Ms. Deneen Kelly
5507 Troy Road
Richmond, VA 23224
(804) 233-5333
VDSS Contact:
Florence Martus
(804) 389-0157
Inspection Date:
April 8, 2024
Complaint Related:
No
Areas Reviewed:
8VAC20-850 PROVIDER REGISTRATION AND GENERAL PROCEDURES 8VAC20-850 HEALTH AND SAFETY CHECKLIST 20 Access to minor?s records 22.1 Background Checks Code; storage of firearms 63.2 Child abuse and neglect 8VAC20-770 Background Checks
Technical Assistance:
n/a
Comments:
An unannounced renewal inspection was conducted on Monday, April 8, 2024. The inspector was on site from approximately 9:40am until 11:00am. There were two non-resident children present during the inspection. During the inspection, the children were observed having a snack, watching television, playing together, and having positive interactions with the provider. The inspector reviewed compliance in the areas of administration, physical plant, supervision, and programming. A total of four children's records and one 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
Based on a review of caregiver's records and interviews, the provider did not ensure one caregiver obtained a fingerprint-based national criminal background check.
Evidence: The fingerprint-based national criminal background check for Caregiver #1 could not be located at the time of the inspection. During interview, Caregiver #1 confirmed the fingerprint-based national criminal background check could not be located and was not sure when they were last completed.
Plan of Correction:
The missing background checks will be obtained.
Standard #:
8VAC20-770-40-D-1-a
Description:
Based on a review of caregiver's records and interviews, the provider did not ensure to have a search of the central registry check.
Evidence: The results of the search of the central registry could not be located for Caregiver #1 at the time of the inspection. During interview, Caregiver #1 confirmed the results of the search of the central registry could not be located and was not sure when they were last completed.
Plan of Correction:
The missing background checks will be obtained.
Standard #:
8VAC20-850-90-B
Description:
Based on a review of four children's records and interview, the provider did not maintain on file a signed statement from each parent, affirming receipt of the information for parents statement.
Evidence: The record of Child #1 (DOA: 12/20/23); Child #2 (DOA: 02/01/23); Child #3 (DOA: 09/23/20); and the record of Child #4 (DOA: 06/05/23) did not contain a signed statement from each parent, affirming receipt of the information for parents statement. During interview, Caregiver #1 acknowledged the signed statement was not on file for each child.
Plan of Correction:
All the records will be reviewed by the provider to ensure the missing information is obtained as soon as possible.
Standard #:
8VAC20-850-90-C
Description:
Based on a review of four children's records and interviews, the provider did not maintain the required information for each child enrolled in care.
Evidence: The records of Child #1 (DOA: 12/20/23) and Child #4 (DOA: 06/05/23) were missing the parent?s work hours; Name, address and telephone number of one or more persons designated by the parent or parents to be called in case of emergency when a parent cannot be reached during the hours the child is in care; Name, address and telephone number of the child's physician; Any known or suspected allergies and any chronic or recurrent diseases or disabilities; The child's allergies to medication or drugs, if applicable, and directions for providing medicines to the child; The name of the parent's hospitalization plan and number or medical assistance plan, if applicable; Names of persons authorized to visit or call for the child, as well as those who are not to visit or call for the child; The parent's signed authorization to use a substitute provider and his or her name, address, and phone number.
The records of Child #2 (DOA: 02/01/23) and Child #3 were missing the parent?s work hours; The name of the parent's hospitalization plan and number or medical assistance plan, if applicable; The parent's signed authorization to use a substitute provider and his or her name, address, and phone number.
Plan of Correction:
All the records will be reviewed by the provider to ensure the missing information is obtained as soon as possible.
Standard #:
8VAC20-850-110-C
Description:
Based on a review of four children's records and interviews, the provider did not meet the criteria on the health and safety checklist at the time of the monitoring visit.
Evidence: 1) The records of Child #1 (DOA: 12/20/23) and the record of Child #4 (DOA: 06/05/23) did not contain documentation that proof of identity was reviewed and the date of review.
2) The record of Child #2 (DOA: 02/01/23) did not contain a signed acknowledgement that the family day home business is covered by liability insurance. During interview, Caregiver #1 reported the form was given to the child's parent, but the signed form acknowledging receipt had not been returned.
3) The record of Child #1 (DOA: 12/20/23) did not contain proof of adequate immunizations received. 4) The immunizations in the record of Child #2 (DOA: 02/01/23) were dated 03/15/23, after the child?s admission to the program. Proof of adequate immunizations should be received on the date of admission or prior to admission.
5) The records of Child #1 (12/20/23), Child #2 (DOA: 02/01/23), Child #3 (DOA: 09/23/20), did not contain a copy of the physical examination results.
6) The physical examination results in the record of Child #4 (DOA: 06/05/23) were dated 07/10/23. A copy of the physical examination results should be obtained on each child before or within 30 days after enrollment.
Plan of Correction:
All the records will be reviewed by the provider to ensure the missing information is obtained as soon as possible.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
Find this content at:
http://www.dss.virginia.gov/facility/search/cc.cgi