview, Caregiver #1 reported the lockdown procedures have not been added to the emergency preparedness plan at this time.
Plan of Correction:	The emergency preparedness plan will be reviewed and updated according to requirements.
Standard #:	8VAC20-790-420-B-7
Description:	Based on a review of documentation and interview, the vendor did not ensure the emergency preparedness plan addresses the continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: 1) The emergency preparedness plan did not contain continuity of operations procedures to ensure that essential functions are maintained during an emergency. 2) During interview, Caregiver #1 reported the procedures have not been added to the emergency preparedness plan to date.
Plan of Correction:	The emergency preparedness plan will be reviewed and updated according to requirements.