VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Frederica Payne
2919 Olive Avenue
Roanoke, VA 24017
(540) 915-3701

Current Inspector: Nicole Scott (804) 588-2372

Inspection Date: April 15, 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 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSE PROCESS 8VAC20-820 HEARING PROCEDURES

Comments:

An unannounced renewal inspection was initiated on 4/15/2024. The inspector was on site from 9:30am until 12:00pm. There were 8 children, ages 6 months to 4 years old under the supervision of one staff totaling 24 points. Children were observed during indoor free play and snack time. Four children's records, one provider record and one assistant record were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. If you have any questions about this inspection, please contact Nicole Scott, Licensing Inspector Phone-804.588.2372 Email- nicole.scott@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the provider failed to ensure Central Registry results were obtained by the end of 30th day of employment. Evidence: Assistant 1, date of hire approximately December 2023, had no record of a Central Registry on file during the inspection on 4/15/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-900-B
Description:	Based on observation, the provider failed to ensure children shall not be allowed to eat or drink while laying down. Evidence: Child 3 (18 months) had woken up from a nap. The provider gave the child with an apple slice while the child was still laying down on the cot.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the center failed to ensure the provider shall obtain documentation of a physical examination by or under the direction of a physician prior to child?s attendance or within 30 days after the first day of attendance. Evidence: Child 2, with an enrollment date of 1/1/2024, had no record of a physical during the inspection on 4/15/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, the provider failed to ensure each assistant?s record shall contain all the elements of the standard. Evidence: The record for Assistant 1 did not have a job title, date of employment, and the name, address and telephone number of a person to be notified in an emergency.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-30-E
Description:	Based on observation, the provider failed to ensure that the home?s activities, services, and facilities are conducive to the welfare of the children in care. Evidence: Child 3 (18 months) was laying on a cot asleep in the main area where the children were playing. Another child was observed throwing books from a highchair at Child 3 on the cot. Children were also observed playing in the area where the child was sleeping.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider failed to ensure a child?s record shall contain name, address and telephone number of two designated persons to contact in case of an emergency if the parents cannot be reached. Evidence: 1.Child 1 had no second emergency contact on file. 2. Child 3 had no emergency contacts on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-80-A
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure that within seven days of the child?s first day of attendance at the family day home, the provider shall obtain verification of the identity and ages and name and location of previous day care programs. Evidence: Child 2 has an enrollment date of 1/1/2024. There was no proof of ID during the inspection on 4/15/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulation. Evidence: 1.Child 2, with an enrollment date of 1/1/2024, had no record of immunizations during the inspection on 4/15/2024. 2.Child 4, with an enrollment date of 2/1/2024, had no record of immunizations during the inspection on 4/15/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-560-A
Description:	Based on observation the provider failed to ensure a caregiver shall be physically present on site and always provide direct care and supervision of each child. Evidence: During the inspection on 4/15/2024, Assistant 1 was in a room in the back of the house from approximately 9:30am to 12:00pm. Assistant 1 only made contact one time during that time frame to say good morning to the children, then returned to the room. There were 8 children under 5 years old and the youngest was 6 months old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-570-A
Description:	Based on observation, the provider failed to ensure that a caregiver does not exceed 16 points by using the point system. Evidence: Provider was alone in the living room with a total of 24 points during the inspection on 4/15/2024. There were 8 children under 5 years old and the youngest was 6 months old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-630-B
Description:	Based on observation, the provider failed to ensure when time out is used as a discipline technique it shall be used sparingly and shall not exceed one minute for each year of the child?s age. Evidence: During the visit on 4/15/2024, Child 2 (age 23 months) was in a highchair upon arrival. Provider stated the child was put in the chair due to biting twice that morning. To avoid another incident, the child was placed in the chair. The child remained in the chair from approximately 9:30am until 11:30am.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-640-2
Description:	Based on observation, the provider failed to ensure the following acts or threats thereof are forbidden: enclosure in a small, confined space or any space that the child cannot freely exit himself. Evidence: During the visit on 4/15/2024, Child 2 (age 23 months) was in a highchair upon arrival. Provider stated the child was put in the chair due to biting twice that morning. The child was confined and could not move freely to exit. The child was in the chair from approximately 9:30am until 11:30am.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, the provider failed to ensure caregivers shall wash hands with liquid soap and warm running water. Evidence: The provider was observed changing a diaper and wiped the child?s hands with a wet wipe. No handwashing was observed for the provider.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider failed to ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: The provider was observed cleaning the diapering surface with a Lysol wipe only.
Plan of Correction:	Not available online. Contact Inspector for more information.