VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Shirley Ferrell
1325 Oak Street
Danville, VA 24540
(434) 835-2045

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Dec. 5, 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 22.1 Early Childhood Care and Education

Comments:

An unannounced renewal inspection was conducted on 12/05/2022. There were 4 children present, ages 6 months- 3 years, totaling 11 points and 2 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, training, environment and equipment, care of children, preventing the spread of diseases, emergencies, and nutrition. A total of 5 children?s records, 2 caregiver records and 1 household member record was viewed. The children were observed during independent play. The inspector discussed the following with the provider: outlets and animals. The inspector arrived for the inspection at 9:45 am and departed the family day home at 11:30 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notices issued to provider.

Violations:

Standard #:	8VAC20-800-920
Description:	Based on observation and interview with caregiver, the provider failed to ensure that when meals or snacks are provide by the family day home, the menu for the current one-week period shall be dated; given to parents or posted in an area accessible to parents; and list any substituted food. Evidence: The most recent menu posted was April 2022. Caregiver 1 confirmed no other menu was available.
Plan of Correction:	Caregiver will create a menu.
Standard #:	8VAC20-800-100-A
Description:	Based on the record review and interview with caregiver, the provider failed to ensure documentation shall be obtained of a physical examination by or under the direction of a physician prior to a child?s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child 2 did not contain documentation of a physical. The record indicated the first day of attendance was 1/19/2022. Caregiver 1 confirmed this information was not available. 2. The record for Child 3 did not contain documentation of a physical. The record indicated the first day of attendance was 10/24/2022. Caregiver 1 confirmed this information was not available.
Plan of Correction:	Caregiver will obtain information from parent by 12/16/2022.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview with caregiver, the provider failed to ensure that the child?s record shall contain all of the elements as required by the standard. Evidence: 1. The record for Child 1 did not contain the following: name address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there was only one designated person). Caregiver 1 confirmed this information was not available. 2. The record for Child 2 did not contain the following: name address and telephone number of each parent who has custody (father?s information was blank). Caregiver 1 confirmed this information was not available. Caregiver 1 confirmed this information was not available. 3. The record for Child 3 did not contain the following: : name address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there was only one designated person). Caregiver 1 confirmed this information was not available. Caregiver 1 confirmed this information was not available. 4. The record for Child 4 did not contain the following: name address and telephone number of each parent who has custody (mother?s information was blank), name and address of child?s physician, Information on allergies and intolerance to food, medication or any other substances and actions to take in an emergency. Caregiver 1 confirmed this information was not available.
Plan of Correction:	Caregiver will obtain information from parent by 12/05/2022.
Standard #:	8VAC20-800-90-A
Description:	Based on the record review and interview with caregiver, the provider failed to ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements. Evidence: The record for Child 4 did not contain documentation of immunization. Caregiver 1 confirmed this information was not available.
Plan of Correction:	Caregiver will obtain information from parent by 12/16/2022.
Standard #:	8VAC20-800-180-A
Description:	Based on the record review and interview with caregiver, the provider failed to obtain a report of tuberculosis screening every two years form date of first screening. Evidence: The record review for Caregiver 2 contained a tuberculosis screening dated 7/10/2019. Caregiver 1 confirmed there was no 2021 screening available for review.
Plan of Correction:	Caregiver will obtain this information.