VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Katina Scott
2810 Seibel Road
Richmond, VA 23223
(804) 347-7372

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

Inspection Date: June 28, 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 ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

A monitoring inspection was conducted on 06/28/2022 from 12:45 p.m. ? 4:30 p.m. There were 10 children present during the inspection and two providers present. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five (5) children?s records and 3 provider records were reviewed. The information gathered during the inspection determined violations with applicable standards. A violation notice was issued. If you have any questions related to this inspection, please contact Inspector, Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-940-B
Description:	Based on observation and interview, the provider failed to ensure that an operable thermometer was available to monitor the refrigerator compartment temperature. Evidence: The thermometer located in the refrigerator was not registering a temperature.
Plan of Correction:	I will buy another thermometer.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of children?s records, the provider failed to ensure that five of five children?s records contained all of the required information. Evidence: 1. Records were reviewed for five children enrolled at the family day home. 2. The records for C1, C2, and C5 did not document emergency contact information (address and phone number) for each custodial parent?s place of employment. 3. The record for C5 did not document a name, address and telephone number for a second designated person to contact in case of an emergency if the parent cannot be reached. 4. The record for C5 did not document the policy number of the child?s medical insurance. 5. The record records for C3, C4, and C5 did not contain information on allergies and intolerance to food, medication, or any other substances, and actions to be taken in an emergency situation. 6. The records for C1 and C2 failed to contain documentation of annual parent confirmation of up-to-date information in the record as required by 8VAC20-800-780.B. Children, C1 and C2 have the first day of attendance documented as 12/09/2020. The parent?s signed acknowledgement of the review was dated 01/02/22. 7. The record for C5 (DOA 06/10/2022) did not document the provider verifying proof of the child?s identity within 7 days. 8. The record for C2 did not contain an immunization record for the child as required by 8VAC20-800-90. 9. The record for C3 did not contain the results of a health examination for the child as required by 8VAC20-800-100.
Plan of Correction:	I will make sure I double check the records.
Standard #:	8VAC20-800-210-A
Description:	Based on file review, the provider failed to ensure that one of three caregivers obtained 16 hours of training annually. Evidence: S3?s record contained no verification of annual training between 01/01/2021 and 12/31/2021.
Plan of Correction:	I will see that my assistant get the hours that's needed for training.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to maintain all areas outside of the home in a safe and operable condition. Evidence: On 06/28/2022, the inspector observed in the fenced backyard used by children contained unsafe conditions to include: two five gallon buckets filled with rain water; a yard sprayer that contain an unidentified liquid; a broken glass table top; lawn mower gas cans; a car battery; a large wooden bed frame that was unstable; a metal swing set that was not secured in the ground; and a splintering door on the home?s attached shed. The provider reported plans to clean these items from the yard in the near future and the children are monitored when out in the backyard.
Plan of Correction:	Everything will be removed and thrown away and what we keep will be stored another place.
Standard #:	8VAC20-800-460-D
Description:	Based on documentation review, provider failed to maintain documentation of the current rabies vaccination. Evidence: A pet was present in the family day home. The three years rabies vaccination was due 05/03/2022.
Plan of Correction:	Pet is scheduled for his shots on July 20, 2022.
Standard #:	8VAC20-800-510-C
Description:	Based on observation and provider interview, the provider failed to maintain at least 12 inches of space between occupied rest mats. Evidence: On 06/28/2022 the inspector observed multiple occupied rest mats less than 12 inches apart. Provider acknowledged that moving additional chairs and tables in the space would be needed to allow for the required 12 inches of space.
Plan of Correction:	I will make sure the kids have 12 inches of space when it's time for napping.