VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Angel Latham
4216 Daylilly LN
Virginia beach, VA 23456
(757) 339-4925

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Jan. 17, 2024

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 8VAC20-770 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

Technical Assistance:

The following standards were discussed with the provider during the inspection: 8 VAC 20-800-50 (general recordkeeping), 8 VAC 20-800-200 (caregiver training), 8 VAC 20-800-800 (emergency preparedness and response plan), 8 VAC 20-800-920 (menus)

Comments:

A renewal inspection was conducted on 1/17/24 from 6:45pm until 8:35pm.There were no children in care at the time of the inspection. A sample of 3 children's records and 2 provider/assistant records were reviewed. First aid and emergency supplies, the emergency preparedness plan and family day home postings were reviewed. The provider stated that there have been no children's injuries since the last inspection and no medication is being administered to children in care at this time. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations are documented on the violation notice and was discussed with the provider during the exit interview.

Violations:

Standard #:	8VAC20-800-830-A
Description:	Based on interview, the provider did not ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care. Evidence: The provider stated that she has not practiced the monthly emergency evacuation procedures as required by the standards.
Plan of Correction:	The provider responded with the following: Going forward, the provider will ensure that monthly evacuation drills are conducted and documented on the practice drill log.
Standard #:	8VAC20-800-830-B
Description:	Based on interview, the provider did not ensure that shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: The provider stated that she has not practiced the twice per year shelter-in-place procedures as required by the standards.
Plan of Correction:	The provider responded with the following: Going forward, the provider will ensure that shelter-in-place procedures are practiced twice a year and documented on the practice drill log.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, the provider did not ensure that documentation of a physical examination by or under the direction of a physician is obtained prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record for child 1 does not contain documentation of a physical examination. 2. The provider confirmed that the record for child 1 is lacking documentation of a physical examination.
Plan of Correction:	The provider responded with the following: The parent of child 1 will be contacted and a copy of the most recent physical will be obtained and placed in child 1's record.
Standard #:	8VAC20-800-140-B-3
Description:	Based on record review and interview, the provider did not ensure that current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, is obtained every two years. Evidence: 1. The provider's most recent CPR certification is dated 8/14/21. The provider was due for recertification in CPR in August 2023. 2. The provider confirmed that her CPR certification is expired.
Plan of Correction:	The provider responded with the following: CPR/FA recertification will be scheduled and completed as soon as possible.
Standard #:	8VAC20-800-140-B-4
Description:	Based on record review and interview, the provider did not ensure that current certification in first aid is obtained. Evidence: 1. The provider's most recent first aid certification is dated 8/14/21. The provider was due for recertification in first aid in August 2023. 2. The provider confirmed that her first aid certification is expired.
Plan of Correction:	The provider responded with the following: CPR/FA recertification will be scheduled and completed as soon as possible.
Standard #:	8VAC20-800-150-D-1
Description:	Based on record review and interview, the provider did not ensure that an assistant who is left alone with children in care shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. Caregiver 1's most recent CPR certification is dated 8/14/21. Caregiver 1 was due for recertification in CPR in August 2023. 2. The provider confirmed that caregiver 1's CPR certification is expired.
Plan of Correction:	The provider responded with the following: CPR/FA recertification will be scheduled and completed as soon as possible.
Standard #:	8VAC20-800-150-D-2
Description:	Based on record review and interview, the provider did not ensure that an assistant who is left alone with children in care shall have current certification in first aid. Evidence: 1. Caregiver 1's most recent first aid certification is dated 8/14/21. Caregiver 1 was due for recertification in first aid in August 2023. 2. The provider confirmed that caregiver 1's first aid certification is expired.
Plan of Correction:	The provider responded with the following: CPR/FA recertification will be scheduled and completed as soon as possible.
Standard #:	8VAC20-800-210-A
Description:	Based on record review and interview, the provider did not ensure that caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. There is no documentation of annual training for the provider or caregiver 1. 2. The provider confirmed that neither she nor caregiver 1 has completed the required minimum of sixteen hours of annual training.
Plan of Correction:	The provider responded with the following: Going forward, the provider and assistant will complete the required annual training hours. Documentation of trainings will be placed in each caregiver's record.