VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Jena Wilson
313 Hastings Street
Winchester, VA 22601
(540) 686-7895

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: June 26, 2023

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 THE LICENSE. 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.

Comments:

A non-mandated monitoring inspection was conducted on June 26, 2023 from 2:27 P.M.-3:45 P.M. There were five children present for a total of nine points, ranging in ages from two years to eight years, with two caregivers 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 three child records and two caregiver records 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on review of children records, the provider failed to obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2's first date of attendance was 04/11/2023. There was not a physical examination on file. 2. The provider verified the date of attendance and that there was not a physical examination in the file.
Plan of Correction:	Provider requested and obtained the physical from the parent.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children records, the provider failed to ensure all required information was in the record. Evidence: 1. Child #1's file did not contain the name and policy number of the child's insurance. 2. Child #2's file did not contain name, address, and telephone number for both parents place of employment, and did contain the policy number of the child's insurance. 3. Child #3's file did not contain the following; the place of employment and work number for Parent 1, an employee address and phone number for Parent 2, and the policy number of the child's insurance.
Plan of Correction:	Provider contacted parents and requested all missing information. In the future registrations forms will be reviewed before the child starts to ensure all information in in the record.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider failed to ensure that hazardous materials were inaccessible to children. Evidence: 1. In the kitchen on the shelf behind the table there were two cans of Raid Ant & Roach spray. 2. In the playroom on the top shelf of the toy shelf there was a can of Lysol Disinfectant Spray. The shelf was accessible to children and contained toys and materials for children on the top shelf. 3. In the restroom there was a can of Lysol Disinfectant Spray on top of the toilet, and a one on the counter setting next to the sink that the children use for handwashing.
Plan of Correction:	The provider immediately moved all hazardous materials to a place that was inaccessible for children. In the future the provide will ensure that all hazardous materials will not be left out where accessible to children.