VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Wynel Harris
13806 Thornhill Court
Chester, VA 23836
(757) 288-2459

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

Inspection Date: May 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 8VAC20-800 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 05/10/2024 from approximately 11:42 a.m. to 2:25 p.m. There were 11 children present during the inspection and 3 providers present. The inspector 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, four caretaker records, and three 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-B-4
Description:	Based record review, the provider failed to obtain the results of the out-of-state child abuse and neglect search from any state in which the individual has lived in the preceding five years. Evidence: P4 documented having lived out-of-state in the last five years. The record did not contain the results of the out-of-state child abuse and neglect search.
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 ensure that each report of immunizations was signed by a licensed physician, the physician?s designee, or an official of a local health department. Evidence: The immunizations dated 07/18/2023 for C2 were not signed by the physician.
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 one of five contained required documentation. Evidence: The record for C3, enrolled 04/25/2022 did not contain documentation of the annual review of the child?s emergency contact information as required by 8VAC20-800-780-B. The last update was dated 01/30/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on child record review, the provider failed to obtain documentation of additional immunizations for a child once every six months for children under the age of two years old. Evidence: The record for C3 (under the age of 2 years) and enrolled 04/25/2022 did not contain documentation of immunizations due every six months. The last immunizations documented in the record were dated 05/31/2023. Additional immunizations were due by 12/01/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-A
Description:	Based on record review, the provider failed to provide orientation for caregiver by the end of their first week of assuming job responsibilities. Evidence: The record for P3, employed 08/15/2023 documented orientation being completed 09/18/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider did not ensure that all areas of the family day home be maintained in a safe and operable condition. Evidence: Multiple stair balusters in the family day home were missing and broken that could snag children?s skin and allow access to the stairs.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-500-E
Description:	Based on observation, the provider did not ensure that sandboxes shall be covered when not in use. Evidence: Multiple sandboxes in the homes outside play area were not covered.
Plan of Correction:	Not available online. Contact Inspector for more information.