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Susan Cassidy
8305 Sharonway Drive
Glen allen, VA 23060
(804) 687-5430

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: May 23, 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 monitoring inspection was conducted on May 23, 2024, from approximately 11:50am until 1:00pm. There were 11 children present, ranging in ages from 3 months to 3 years, (30 points) with 2 caregivers supervising. The inspector observed children handwashing and eating lunch. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records, 3 caregiver records and 1 household member record were reviewed.

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.

Please 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 from today. Please specify how the deficient practice will be or has been corrected. 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 about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362 or LaTasha.Smith@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-210-A
Description: Based on record review and interview, the provider did not ensure that all staff obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1. The record for caregiver #1, caregiver #2, and caregiver #3 did not contain documentation of a minimum of sixteen clock hours of training annually in areas relevant to their responsibilities.
2. Caregiver #1 confirmed that sixteen hours of training had not been completed for caregiver #1, caregiver #2, and caregiver #3.

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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