VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Misty Dickson
3075 Pipers Gap Rd.
Galax, VA 24333
(276) 233-3367

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: May 16, 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 8VAC20-800 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 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

A monitoring inspection was initiated on 5/16/24 and concluded on 5/16/24. There were 13 children present with a provider and an assistant. The point total was 36. 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 10 child records were reviewed. The inspection started at 11:30 am and concluded at 2:05 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 program. Please complete the ?plan of correction? and date to be corrected? for each violation cited on the violation notice and return it to me within five (5) business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring gain; and 3) person or person(s) responsible for implementation.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record reviews and interviews the provider failed to ensure that all staff submit to fingerprinting prior to the first day of employment. Evidence: Staff #2 does not have fingerprint background check on file. Staff #2 was working on 5/16/24.
Plan of Correction:	Fingerprints have been processed waiting for results
Standard #:	8VAC20-770-60-B
Description:	Based on record reviews the provider failed to ensure that an employee or volunteer of a licensed family day home must not be employed or provide volunteer service until the home has the person's completed sworn statement or affirmation. Evidence: Staff #2 did not have a sworn statement or affirmation on file. Staff #2 was working at the family day home on 5/16/24.
Plan of Correction:	Sworn statement and ALL paperwork has been completed.
Standard #:	8VAC20-800-120-A
Description:	Based on observation the provider failed to ensure that a record shall be maintained for each caregiver. Evidence: Staff #2 was working on 5/16/24 with the children. The provider did not have a record for this caregiver.
Plan of Correction:	Forms are completed. Waiting for Background information.
Standard #:	8VAC20-800-40-A
Description:	Based on observation the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: On 5/16/24 the provider had 13 children in care, exceeding the maximum licensed capacity of 12.
Plan of Correction:	Provider never has more than 12 children. Normally 10 max.
Standard #:	8VAC20-800-60-B
Description:	Based on record reviews the provider failed to ensure that an up-to-date record shall be maintained at the family day home for each enrolled child. Evidence: Child records # 2, 4, 9 do not have a physical on file. Child records # 1, 2, 3 does not list the names of persons who are authorized to pick up the child.
Plan of Correction:	Childs records have been updated with physicals #1,2,3 completed by parent.
Standard #:	8VAC20-800-170-A
Description:	Based on record review and interviews the provider failed to ensure that each caregiver has a current report of Tuberculosis Screening at the time of hire. Evidence: Staff #2 did not have a TB screening on file at the time of hire. Staff #2 was working with the children on 5/17/24.
Plan of Correction:	Staff has already filled out required paperwork. TB screening completed.
Standard #:	8VAC20-800-510-C
Description:	Based on observations the provider failed to ensure that occupied cots shall be at least 12 inches from each other. Evidence: During nap time the cots located on the floor, around the table were touching. They did not have at least 12 inches of space from each other.
Plan of Correction:	Provider has spread cots out between 2 rooms 12 inches apart.
Standard #:	8VAC20-800-530-D
Description:	Based on observation the provider failed to ensure that linens shall be assigned for individual use. Evidence: The linens on the crib were not changed between use.
Plan of Correction:	Provider purchased more sheets and has extra crib.
Standard #:	8VAC20-800-570-A
Description:	Based on observation the provider failed to ensure that a caregiver does not exceed 16 points. Evidence: On 5/16/24 the point total for the children in care was 36, exceeding the 16 points allowed per caregiver.
Plan of Correction:	2 children are no longer in daycare service. Normally a max of 10.