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: March 25, 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 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 mandated monitoring inspection was conducted on March 25, 2024 from 11:55 A.M.-1:15 P.M. There were two children present for a total of four points, with two caregiver's 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 five child records and two caregiver's 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 contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on a review of children records, the provider failed to obtain documentation of physical examination within 30 days after the first day of attendance. Evidence: Child #3's first date of attendance was 01/23/2024. There was no documentation in the record of physical examination.
Plan of Correction:	The provider will contact the parents and request the physical examination.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of children records, the provider failed to ensure all required information was in the record. Evidence: 1. Child #1's record did not contain the policy number of the child's medical insurance. 2. Child #3's record did not contain the name and policy number of the child's medical insurance. 3. The provider verified that the records did not contain the required information.
Plan of Correction:	The provider will request the information from the parents and add to the record.
Standard #:	8VAC20-800-90-A
Description:	Based on review of children records, the center failed to ensure that immunizations were obtained before a child's first date of attendance. Evidence: Child #3's first date of attendance was 01/23/2024. The immunizations in the record were dated 01/29/2024.
Plan of Correction:	In the future for new enrollees immunizations will be on file before the first day of attendance.
Standard #:	8VAC20-800-90-C
Description:	Based on review of children records, the center failed to obtain additional documentation of immunizations every six months for children under the age of two years. Evidence: 1. Child #2,'s, (age 17 months), did not contain updated immunizations. The last immunizations in the record were dated 01/23/2023. Updated immunizations are required every six months. 2. The provider verified that updated immunizations had not been obtained.
Plan of Correction:	The provider will contact the parent and request updated immunizations.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of caregiver records, the provider failed to ensure that all caregivers shall obtain a maximum of sixteen clock of hours of training annually. Evidence: Caregiver #1 only had 13 hours of training between March 2023-March 2024.
Plan of Correction:	Moving forward the provider will ensure that all caregivers obtain 16 hours of training annually.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider failed to ensure that all unused electrical outlets were covered with protective covers. Evidence: 1. In the kitchen next to the stove there was an electrical outlet without a protective cover. 2. In the bathroom that the children use there was an electrical outlet on the wall next to the sink that did not have a protective cover. 3. In the playroom there was an electrical outlet without a protective cover. 4. All areas were accessible to children.
Plan of Correction:	The provider will purchase additional protective covers and place in the outlets.
Standard #:	8VAC20-800-460-D
Description:	Based on review of pet vaccinations, the provider failed to ensure that a current rabies vaccination had been completed. Evidence: 1. The rabies vaccination on file stated that it expired in January 2024. 2. The provider verified that a new rabies vaccination had not been completed.
Plan of Correction:	The provider will contact the vets office and get an appointment to get an updated vaccination for her dog.