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Creola Williams
222 Liberty Ave
Richmond, VA 23223
(804) 909-9801

VDSS Contact: Lauren Bickford (540) 280-0742

Inspection Date: Sept. 13, 2022

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:
A monitoring inspection was completed on site on Tuesday, September 13, 2022. The licensing inspector was on site from approximately 10:10am until 11:40am. There were two children present with one caregiver supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and programming. A total of four children?s records, two caregiver records, and one household member?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.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of two caregivers' records and interview, the vendor did not ensure one caregiver obtained a fingerprint-based national criminal background check prior to employment.

Evidence: 1) The record for Caregiver #2, employed 08/02/22, did not contain the results of a fingerprint-based national criminal background check. 2) During interview, Caregiver #1 reported the fingerprints for Caregiver #2 have not been requested.

Plan of Correction: Caregiver #2 will schedule an appointment and submit fingerprints upon receipt.

Standard #: 8VAC20-770-60-B
Description: Based on a review of two caregivers' records and interview, the provider did not obtain a completed sworn statement for one caregiver prior to the first day of employment.

Evidence: 1) The record for Caregiver #2, date of employment 08/02/22, did not contain a
completed sworn statement. 2) During interview, Caregiver #1 reported Caregiver #2 has not completed a sworn statement.

Plan of Correction: Caregiver #2 will complete the sworn disclosure on 09/14/22.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of two caregivers' records and interview, the provider did not obtain a central registry finding within 30 days of employment.

Evidence: 1) The record for Caregiver #2, employed 08/02/22, did not contain a central registry finding. 2) During interview, Caregiver #1 reported the central registry search has not been requested.

Plan of Correction: The central registry request will be completed and sent for processing.

Standard #: 8VAC20-850-110-C
Description: Based on a review of two children?s records and interview, the provider did not meet all the criteria on the health and safety checklist at the time of the inspection.

Evidence: 1) The record for Child #3, date of attendance 09/12/22, did not contain proof of adequate immunization. 2) The record for Child #4, date of attendance 05/09/20, did not contain proof of adequate immunization or a copy of the physical examination results before or within 30 days after enrollment. 3) During interview, Caregiver #1 reported the immunizations for Child #3 and Child #4, and the physical examination for Child #4 have not been obtained. The health and safety checklist requires proof of adequate immunization received on the date of admission, or prior to admission, for each child admitted and a copy of the physical examination results obtained on each child before or within 30 days after enrollment.

4) The record for Caregiver #2, date of employment 08/02/22, did not contain a tuberculosis (TB) test or screening. 5) The record for Household Member #1 had a TB screening that expired on 04/15/2021. The health and safety checklist requires that any adult, including any adult household member, who comes in contact with children or will provide care to children has a tuberculosis (TB) test or screening.

Plan of Correction: The missing immunizations will be requested and filed. An appointment will be scheduled for the missing TB screening.

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.


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