VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Phyllis Noel
4 Pyron Hunt Circle
Hampton, VA 23666
(757) 826-2076

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: May 3, 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 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 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse

Technical Assistance:

Discussed and clarified TB screenings for ALL household members and providers.

Comments:

The inspection was initiated and concluded on May 3, 2023. There were 9 children totaling 31 points, with 2 providers supervising. The inspector reviewed compliance in the areas of administration, personnel, physical health of caregivers, caregiver training, physical equipment/ environment, care of children, preventing spread of disease, emergencies and nutrition. A total of 5 child records,1 provider record, 1 assistant record and 2 household member records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program Please contact Christine Mahan, Licensing Inspector with any questions 757-404-0568.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation and provider interviews, the provider did not have that a building that was built before 2015 and that serves preschool-age children shall be equipped with at least one carbon monoxide detector. Evidence: The provider confirmed there was not carbon monoxide detector.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-4-a
Description:	Based on record review and provider interviews, the provider did not ensure that a person living in the home of a licensed family day home provider had a sworn statement or affirmation when the person age 18 years or older begins residing in the home. A search of central registry and criminal history record check, as requested by the individual must be done within 30 days of a person 18 years of age or older beginning to reside in the home. Evidence: Household member #4's sworn statement was dated 4-23-23 and was completed when they began residing in the home on 4-13-2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and provider interviews, the provider did not ensue to obtain documentation 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: The provider confirmed the health examination for Child #2 and Child #4 were missing. Child #2's first date of attendance was 3-13-2023 and Child #4's was 1-3-2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and provider interviews, the provider did not ensue to obtain from each provider and adult household member a current report of Tuberculosis Screening form, in accordance with the requirements, every two years from the date of the first screening. department. Evidence: The following providers and household members did not have updated TB screenings as required. 1.Household member #3 TB screening was dated 8-27-16. 2.Provider #1 TB screening was dated 3-24-21 3. Provider #2 TB screening was dated 3-24-21
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on record reviews and provider interviews, the provider did not ensue that caregivers had obtained in addition to completion of first aid training and CPR training, a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The training hours documented and available for review for provider #1 was 13 and for provider #2 was 10.5 of the required 16 hours of annual training.
Plan of Correction:	Not available online. Contact Inspector for more information.