VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Tonya Spralling
703 Hancock Avenue
Portsmouth, VA 23701
(757) 558-9034

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Sept. 12, 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 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Standard 610. A. was discussed: Use of media such as, but not limited to, television, videos, video games, and computers shall be limited to not more than a total of two hours per day. Discussed dividing up soap and paper towels to ensure a supply is on hand in the bathroom designed for children. Discussed a morning review of the outdoor play area to ensure water and debris that may have collected in outdoor equipment is emptied. The seats on the 4-way spring rocker have cracks and are in need of replacement before they become a safety hazard.

Comments:

An unannounced monitoring inspection was conducted on 09/12/2022 from 10:35 am - 12:30 pm. At the time of entrance there were six children in care with two caregivers. The ages of the children counted for a total of 16 points. Children were observed completing morning activities, watching an animated show on the television, eating lunch and napping. Records were reviewed for the two caregivers and two children in care. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-770-40-D-4-a
Description:	Based on interview, the provider failed to ensure that when a person 18 years of age or older begins residing in the home a completed sworn statement or affirmation is obtained and within 30 days of residence a search of the central registry is obtained. Evidence: 1. The provider stated that household member 1 lacked a completed sworn statemen or affirmation and the results of a central registry check. a. The provider stated that this individual began residing in the home on 08/01/2022.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-790
Description:	Based on observation and interview, the provider failed to ensure that the following telephone numbers shall be posted in a visible area close to the telephone: The responsible person for emergency backup care as required in 8VAC20-800-800- A-3. Evidence: 1. The emergency phone numbers posted by the telephone lacked the name and phone number of an individual for emergency backup care. a. The provider stated she did not have this information posted because she did not have an emergency back up as this time.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-830-A
Description:	Based on record review and interview, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: 1. The emergency log for the family day home indicated the most recent fire drill had been conducted on 07/14/2022. a. The provider confirmed that a fire drill had not been conducted in August 2022.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-920
Description:	Based on observation and interview, the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents. Evidence: 1. The menu posted on the parent board was dated June 1 - 30, 2022. 2. The provider confirmed the posted menu was not current. a. The provider did have a menu for the week of 09/12 - 09/16/2022 however, it was not posted or placed anyway accessible to parents.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-960-G
Description:	Based on observation, the provider failed to ensure that bottles shall not be heated in a microwave oven. Evidence: 1. Caregiver 2 was observed heating a bottle of prepared formula in the microwave at approximately 12:20 pm. a. Caregiver 2 then fed the bottle to child 3 - age 4 months.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-120-B
Description:	Based on record review, the provider failed to ensure that assistants' records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The assistant lacked documentation of a second reference check. a. Caregiver 2 has a hire date of 12/12/2017. 2. The provider confirmed that the second reference was not on file.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-170-A
Description:	Based on interview, the provider failed to obtain for each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. The provider stated that a new household member, residing in the home since 08/01/2022 did not have a TB screening on file.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable 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 backyard play area: a. The wooden cartoon characters attached to the fence have areas of peeling paint. These characters are within reach of children. b. The ground support for the metal helicopter is exposed. This is a trip hazard. 2. The wall cover for the light switch in the children's bathroom was loose and had pulled away from wall allowing for a child to easily reach inside the wall.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-250-A
Description:	Based on observation the provider failed to ensure that hanging items including window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age. Evidence: 1. A black cable type cord, measuring approximately 48 inches in length, was observed hanging down toward the ground on the side of the home included in the outdoor play area. a. This cord was easily accessible to the children in care all of which are three years or younger. 2. Accessible cords, from a speaker, were observed under a table in the child care room. a. These cords were accessible as the table was open and lacked any barriers to prevent access by children in care.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers shall be stored in areas inaccessible to children. Evidence: 1. A can of disinfectant spray was observed stored on the second shelf, from the floor, of the diaper changing table. a. The diapering table is located in the child care room and this storage shelf is accessible to children in care.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-550
Description:	Based on observation the provider failed to ensure that a play pen where used shall not have torn mesh sides. Evidence: The mesh sided play pen has three areas of torn mesh.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-630-A
Description:	Based on observation, the provider failed to ensure that caregivers shall use positive methods of discipline. Discipline shall be constructive in nature and include techniques such as: giving positively worded direction. Evidence: 1. Caregiver 1 was heard speaking to child 1, age 3 years, in a voice tone that was loud and negative. a. Caregiver 1 stated, "Come on in here." "Sit down" in a tone that could be heard from two rooms away from where the inspector was sitting. b. After telling child 1 several times to "Sit down" using the sharp voice tone - child 1 began to cry.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the provider failed to ensure that caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering. Evidence: Caregiver 2 failed to wash the hands of child 2 after a diaper change at approximately 10:40 am.
Plan of Correction:	Corrected
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider failed to ensure that the diapering surface shall be nonabsorbent. Evidence: 1. A tear, measuring approximately two inches, was observed on the diapering pad. a. Tears allow for germs to seep inside of the pad.
Plan of Correction:	Corrected
Standard #:	8VAC20-820-120-E-1
Description:	Based on observation, the provider failed to ensure that certain documents related to the terms of the license are required to be posted on the premises of each licensed facility. 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 to be corrected and the deadline for completion of such corrections is available for inspection at the facility or on the facility's website, if applicable. Evidence: 1. The provisional license, issued 06/13/2022, was not posted at the public entrance of the family day home. a. The provisional license was posted on the parent board however, it was mostly covered by a sheet of paper listing current child care rates.
Plan of Correction:	Corrected
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the provider failed to ensure that the findings of the most recent inspection of the facility were posted. Evidence: 1. The findings of the most recent renewal inspection, conducted on 05/05/2022, were not posted.
Plan of Correction:	Corrected