VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Joan Green
710 Halifax Street
Emporia, VA 23847
(434) 348-0799

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Aug. 11, 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 8VAC20-820 THE LICENSE 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on 08/11/2022 from 10:55 am - 1:45 pm. At the time of entrance there were 8 children in care with 2 caregivers. The ages of the children counted for a total of 24 points. Children were observed watching an educational video in the child care room, eating lunch and playing with table toys. One diaper change was reviewed. Nap was observed at the conclusion of the inspection. Records were reviewed for two children and three caregivers. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-800-960-E
Description:	Based on observation, the provider failed to ensure that bottles shall be labeled with the child's full name and the date, if more than one infant is in care. Evidence: 1. Three bottles of formula were not dated. 2. One bottle of formula lacked a name label. a. The provider stated there were 2 infants in care that were bottle fed with formula.
Plan of Correction:	All bottles will be labeled and dated if more than one infant is in care.
Standard #:	8VAC20-800-50-A
Description:	Based on record review, the provider failed to keep a written record of children in attendance each day. Evidence: 1. The parent sign-in sheet, which the provider uses for the attendance record, lacked documentation of three children in care. a. Child 2, 5 and 6 had not been signed in nor had the provider added them to the sign in sheet for the family day home.
Plan of Correction:	These children were added to the sign in sheet during the inspection. Going forward - the provider will check behind each parent to ensure sheet has been completed for each child.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to ensure that areas of the family day home, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin. Evidence: 1. The following safety hazards were observed in the rear area of the backyard the provider identified as in use for outdoor play. a. Accessible brick fire pit containing loose bricks and metal fire poker; b. Accessible dangling extension cords; c. Accessible metal fan placed on the floor and a table located on covered patio; d. Loose plastic lattice attached to wood boards placed beside porta potty; e. Accessible dangling outdoor string lights; f. Standing water and debris inside of a plastic storage container; g. Half of the round platform of the circular plastic go around is cracked and broken; h. Deteriorated areas of duck tape was observed on the sides of the outdoor climbing structure; I. The safety strap was broken on one of the molded toddler swings; j. Dirt was observed inside the molded toddler swing seat and along the sides of two of the climber/slide cubes. 2. One occupied crib was placed in an area within reach of items, including but not limited to, picture frames and awards that were placed on the wall and shelves of the area utilized for infant napping.
Plan of Correction:	The broken outdoor toys/equipment will be discarded. The outdoor area will be re-configured to ensure children do not have access to the areas of the backyard utilized for family events.
Standard #:	8VAC20-800-380
Description:	Based on observation, the provider failed to provide each child with adequate space to allow free movement and active play indoors. Evidence: 1. The room in use for activities, during the inspection, lacked adequate space for the 8 children and 1 adult observed in this room from 10:55 am until approximately 12:15 pm. a. The furnishing and equipment left little floor space which resulted in the children staying in high chairs and desk chairs when this room was in use for activities.
Plan of Correction:	The provider stated she is taking classes and working with a trainer to improve program, activities and the use of space within the home for all of the children in care. Additional mats, for infant play, have been purchased and the family room has been rearranged to increase the availability of useable space for children.
Standard #:	8VAC20-800-530-B
Description:	Based on observation, the provider failed to ensure that cribs when being used by infants shall have a tight-fitting bottom cover. Evidence: 1. One crib sheet was loose fitting. a. The provider confirmed that an infant had napped in this crib earlier in the morning.
Plan of Correction:	The provider stated a new tight fitting crib sheets will be obtained.
Standard #:	8VAC20-800-600-A
Description:	Based on observation, the provider failed to ensure that infants and toddlers shall be provided with opportunities to: Reach, gasp, pull up, creep, crawl and walk to develop motor skills. Evidence: 1. During the inspection from 10:55 am - 1:45 pm the three infants in care and the two toddlers in care were not provided opportunities to crawl, creep, pull up or walk. All five children were placed in high chairs and infant seats. a. The infants were held by caregivers at various times nevertheless, they did not have any opportunity for motor activities.
Plan of Correction:	The provider stated she is taking classes and working with a trainer to improve program, activities and the use of space within the home for all of the children in care.
Standard #:	8VAC20-800-600-B
Description:	Based on observation, the provider failed to ensure that infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour. Evidence: 1. Child 1, age 12 months, child 2, age 12 months, child 3, age 23 months, child 4, age 2 years and child 5, age 23 months and child 7, age 5 months, were observed in high chairs and infant seats from 10:55 am, when the inspector arrived, until approximately 1:15 pm when they placed on rest mats for nap. a. The only time during the inspection these children were taken out of the high chairs / infant seats was for hand washing and toileting/diapering prior to lunch.
Plan of Correction:	The provider stated the use of high chairs will be minimized going forward.
Standard #:	8VAC20-820-120-E-1
Description:	Based on observation, the provider failed to post the most recently issued license. Any provisional license shall be posted at each public entrance of the facility and a notice shall be prominently displayed next to the license that states that a description of specific violations of licensing standards. Evidence: 1. The provisional licensed, issued 04/29/2022, was not posted in the family day home.
Plan of Correction:	The provider stated the current license will be posted.