VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patricia Bly
37 Frailey Place
Portsmouth, VA 23702
(757) 725-8124

Current Inspector: Nanette Roberts (757) 404-2322

Inspection Date: March 24, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 22.1 Background Checks Code; carbon monoxide detectors 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures

Technical Assistance:

Technical assistance was provided in the following areas: background checks, staff records, children's records, training

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a in-person tour of the program A renewal inspection was initiated on 3/21/22 and concluded on 3/24/22. The provider was contacted by telephone to initiate the inspection. There were 4 children present and 2 caregivers. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 caregiver/household member records, along with any requested program records submitted by the facility to determine if required documentation was complete. 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:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of two caregiver records, it was determined that the facility did not ensure that they obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for caregiver #1 did not contain documentation of a completed search of the central registry finding and sex offender registry check from North Carolina. The sworn statement indicated caregiver #1 had previously lived in North Carolina within the last 5 years. 2. Caregiver #2 reviewed the record, and confirmed that the search of the central registry finding and sex offender registry check from North Carolina has not been received for caregiver #1.
Plan of Correction:	The provider responded: Caregiver #1 will complete a search of the central registry finding and sex offender registry check from North Carolina.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of two staff records, it was determined that the Licensee did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The records Caregiver #1 and Caregiver #2 were reviewed and did not contain documentation that any of the staff had completed the required 16 hours of annual training. 2. Caregiver #2 confirmed that neither caregiver had not completed the required 16 hours of annual training.
Plan of Correction:	The facility responded: We will ensure that all caregivers complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Standard #:	8VAC20-800-690-E
Description:	Based on observation and interviews, it was determined that the provider did not ensure that disposable diapers shall be disposed of in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: 1. The Licensing Inspector observed caregiver #1 complete a diaper change, but did not see a foot operated trash can. 2. Caregiver #2 confirmed that there was not a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
Plan of Correction:	The provider responded: We will purchase a a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.