VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patricia Bly
37 Frailey Place
Portsmouth, VA 23702
(757) 725-8124

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: April 6, 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 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Technical assistance given and licensing standards were reviewed regarding children activity and daily schedule.

Comments:

A renewal inspection was conducted on April 6, 2023 from 1:45pm to approximately 3pm. There were 7 children present (totaling 17 points) and 2 staff. The Inspector reviewed 5 children?s records and 3 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Children were observed during free play, and lunch. 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. The violations were discussed at the exit interview with the owner.

Violations:

Standard #:	8VAC20-800-830-A
Description:	Based on record review and interview, it was determined that the provider failed to ensure that the emergency evacuation procedures be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: 1. The last evacuation drill conducted in the home was October 3, 2022. 2. Staff #1 confirmed that there was no evacuation drill completed for this year; Staff #1 confirmed that the last evacuation drill was conducted on October 3, 2022.
Plan of Correction:	The provider responded with the following: Moving forward, provider will ensure that evacuation drills are completed monthly.
Standard #:	8VAC20-800-870-G
Description:	Based on observation and interview, it was determined that the provider did not ensure that the general requirements for meals and snacks is that the tables and high chair trays be cleaned after each use. Evidence: 1. Directly after the children had lunch, the tables were not cleaned. The provider responded with the following: Provider will ensure that the tables are cleaned directly after each meal or snack.
Plan of Correction:	The provider responded with the following: Provider will ensure that the tables are cleaned directly after each meal or snack.
Standard #:	8VAC20-800-920
Description:	Based on observation and interview, it was determined that the center did not ensure that the menu for the current one-week period shall 1. Be dated; 2. Be given to parents or posted or placed in an area accessible to parents; Evidence: 1. The menu posted on the parent board was for the month of March. 2. Staff #1 confirmed that the parents are not notified nor is the menu posted for the parents. 3. Staff #1 confirmed that the children?s meals and snacks for the week are not posted with the correct date and week.
Plan of Correction:	The provider responded with the following: Staff #1 will ensure that the parents are notified of the menu and it is dated correctly and posted.
Standard #:	8VAC20-800-30-E
Description:	Based on observation and interview it was determined that the provider did not ensure that the home's activities, and services are conducive to the welfare of children in care. Evidence: 1. Children were observed eating lunch upon arrival to the home at 1:45pm. The children, age range of 12 months to 3 years old, did not nap after lunch which was listed as the next activity to the daily schedule. 2. Child #2, age 2, was observed face down on the floor asleep after lunch. 3. Staff #1 stated that the children do not nap granted it was listed on the schedule. 4. The provider did not have cots or mats for the children to sleep during scheduled nap time.
Plan of Correction:	The provider responded with the following: Staff #1 will purchase cots or mats and will ensure that all the children will have a nap. Provider is aware that should the children not sleep, the children will rest in their cots or mats.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview, it was determined that the provider did not ensure that children?s record contain the following information: Emergency contact information including: a. Name, home address, and telephone number of each parent who has custody; name, address and telephone number of each custodial parents place of employment; and the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: 1. Child #1 (date of enrollment 03/06/2023) was missing one of the two required emergency contacts in case of an emergency if a parent cannot be reached. 2. Child #2 (date of enrollment 09/27/2021) was missing both emergency contacts and the mother?s work phone number to their record. 3. Child #3 (date of enrollment 09/27/2021) was missing both emergency contacts and the mother?s work phone number to their record. 4. Child #4 was missing the father?s work phone number to their record. 5. Staff #1 confirmed that Child #1, Child #2, Child #3, and Child #4 were missing either emergency contacts and/or parents work phone numbers to their file.
Plan of Correction:	The provider responded with the following: Staff #1 will obtain all the missing components of the children?s records at pick up today.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, it was determined that the center did not ensure that subsequent tuberculosis screening for caregivers and household member shall be obtain for each caregiver in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Staff #1 has an expired tuberculosis screening dated June 1, 2020. 2. Staff #2 has an expired tuberculosis screening dated June 1, 2020. 3. Staff #1 confirmed that both their tuberculosis screening and Staff #2?s screening are expired.
Plan of Correction:	The provider responded with the following: Provider will ensure to get the tuberculosis screening the following Monday, and put he results of the screening in the case records.
Standard #:	8VAC20-800-280
Description:	Based on observation and interview, it was determined that the provider did not ensure that potentially poisonous substances, materials and supplies such as cleaning agents, and disinfectants be stored away inaccessible to children. Evidence: 1. In the bathroom, there was a bottle of disinfectant spray with the warning label, ?Keep out of reach of children? directly on top of the commode in reach of children in care. 2. Staff #1 confirmed that the bottle of disinfectant was in reach of children.
Plan of Correction:	The provider responded with the following: During the inspection, Staff #1 moved the bottle of disinfectant out of reach of children.