VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Joan Green
710 Halifax Street
Emporia, VA 23847
(434) 348-0799

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Nov. 16, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Motor activities discussed for toddlers in addition to safe room arrangement for this age group when they are playing in the living room/play area. A new sworn statement or affirmation should be completed every 5 years for all caregivers and household members. Requirements for diaper cream discussed. Refer to standard 750.

Comments:

An unannounced renewal inspection was conducted on 11/16/2023 from 10:05 am - 12:01 pm. At the time of entrance there were eight children in care with four caregivers. The ages of the children counted for a total of 28 points. Preschool children were observed during morning program time. Infants were observed napping and during feeding. Records were reviewed for four caregivers and one household member. Eight children's records were additionally reviewed. Violations were found in the areas of caregiver training, physical equipment and environment, preventing the spread of disease and background checks. These violations are listed on the violation notice issued to the provider and were discussed at the conclusion of the inspection.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review and interview, the provider failed to obtain for all applicants, caregivers and household members a fingerprint background check every five years. Evidence: 1. The most recent fingerprint background check for caregiver 2 was conducted on 04/27/2018; 2. The most recent fingerprint background check for caregiver 3 was conducted on 05/07/2018; 3. The most recent fingerprint background check for caregiver 4 was conducted on 05/04/2018; 4. The most recent fingerprint background check for household member 1 was conducted on 05/08/2018 5. The provider verified that these background checks had not been updated.
Plan of Correction:	The provider stated that an appointment has been made at a field print location to have the fingerprint background check updated for all caregivers.
Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the provider failed to obtain a fingerprint background check for all caregivers prior to employment. Evidence: 1. Caregiver 1, hire date 01/02/2023, lacked the results of a fingerprint background check. 2. The provider confirmed that a fingerprint background check had not been obtained for caregiver 1.
Plan of Correction:	The provider stated that she attempted to obtain a criminal record check from the local police agency for her area. An appointment has been made at a field print location to have a fingerprint background check obtained for caregiver 1.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to ensure that areas of the family day home, inside and outside, shall be maintained in a safe 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 during a review of the outdoor play area: a. The wood support and one wooden spindle were loose on the railing of the entrance/exit deck to the outdoor play area. This poses a potential fall/head entrapment hazard; b. An extension cord, electrical wire with attached socket, small metal chain, and a rusty metal tent pole were observed placed in a pile on a table located within the outdoor play area. These items are within easy reach of children. 2. Two metal coat hooks were attached to the wall outside of the preschool play room approximately 21 inches from the floor. These hooks are at face level of preschool children and could cause potential injury to the face/eye if a child were to fall or be pushed toward these protruding hooks.
Plan of Correction:	The spindle and railing was secured during the inspection. The provider stated that all of the items, placed on the outside table, will be discarded/removed on November 22, 2023 during weekly garbage disposal. The wall hooks will be removed.
Standard #:	8VAC20-800-540-A
Description:	Based on observation, the provider failed to ensure that Infant carrier seats shall be used according to the manufacturer's instructions. Evidence: 1. When the inspector arrived at approximately 10:05 am child 1, age 5 months, was observed sitting in an infant carrier seat that had been hooked over a chair in the living room of the home. a. The plastic carrier handle had been placed over the back of a chair so that the chair was sitting on top of the couch cushion. 2. The manufacturer label, placed on this chair, states the product should never be used on any elevated or soft surface due to potential for fall or tipping over. The label additionally states, "Use only on floor."
Plan of Correction:	The chair was placed on the floor during the inspection and will no longer be secured over an adult chair.
Standard #:	8VAC20-800-690-D
Description:	Based on interview, the provider failed to ensure that the diapering surface shall be cleaned after each use. Evidence: 1. The provider stated that the diapering surface was sanitized after each diaper change however, the surface was not cleaned prior to sanitizing as required.
Plan of Correction:	The provider stated that cleaning procedures will be added to the diapering process going forward.