VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Audrey Myrick
114 Howard Street
APT 203
Portsmouth, VA 23707
(757) 513-9859

Current Inspector: Brandie Viscayda (757) 636-3427

Inspection Date: Dec. 9, 2019

Complaint Related: No

Areas Reviewed:

63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs 22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes 22VAC40-665 General qualifications 22VAC40-665 Building or home maintenance. 22VAC40-665 Supervision and ratio requirements 22VAC40-665 Programs 22VAC40-665 Special Care Provisions & Emergencies 22VAC40-665 Special Services

Technical Assistance:

Today we discussed the annual training requirements which are tracked from the effective date of the vendor agreement for a one year period. A total of 16 hours of training are due by the end of the 12 month period between 5/18/18 and 5/17/19 and each 12 month period thereafter. A template is available on our website (and was emailed to the vendor). The template includes all of the required elements of a written Emergency Plan. You are not required to use this template, but your document must contain the required elements. Today we discussed methods for locking items which should not be accessible to children in care. Medication must be stored in a locked area and other potentially hazardous substances must be inaccessible (on a tall shelf or cabinet). One possible solution to securing items if locks cannot be installed are door handle covers which require hand strength and coordination to open. Another solution is to purchase a storage box that can be secured with a lock. Please remember to KEEP all required documentation and send only copies or duplicates to other agencies that request them!

Comments:

A Subsidy Health and Safety inspection was conducted on 12/09/2019 from 2:00 p.m. until 2:30 p.m. to review supplemental health and safety requirements. There were no children present during the inspection. The vendor regularly cares for two 6-year-old family members before and after school and on weekends. The records sample size consisted of 2 children?s records and 1 vendor record. The vendor states that no medication is administered to children in care at this time but that the child's mother administers medication to her child each morning and stores it at the home of the provider. Children are not transported in a vehicle while in care and do not swim while in the care of the vendor. When children play outdoors, weather permitting, it is with direct supervision and close proximity of the vendor. The vendor reports that there have been no accidents or injuries requiring first aid or medical treatment incurred by children in care since the last inspection. There are no children currently enrolled who have diagnosed food allergies. Violations of the supplemental subsidy health and safety requirements were found and are documented on the violation notice. Thank you for your time during today's inspection. The vendor must send evidence showing that corrections to violations have been made within 10 days email :melinda.popkin@dss.virginia.gov fax: (757) 455-0836 Mailing Address: 420 North Center Drive, Building 11, Suite 100, Norfolk, Virginia 23502

Violations:

Standard #:	22VAC40-665-180-2-a-2
Description:	Based on a review of records and interview, the vendor was not able to demonstrate that satisfactory results of a search of the central registry had been obtained for herself. Evidence: The vendor's records and documentation were reviewed by the inspector. Nowhere in the documentation provided to the inspector were there results of a search of the central registry. The vendor stated that these results had been obtained. However, she was unable to locate the documentation.
Plan of Correction:	The vendor stated that she would ask her daughter to look for the documentation and check the email to see if the results can be located. If not, a new Search of the Central Registry will be requested immediately and a copy forwarded to the inspector as proof of correction within 10 days.
Standard #:	22VAC40-665-190-B
Description:	Based on review of records and interview, the vendor has not undergone a Tuberculosis (TB) Screening within 2 years if the date of the initial TB screening. Evidence: The vendor's records and documentation were reviewed by the inspector. Nowhere in the documentation provided to the inspector were there results of an updated TB Screening since the initial TB Screening which was dated 3/17/17. The vendor stated that an updated TB screening had been obtained. However, she was unable to locate the documentation.
Plan of Correction:	The vendor stated that she would ask her daughter to look for the documentation of her most recent TB Screening . If updated results cannot be located, then the Vendor's Physician will be contacted within 10 days to request a copy of the updated results.
Standard #:	22VAC40-665-230-H
Description:	Based on a review of records and interview, the vendor was not able to demonstrate that she had obtained 16 hours of annual training related to child safety, child development, health and safety in the family day home environment, and any required department sponsored training Evidence: The vendor's records and documentation were reviewed by the inspector. There was documentation that the department's health and safety update course, for a total of total of 3 hours of annual training were documented in the past 20 months. When asked, the vendor stated that she did not have further documentation of training.
Plan of Correction:	The vendor will obtain a minimum of 16 hours of applicable training in the next 12 month period and keep documentation of completion for review at the next inspection.
Standard #:	22VAC40-665-240-D
Description:	Based on observation, the vendor did not ensure that sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision. Evidence: The inspector observed 2 sharp knives in an unsecured kitchen drawer to the right of the kitchen sink. The knives had not been relocated at 3:30 when the vendor was leaving to meet children at the bus stop.
Plan of Correction:	The vendor stated that she is in the process of cleaning up her apartment and will move the knives to a designated storage bin on top of the refrigerator today.
Standard #:	22VAC40-665-250-A
Description:	Based on observation, the vendor did not ensure that potentially poisonous substances are stored in areas not accessible to children in care. Evidence: The inspector observed a gallon of bleach and an aerosol can of Lysol Disinfectant spray in an unlocked lower kitchen cabinet. These items were not relocated by 3:30 when the vendor left to pick up children at the bus stop.
Plan of Correction:	The vendor stated that she was in the process of cleaning up her apartment and that she would relocate these items to an area not accessible to children today.
Standard #:	22VAC40-665-380-H
Description:	Based on observation, the vendor did not ensure that medication is stored in a locked place using a safe locking method that prevents access by children. Evidence: The inspector observed three prescription medications on a table in the living room and on a shelf and side table in the vendor's bedroom which does not have a lock on the door.
Plan of Correction:	The vendor stated that she would determine an area today where medications can be safely locked when children are in care. The medications had not been relocated when the vendor left to meet children at the bus stop at 3:30.
Standard #:	22VAC40-665-400-A
Description:	Based on observation and interview, the vendor did not have a written emergency plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. Evidence: When asked to review the home's Emergency Preparedness Plan, the vendor pointed out a posted map showing the evacuation routes and shelter areas within the home. The vendor stated that she did not have an additional written emergency plan for the inspector to review.
Plan of Correction:	The vendor will utilize the template provided by the inspector to create a written emergency plan for the home.
Standard #:	22VAC40-665-410-A-2
Description:	Based on a review of the written drill log, the vendor has not practiced a Shelter in place drill in the past 12 months. Evidence: The drill log was reviewed for the past 23 month period and there were no shelter in place drill documented. When asked if Shelter in Place Drills are being conducted the vendor stated that the children know where to go but no formal drill had been conducted.
Plan of Correction:	The vendor will conduct a shelter in place drill this month and will practice an additional 2 shelter in place drills between January and December 2020.
Standard #:	22VAC40-665-410-A-3
Description:	Based on a review of the written drill log, the vendor has not practiced a Lockdown drill in the past 12 months. Evidence: The drill log was reviewed for the past 23 month period and there was no Lockdown drill documented. When asked if Lockdown Drills are being conducted the vendor stated she had not conducted them.
Plan of Correction:	The vendor will conduct a Lockdown drill this month and will practice an additional Lockdown dril between January and December 2020.