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: Jan. 18, 2023

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

Technical Assistance:

1. Recommend use of the current Virginia Department of Education model forms. 2. Replace the weak battery in the smoke detector in the living room. 3. If a household member is serving in the capacity of an assistant in the family day home you must assure that all requirements of 8VAC20-800-120 Care Giver records are met.

Comments:

A renewal inspection was conducted on 01/18/2023 from 10:09 a.m. ? 2:05 p.m. There were 9 children present during the inspection and three 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, 3 provider records, and 1 household member 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 #:	22.1-289.036-B-2
Description:	Based on record review and interview, the provider failed to ensure that a new household member had a criminal record check within 30 days of residing in the family day home. Evidence: During the inspection a new household member was identified. Provider advised that HM1 moved into the home in February 2022. The background check provided for review was dated 12/30/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-760-B
Description:	Based on observation, provider failed to assure the first aid kit was inaccessible to children. Evidence: The plastic tote containing the first aid kit was stored and accessible to children in an open bookcase located by the activity tables used by children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-C
Description:	Based on observation, the provider failed to ensure that each caregiver received annually training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures. Evidence: Records for S2 and S3 did not document the annual review of the home?s emergency preparedness and response plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
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. The record for C1 did not document the date of enrollment 2. The records for C3, enrolled 09/06/2022 and C4, enrolled 11/21/2022 did not document the emergency contact information (phone number) for each parent?s place of employment. 3. The record for C2, enrolled 11/23/2022 did not document the address of each parent and did not contain an immunization record for the child as required by 8VAC20-800-90. 4. The records for C3 and C4 did not contain written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately. 5. The record for C5 (DOA 02/14/2022) did not contain the results of a health examination for the child as required by 8VAC20-800-100.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider failed to assure that each adult household member prior to coming into contact with children had a form documenting the absence of tuberculosis (TB) in a communicable form. Evidence: HM1 failed to have results of a TB screening available for review during the inspection. The TB test was place 01/07/2023 but not results were documented and the household member moved into the home in February 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on file review, the provider failed to ensure that two of three caregivers obtained 16 hours of annual training. Evidence: The records for S1 and S2 contained verification of 3 hours of annual training between 01/01/2022 and 12/31/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-350-D
Description:	Based on observation and interview, the provider failed to assure an ample supply of hot water available to children and caregivers for hand washing. Evidence: On 01/18/2023 the inspector observed the lack of hot water in the kitchen and bathroom of the family day home. The provider reported periodic problems with the home having hot water available. The provider reports she is working with the landlord to assure hot water is available in the home
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-530-A
Description:	Based on observation, the provider failed to ensure the rest mats used for children shall have linens consisting of a top cover and bottom cover or a one-piece covering that is open on three edges. Evidence: During the inspection, children were observed to be resting on mats without a bottom cover or one piece covering that is open on three edges.
Plan of Correction:	Not available online. Contact Inspector for more information.