VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Marquaye Benjamin
2420 Barraud Ave
Norfolk, VA 23504
(757) 619-0489

Current Inspector: Rene Old (757) 404-1784

Inspection Date: May 29, 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 8VAC20-820 THE LICENSE 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:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new. Additionally discussed the following: Requirements for lockdown and shelter-in-place practice drills Safe Sleep - written information has been emailed to the provider.

Comments:

An unannounced renewal inspection was initiated on 05/29/2024 at 10:30 am and completed on 05/29/2024 at 12:55 pm. At the time of entrance there were 9 children in care with three caregivers. The ages of the children counted for a total of 25 points. Children were observed playing in the child care room. Lunch and infant napping was additionally reviewed. The inspector reviewed the entire home to include the backyard play area. Records were reviewed for four caregivers and 7 children in care. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the family day home. These violations were reviewed with the provider at the conclusion of the inspection.

Violations:

Standard #:	22.1-289.011-F
Description:	Repeat Violation Based on observation, the provider failed to ensure that the findings of the most recent inspection of the home were posted in a conspicuous place on the licensed premises. Evidence: 1. The findings from the most recent inspection, conducted on 01/29/2024, were not posted. 2. The provider confirmed that she had not posted the most recent inspection documents.
Plan of Correction:	The most recent inspection documents will be posted.
Standard #:	8VAC20-800-900-B
Description:	Based on observation, the provider failed to ensure that children shall not be allowed to drink while walking, running or playing. Evidence: 1. A child under the age of two years was observed walking around the child care room while drinking out of a sippy cup at approximately 11:40 am.
Plan of Correction:	The provider stated that children will be closely supervised to ensure they do not leave the table to walk around with sippy cups.
Standard #:	8VAC20-800-960-B
Description:	Based on observation, the provider failed to ensure that infants who cannot hold their own bottles shall be picked up and held for bottle feeding. Bottles shall not be propped. Evidence: 1. At approximately 12:06 pm the inspector observed child 4, age 5 months, drinking from a bottle of formula that had been propped using a folded blanket. a. Child 4 was sitting in an infant seat that was placed on the floor of the child care room. 2. When the inspector asked for the blanket to be removed - child 4 was not able to hold his own bottle.
Plan of Correction:	The provider stated that all caregivers will be appraised of the requirement for infants to be held when bottle feeding unless the infant is able to hold his own bottle. The baby was picked up and fed during the inspection.
Standard #:	8VAC20-800-60-A
Description:	Repeat Violation Based on record review and interview, the provider failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked documentation of the following required information: a. Telephone number of one parent's place of employment; b. Name, address and telephone number of a second designated emergency contact; c. First date of attendance. 2. The enrollment record for child 2 lacked documentation of the following required information: a. Telephone number of both parent's place of employment; b. Policy number of child's medical insurance
Plan of Correction:	The provider stated that missing information would be added to children's records.
Standard #:	8VAC20-800-70-A
Description:	Repeat Violation Based on record review, the provider failed to ensure before the child's first day of attendance, parents shall be provided in writing policies for administration of medication. Evidence: 1. The written medication policy for the family day home, that is in all of the children's records, indicates that the provider will administer both prescription and nonprescription medications however, the provider lacks the required MAT certification to allow for the administration of both prescription and nonprescription medications. 2. The provider stated that she did not administer medication and that the medication policy in her parent agreement contract was incorrect/
Plan of Correction:	The provider stated that medication policies would be revised to notify each family that medication is not administered.
Standard #:	8VAC20-800-170-A
Description:	Based on record review and interview, the provider failed to obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. The results of a TB screening was not on file for caregiver 1 who has a hire date of 05/13/2024. a. Caregiver 1 was observed caring for children in the FDH during the inspection. 2. The provider confirmed that the results of a TB screening was not on file for caregiver 1.
Plan of Correction:	The provider stated that a TB test had been completed and that caregiver 1 would obtain the results within 48 hours.
Standard #:	8VAC20-800-200-A
Description:	Based on record review, the provider failed to orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1. There was no documentation that caregiver 1, hire date 05/13/2024, had received orientation training with all of the information outlined in 8VAC20-800-200.B. 2. The provider confirmed that caregiver 1 had not been provided with the required orientation training.
Plan of Correction:	The provider stated the caregiver 1 would be provided with orientation training.
Standard #:	8VAC20-800-280
Description:	Repeat Violation Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, shall be stored away from food in areas inaccessible to children. Evidence: 1. An 80-count container of sanitizing wipes were observed in an unlocked cabinet in the children's bathroom. a. The location of the cabinet doors were within easy reach for the height and ages of most of the children in care. b. The manufacturer label for this product indicated the contents as hazardous.
Plan of Correction:	The sanitizing wipes were locked up during the inspection.
Standard #:	8VAC20-800-540-A
Description:	Based on observation, the provider failed to ensure that Infant carrier seats shall be used according to the manufacturer's instructions. Evidence: 1. When the inspector arrived at approximately 10:30 am child 4, age 5 months, was observed asleep in an infant carrier seat which had been placed inside of a crib. 2. The manufacturer's instructions for infant carrier seats recommend use for transportation purposes only and not as a sleeping space. a. Placement of an occupied infant seat inside of a crib is a toppling hazard and increases risk of SIDS.
Plan of Correction:	The provider stated that sleeping infants will no longer be placed in crib while in an infant carrier seat. The child was removed from the carrier seat during the inspection and placed in the crib.
Standard #:	8VAC20-800-540-B
Description:	Based on observation, the provider failed to ensure that infant walkers shall not be used. Evidence: 1. The inspector observed child 3, age 22 months, in an infant walker at approximately 11:40 am. 2. The caregivers present stated they were not aware that infant walkers were not allowed for use by children in the FDH.
Plan of Correction:	The infant walker was removed during the inspection.
Standard #:	8VAC20-800-680-A
Description:	Based on observation and interview, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: 1. Caregiver 1 and caregiver 2 failed to wash their hands with liquid soap and warm running water before feeding an infant a bottle at approximately 12:15 pm and prior to serving lunch at approximately 12:35 pm. 2. The provider verified that caregiver 1 and caregiver 2 did not wash their hands prior to serving lunch or feeding an infant a bottle.
Plan of Correction:	The provider stated that this was an oversight and that caregivers will always wash hands with soap and water going forward - before feeding and assisting children with feeding.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the provider failed to ensure that children's hands are washed with liquid soap and warm running water before eating. Evidence: 1. Children did not wash their hands with liquid soap and warm running water before eating lunch. 2. The provider confirmed that children's hands were not washed with soap and water prior to eating lunch.
Plan of Correction:	The provider stated that this was an oversight and that children's hands will always be washed with soap and water going forward.