VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Angela Ferebee
8201 Mercer Drive
Norfolk, VA 23505
(757) 236-5332

Current Inspector: Brandie Viscayda (757) 636-3427

Inspection Date: Nov. 9, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 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 8VAC20-820 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:

Technical Assistance given and licensing standards regarding medications both prescription/over-the-counter/emergency were reviewed. MAT information and training discussed. Daily schedule was reviewed.

Comments:

An unannounced monitoring inspection was conducted on November 9, 2022. This was the 60 day inspection as it is currently a conditional license. The inspector arrived at 11am and departed at approximately 12:50pm. Present in the home were 5 children, totaling 12 points, and one provider. Children and staff interactions were observed throughout the entire inspection. Children were observed during handwriting, free play, handwashing, and lunch. First Aid kits and emergency preparedness documents were observed. A sample size of five children's records were reviewed. It was reported that no medication has been administered to children in care and no children's injuries were reported. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the family day home and were reviewed with the provider at the exit interview.

Violations:

Standard #:	8VAC20-800-830-C
Description:	Based on record review and interview, it was determined that the provider did not ensure that documentation be maintained of emergency evacuation and shelter-in- place drills. Evidence: 1. The family day home did not have documentation of the completed emergency evacuation drills and shelter-in-place drills. 2. Staff #1 confirmed that the emergency evacuation and shelter-in-place drills were not documented.
Plan of Correction:	The provider responded with the following: The drills were practiced by not documented on the model form. Moving forward, all drills will be documented monthly.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, it was determined that the provider did not ensure that they obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #3 (date of enrollment 6/20/2022) did not have documentation of a physical examination in his record. 2. Staff #1 confirmed that there was no physical examination to Child #3?s record.
Plan of Correction:	The provider responded with the following: Staff #1 will obtain the Child #3?s physical examination and place the documentation to his record.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview, it was determined that the provider did not ensure that a child's record contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: 1. Two of the five children?s records observed did not have the addresses of two emergency contacts if the parent cannot be reached. a. Child #1 (date of enrollment 4/18/22) did not have the addresses for their emergency contacts. b. Child #2 (date of enrollment 4/18/22) did not have the addresses for their emergency contacts. 2. Staff #1 confirmed that Child #1 and Child #2 did not have the addresses for their emergency contacts to their record.
Plan of Correction:	The provider responded with the following: Staff #1 will obtain the emergency contacts for both Child #1 and Child #2 and place it to the children?s records.
Standard #:	8VAC20-800-350-E
Description:	Based on observation and interview, the provider did not ensure that the hot water at taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: 1. The sink in the children?s bathroom has a water temperature reading of 126 degrees which is above the range. 2. Staff #1 observed the temperature reading of 126 degrees and confirmed it was above the required range.
Plan of Correction:	The provider responded with the following: During the inspection, Staff #1 turned down the water heater temperature and will re-measure the water temperature in the morning. Staff #1 will ensure that the water temperature is in appropriate range.