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Sophronia Twyman
3700 Gleaming Drive
Richmond, VA 23237
(804) 888-1558

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Aug. 8, 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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced, on-site renewal inspection was initiated and completed on August 8, 2024. The on-site inspection began at 9:30 AM and ended at 10:30. The inspector reviewed compliance in the areas listed above. There were 4 children present and1 caregiver. The inspector reviewed 4 children?s records, 1 caregiver record, and 1 household member record on-site This inspection included observations, interviews, and document review.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

If you have any questions about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362 or LaTasha.Smith@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-830-A
Description: Based on record review and interview, the provider did not 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:
1. There was no documentation of an emergency evacuation drill practiced for July 2024. The last documented emergency evacuation drill was dated for 6/13/2024.
2. The provider was aware that an emergency evacuation drill was not conducted for July 2024.

Plan of Correction: I will begin to use different routes for fire drills.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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