VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Deborah King
205 Chesterfield Avenue
Colonial heights, VA 23834
(804) 247-7172

Current Inspector: Danielle Morrison (804) 929-3771

Inspection Date: Oct. 22, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 63.2 Licensure and Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated on October 22, 2021 and concluded on October 25, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 3 children present, ranging in ages from 4 months to 4 years, with 1 staff supervising. 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 2 child records and 1 caregiver 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Description: Based on a review of records and interview, the provider did not obtain a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child #2 (DOE 10/16/17) did not contain documentation of a physical examination. 2. The provider acknowledged there was no documentation of a physical examination in Child #1's record.
Plan of Correction:	Physicals: Appointment is 10/29/21
Standard #:	22VAC40-111-180-A
Description:	Based on a review of caregiver records and interview, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #1 contained documentation of a TB screening dated 7/11/19. 2. The provider acknowledged she had not gotten an updated TB.
Plan of Correction:	TB test done 10/26/21
Standard #:	22VAC40-111-520-A
Description:	Based on observation and interview, the provider did not ensure that cribs are provided for children from birth through 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1. During interview on October 22, 2021, the provider stated that Child #1 (DOE 10/18/21), did not have a crib to sleep in. 2. The crib was observed in an unopened box in a hallway. 3. The provider reported she was waiting for someone to come put it together and that the infant was sleeping in a swing in the meantime.
Plan of Correction:	Crib was put up 10/25/21
Standard #:	63.2-1721.1-A
Description:	Based on a review of caregiver records, the provider did not obtain central registry search results every five years for all employees. Evidence: The record of caregiver #1 did not contain documentation of a repeat central registry check. The most recent central registry result in the record is dated 9/26/16.
Plan of Correction:	Background checks notarized 10/26/21 mailed 10/27/21