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Ms Ayshanti Ruffin
568 1st Avenue
Suffolk, VA 23434
(757) 715-2009

VDSS Contact: Tiffany Jones (757) 403-3045

Inspection Date: Sept. 19, 2023

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

Comments:
A monitoring inspection was conducted on September 19, 2023 from approximately 8:50 am to 10:20 am to review voluntary registration requirements. There was two children present with one caregiver. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, and medication. A total of three children?s records and one caregiver record were reviewed. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 8VAC20-850-90-C
Description: Based on review, provider did not ensure 3 of 3 children?s records have documentation of required information.

Evidence: The following was found during child record review:
1. The record for child #1 (start date 5/21/2023) did not have parents? employment information and physical health examination record.
2. The record for child #2 (start state 5/15/2023) did not have parents? home information and parents? employment information.
3. The record for child #3 (start date 6/3/2023) did not have parents? employment phone numbers, emergency contact information, signed written agreement between parent and provider and physical health examination record.

Plan of Correction: Provider will request information from parents and add to each child's record.

Standard #: 8VAC20-850-110-C
Description: Based on observation and interview, provider did not ensure the criteria is met on the health and safety checklist at the time of the monitoring visit.

Evidence: The following was found:
1. The record for child #3 (start date 6/3/2023) did not have a medical release form from the family to permit emergency care.
2. The record for child #2 (start date 5/15/2023) did not have documentation of proof of identity.
3. The records for child #1 (start date 5/21/2023), child #2 (5/15/2023 and child #3 (6/3/2023) had a parent signed notification of liability insurance coverage however provider did not indicate on the forms whether the business is covered by liability insurance or not.

Plan of Correction: Provider will request information from parents and it will be added to each child's record.

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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