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Ms. Sandra Nicholas
2801 Montclair Court
Richmond, VA 23223
(804) 329-8830

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Sept. 10, 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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced, on-site monitoring inspection was initiated and completed on September 10, 2024. The on-site inspection began at 12:10 am and ended at 2:05 pm. The inspector reviewed compliance in the areas listed above. There were 8 children present and 2 staff. The inspector reviewed 5 children?s records, 2 staff records, and 1 household member record on-site. This inspection included document review, interviews, tour of the family day home, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on September 16, 2024. A POC submitted after this date will not appear on the public website.

Violations:
Standard #: 8VAC20-800-780-B
Description: Based on record review, the provider did not ensure to annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and to obtain the parent's signed acknowledgment of the review.

Evidence:
The record for child # 3 did not contain an annual review.

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

Standard #: 8VAC20-800-60-A
Description: Based on a review of five (5) child records, the provider did not ensure that records contained the required documents.

Evidence: The record for child # 3 did not contain the addresses for two emergency contacts, the name and policy number of the child?s medical insurance.

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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