VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Natacha Cox
2192 Merry Point Road
Lancaster, VA 22503
(804) 462-7200

Current Inspector: Sharon Curlee (804) 840-8312

Inspection Date: May 13, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and House 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:

An unannounced monitoring inspection was conducted today, May 13, 2024. The inspector was on site from approximately 1:00 pm until 2:30 pm. There were three children present with one caregiver supervising for a value of eight points. Children were napping upon the inspector?s arrival. Later children were observed having a snack, playing with an IPAD and sliding on a small indoor sliding board. The provider interacted with the children in a positive manner. 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 four child records, one caregiver and one household member record were reviewed. The inspector interacted with the caregiver and children in care. 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. If you have any questions regarding this inspection, please contact the licensing inspector. Sharon Curlee, Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education 804-840-8312 Sharon.curlee@doe.virginia.gov

Violations:

Standard #:	8VAC20-800-700-C
Description:	Based on review of documentation, observation, and interview, the provider did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parents within 14 days shall be taken to a pharmacy for proper disposal. Evidence: 1. The medication authorization for child #2 was dated 01/12/2024 and only signed by the parent. The parent?s written authorization shall expire or be renewed after 10 working days. The medication authorization for child #2 expired on 01/25/2024. Medication for child #2 was observed on site exceeding 14 days from the date of the authorization expiration. 2. The medication authorization for child #3 was dated 01/08/2024 and only signed by the parent. The parent?s written authorization shall expire or be renewed after 10 working days. The medication authorization for child #3 expired on 01/19/2024. Medication for child #3 was observed on site exceeding 14 days from the date of the authorization expiration. 3. The medication authorization for child #4 was dated 01/17/2024 and only signed by the parent. The parent?s written authorization shall expire or be renewed after 10 working days. The medication authorization for child #4 expired on 01/30/2024. Medication for child #4 was observed on site exceeding 14 days from the date of the authorization expiration.
Plan of Correction:	Per the provider: I will return the medication today.