VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lisa Brooks
717 Graystone Way
Portsmouth, VA 23704
(757) 399-2292

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: May 1, 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 LICENSING PROCESS 8VAC20-820 HEARINGS PROCEDURES 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:

It was discussed with the provider that the weekly menu must include all foods served to the children regardless of whether or not USDA reimburses for additional snacks, etc. served to the children.

Comments:

A monitoring/renewal/complaint inspection was initiated and concluded on May 1, 2024. The inspector arrived at 12:10 PM and departed at 1:20 PM. There were 5 children present, totaling 11 points, with the provider supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Lunch service and preparation for nap time were observed. A total of 5 child records and 2 provider/household 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. Violations were reviewed with the provider during the exit interview.

Violations:

Standard #:	22.1-289.058
Description:	Based upon observation and provider interview, the provider has not ensured that there is at least one working carbon monoxide detector. Evidence: The provider had a carbon monoxide detector but it was not taken it from the packaging and installed it.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-760-A-2
Description:	Based upon review of the first aid kit supplies, the provider has not ensured that the first aid supplies include an ice pack. Evidence: The first aid kit did not include an ice pack.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-770
Description:	Based upon provider interview, the provider has not ensured that there is a working battery operated weather band radio. Evidence: The provider did not have a battery operated weather band radio and batteries.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-D
Description:	Based upon review of records, the provider has not ensured that the records of emergency evacuation and shelter-in-place drills are maintained for one year. Evidence: The provider had records of emergency drills for 2024 but was unable to produce records for the entire past year.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-880
Description:	Based upon observation and review of the menu, the provider has not ensured that the most recent USDA food serving requirements are being met. Evidence: The children were observed eating a lunch of fish sticks, corn crackers, corn and milk. There was no fruit component. The posted menu did not include a fruit component for lunch on two days this week.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based upon review of children's records, the provider has not ensured that documentation of a physical examination by or under the direction of a physician is obtained within 30 days after the child's first day of attendance. Evidence: The record for child 2 indicated a start date of 11/6/2023. The physical examination was not obtained until 12/13/2023
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based upon review of children's records, the provider has not ensured that the records for each enrolled child contain all required documentation/information. Evidence: 1. The parent did not sign authorization for the provider to obtain emergency medical treatment for child 4. 2. The parent of child 4 did not sign the required Information for Parents document indicating that the information was received. 3. The liability insurance document in the records for child 1, 2, 3, 4 and 5 was not completed correctly indicating whether or not the provider has liability insurance. 4. The Decision to Administer Medication forms in the records of child 1, 4 and 5 were not signed by the parents. 5. The decision to Administer Medication forms in the records of child 1, 2, 3, 4 and 5 indicated that the provider would not administer medications, however the provider stated that emergency medications would be administered.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-250-B
Description:	Based upon observation, the provider has not ensured that children are protected from materials that could be swallowed or present a choking hazard. Evidence: There were two pennies on the floor of the kitchen, an area to which the children have access.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Repeat violation Based upon observation, the provider has not ensured that potentially poisonous substances are stored in areas inaccessible to children. Evidence: There was a jug of laundry detergent with a warning label on top of the dryer which is in an open area across from the bathroom used by the children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-530-A
Description:	Based upon observation, the provider has not ensured that cots being used for napping by children have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: The children were observed being placed on cots and then covered by a blanket for nap time. The cots did not have a bottom cover.
Plan of Correction:	Not available online. Contact Inspector for more information.