VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sons & Daughters, Inc.
240 Shenandoah Street
Woodstock, VA 22664
(540) 459-4100

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: May 23, 2024

Complaint Related: No

Technical Assistance:

(Subsidy 8VAC20-790-520-F)The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. (Subsidy 8VAC20-790-720-C) A written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; and 6. Staff and parent signatures or two staff signatures.

Comments:

A subsidy health and safety inspection was conducted on 5/23/24. There were 66 children present, ranging in ages from infant to three years, with 15 staff. The Inspector reviewed five child?s records and five staff?s records. The physical plant was observed, and the provider was interviewed regarding policies and procedures. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	8VAC20-790-540-B
Description:	Based on record review and interview, the center failed to obtain all the required information for a child's record. Evidence: The record for child 1 did not contain emergency contacts.
Plan of Correction:	The emergency contact information will be obtained for child 1. In the future administration will review children's records to ensure the emergency contacts are obtained upon receipt of the paperwork from the parents.
Standard #:	8VAC20-790-550-2-a
Description:	Based on record review and interview, the center failed to obtain results of child protective services central registry check (CPS) within 30 days of beginning work for new staff. Evidence: The record for staff 5, start date 1/24/24, did not contain a completed CPS check. The director verified the center did not have a completed CPS check for staff
Plan of Correction:	In the future central registry background checks will be completed upon hire and will be followed up within 30 days if results are not received. The file will be documented with each step.
Standard #:	8VAC20-790-560-A
Description:	Based on record review and interview, the center failed to ensure within the last 30 calendar days of the date of employment staff were evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB) at the time of employment and prior to coming into contact with children. Evidence: The records for staff 2, employment date 1/29/24, and staff 4, employment date 5/7/24, do not have TB results. The director verified they do not have TB results for staff 2 and 4.
Plan of Correction:	Staff 2 and 4 will be required to obtain TB screenings and provide the results for the record. In the future staff will be allowed to start work without the TB results on record.
Standard #:	8VAC20-790-600-B
Description:	Based on record review and interview, the center failed to ensure staff completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence:
Plan of Correction:	Staff 2 and 3 will be required to complete preservice training. In the future staff will be required to complete preservice training within the first 90 days of employment.
Standard #:	8VAC20-790-600-C
Description:	Based on record review and interview, the center failed to ensure staff members who work alone with children and within seven days of the date of employment complete orientation training. Evidence: The record for staff 4, start date 5/7/24, did not contain documentation regarding completing orientation training. Staff 4 was unable to answer questions regarding emergency evacuations.
Plan of Correction:	Orientation will be completed with staff 4. In the future orientation will be completed, documented, and filed for each staff within the required timeframes.
Standard #:	8VAC20-790-600-D-1
Description:	Based on record review and interview, the center failed to ensure all staff obtained certification in CPR within 90 days of the date of employment. Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for CPR. The director verified staff 2 and staff 3 do not have certification in CPR.
Plan of Correction:	Staff 2 and 3 will be scheduled for CPR and first aid classes as soon as possible. In the future the administration will ensure new staff are signed up for CPR and first aid within the first 90 days of employment.
Standard #:	8VAC20-790-600-D-2
Description:	Based on record review and interview, the center failed to ensure all staff obtained certification in first aid certification within 90 days of the date of employment. Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for first aid. The director verified staff 2 and staff 3 do not have certification in first aid.
Plan of Correction:	Staff 2 and 3 will be scheduled for CPR and first aid classes as soon as possible. In the future the administration will ensure new staff are signed up for CPR and first aid within the first 90 days of employment.