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Ms. Joni Roberts
13304 Farm Crest Court
Midlothian, VA 23112
(804) 744-9559

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: June 21, 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

Comments:
A monitoring inspection was conducted on 06/14/2024 from approximately 12:03 p.m. to 3:00 p.m. There were 9 children present during the inspection and 2 providers present. The inspectors reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five children?s records, two caretaker records, and one household member records were reviewed. The information gathered during the inspection determined violations with applicable standards.

Please sign and complete the ?plan of correction? and ?date to be corrected? for each
violation cited on the violation notice and return it to me within 5 business days.

Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).
If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-A
Description: Based on record review, the provider failed to ensure that staff underwent criminal
background checks every 5 years.
Evidence:
The record for P1, contained national criminal background checks dated 07/18/2018 and
04/18/2024.
The record for HHM1, contained a national criminal background check dated 07/19/2018.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.035-B-2
Description: Based on record review, the provider failed to ensure that all applicants for employment shall
submit to fingerprinting and undergo a national criminal background check prior to
employment.
Evidence:
The record for staff P2, employed 04/08/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national
criminal background check was dated 04/10/2024.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on staff record review, the provider failed to have central registry findings within 30
days of employment.
Evidence:
The record for P2, employed 04/08/2024 did not contain findings of a central registry search.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-830-A
Description: Based on review of emergency drill documentation, the provider failed to practice monthly the emergency evacuation procedures.
Evidence:
The drill records did not document a March 2024 drill.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-830-C
Description: Based on review of emergency evacuation drills documentation, the provider failed to maintain records that included required information.
Evidence:
The drill record for 12/2023, 04/2024, and 05/2024 did not document information required by 8VAC20-800-830-C-1-9. The P1 reported conducting the drills but not completing the form with the required information.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-110-B
Description: Based on child record review, the provider failed to assure that each report of immunizations received were signed by a licensed physician, the physician?s designee, or an official of a local health department.
Evidence:
The immunization record for C1 was not signed by a licensed physician, the physician?s designee, or an official of a local health department.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-120-A
Description: Based on record review, the provider did not keep the required records for each staff
person.
Evidence:
The record for P2 did not contain documentation that two or more references as
to P2?s character, reputation, and competency were checked before employment.
The record for P2 did not contain verification of P2?s age.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-B
Description: Based on child record review, the provider failed to ensure that two of five records contained
required documentation.
Evidence:
The record for C1, enrolled 06/03/2024 did not contain a signed parental acknowledgement of the receipt of the information required by 8VAC20-800-70.
The record for C2 did not document the first day of attendance at the family day home.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-180-A
Description: Based on record review, the provider failed to obtain for each caregiver and adult household
member a current Report of Tuberculosis Screening form every two years from the date
of the previous tuberculosis screening.
Evidence:
The TB screening for P1 was dated 04/05/2022 and for HHM1, the screening was dated for 02/28/2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-280
Description: Based on observation, the provider failed to ensure that potentially poisonous substances were stored away in areas inaccessible to children.

Evidence:
Licensing inspectors observed laundry detergent, dryer sheets, and mosquito repellent with warning labels to keep out of reach of children accessible to children in the home?s kitchen.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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