VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mia Stewart
7225 Plantation Road
Roanoke, VA 24019
(540) 580-1554

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Sept. 1, 2022

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 8VAC20-820 HEARING PROCEDURES 8VAC20-770 BACKGROUND CHECKS 20 ACCESS TO MINOR?S RECORDS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:

An unannounced non-mandated inspection, as required by the Conditional License, was conducted on 09/01/2022. There were 8 children, ages 11 months-2 years, totaling 25 points, and a total of 3 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, household members, caregiver training, physical equipment and environment, care of children, preventing the spread of disease, emergencies and nutrition. A total of five children?s records, two caregiver records, two household members? records and three pet record were reviewed. The children were observed during free choice play, lunch and nap time. The inspector arrived for the inspection at 11:40 am and departed at 1:30 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on document review and interviews, the center failed to ensure that no person shall be hired for compensated employment, continue to employee or permit to serve as a volunteer, any person who has been convicted of any barrier crime as defined by the Code of Virginia. Evidence: The employment eligibility letter for Caregiver 5, based on a fingerprint criminal record search, determined that Caregiver 5 was Not Eligible for employment in the family day home. Caregiver 1 stated that Caregiver 5 worked at the family day home on 08/29/2022, 08/30/2022, 08/31/2022 and 09/01/2022.
Plan of Correction:	They are no longer working in the home.
Standard #:	22.1-289.035-B-2
Description:	Based on document review and interviews, the provider failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. Caregiver 1 stated that the hire date for Caregiver 4 was 06/26/2022. The employment eligibility letter for Caregiver 4 was dated 07/12/2022. 2. Caregiver 1 stated that Caregiver 5 began working on 08/29/2022. There was not an employment eligibility letter available for review during the 09/01/2022 inspection. The employment eligibility letter for Caregiver 5, which was reviewed electronically on 09/06/2022, was dated 09/06/2022.
Plan of Correction:	Will get fingerprints prior to hire.
Standard #:	8VAC20-770-60-B
Description:	Based on interviews, the provider failed to ensure that an employee must not be employed until the home has the person?s completed sworn statement or affirmation. Evidence: Caregiver 1 stated that there were no records available for Caregivers 3, 4 or 5; there were no sworn statements to review.
Plan of Correction:	Will get the sworn statement before hiring them.
Standard #:	8VAC20-770-60-C-2
Description:	Based on observation and interviews, the provider failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: Caregiver 1 stated that the hire date for Caregiver 4 was 06/26/2022. Caregiver 1 stated that there was not a search of the central registry for Caregiver 4 during the 09/01/2022 inspection.
Plan of Correction:	Will get it within 30 days or will document follow-up.
Standard #:	8VAC20-800-830-A
Description:	Based on interviews, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: Caregiver 1 stated that the emergency evacuation procedures have not been practiced.
Plan of Correction:	Started practicing drill and will do them monthly.
Standard #:	8VAC20-800-120-A
Description:	Based on interviews, the provider failed to maintain a record for each caregiver. Evidence: Caregiver 1 stated that there we no records for Caregiver 3, 4 or 5 available for review.
Plan of Correction:	Will make sure everyone has a record.
Standard #:	8VAC20-800-50-E
Description:	Based on interviews, the provider failed to ensure that the required records and reports on children, caregivers and household members shall be maintained and made accessible to the department?s representative for two years from the date of separation from employment for caregivers. Evidence: Caregiver 1 stated that the records for Caregiver 3 and Caregiver 4 had been shredded because they no longer were employed. Caregiver 3 was present during the 09/01/2022 inspection. Caregiver 4 was observed working during an inspection on 08/18/2022.
Plan of Correction:	Will keep records for 5 years.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider failed to ensure that children?s records shall contain all of the elements as required by the standards. Evidence: 1.The record for Child 1 did not contain the following information: first date of attendance; and the results of the health examination for the child. 2. The record for Child 3 did not contain the following information: first date of attendance; and the results of the health examination for the child. 3. The record for Child 4 did not contain the following information: name, office address and phone number of the child?s physician; immunization records for the child; and the results of the health examination for the child. 4. The record for Child 5 did not contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (the addresses were not provided); first date of attendance; proof of the child?s age and identity; immunization records for the child; and the results of the health examination for the child.
Plan of Correction:	Got all of the information.