VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs April Caudle
5629 Cove Road
Roanoke, VA 24019
(540) 397-2274

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Dec. 11, 2023

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 conducted on 12/11/2023 from 10:50 am to approximately 1:30 pm. Six children, ages two years to four years (total of 12 points) were in care with one caregiver. The Licensing Inspector reviewed three children?s records, one provider record, three household member records, and other program records. The children were observed playing and having lunch. One diaper change was observed. The LI and provider had a discussion regarding emergency drills. 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 #:	8VAC20-790-180-A
Description:	Based on record review, the family day home failed to ensure that an adult household member had a TB screening every two years. EVIDENCE: The most recent TB screening for household member 3 was dated 9/16/2021.
Plan of Correction:	The TB screening will be obtained.
Standard #:	8VAC20-800-830-A
Description:	Based on document review and interview, the family day home failed to practice the emergency evacuation procedures each month. EVIDENCE: The evacuation drill log shows that the most recent drill was on 8/29/2023. Staff 1 stated this was correct and drills were not done.
Plan of Correction:	From now on, drills will be done monthly.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the family day home failed to have some required information in children?s records. EVIDENCE: 1. The record for Child 1 did not show whether the child had allergies or intolerances to food, medications, or substances or not and did not show whether the child had chronic health problems or not. 2. The record for Child 2 did not show whether the child had chronic health problems or not. 3. The record for Child 2 did not show if the child has attended school and was missing the doctor?s address.
Plan of Correction:	From now on, registration forms will be reviewed for completeness at enrollment. The missing information will be obtained.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the family day home failed to obtain documentation that a child has been adequately immunized prior to attending the home. EVIDENCE: Child 3 has a documented start date of 1/24/2022 and the immunization record was dated 2/28/2022.
Plan of Correction:	From now on, children will not be allowed to attend until documentation of adequate immunization is obtained.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview, the family day home was not maintained in a clean, safe, and operable condition. EVIDENCE: The floor in the entry/lunchroom is curling up at the edges of planks, and at the entrance to the kitchen a layer of the floor is missing. Both floor problems are trip hazards.
Plan of Correction:	The provider is aware of the problem with the floor and plans to have it repaired.
Standard #:	8VAC20-800-280
Description:	Based on observation the family day home failed to have potentially poisonous substances stored in an area inaccessible to children. EVIDENCE: A bottle of Windex was on the kitchen counter, and the children walk through the kitchen on their way to the lunch table. There were no adults in the kitchen area when this was observed.
Plan of Correction:	From now on, hazardous substances will be put away and inaccessible to children when staff is done using them.