VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patricia Johnson
9420 Kings Highway
King george, VA 22485
(703) 608-7700

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Aug. 30, 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 Background Checks Code, Carbon Monoxide

Comments:

A monitoring inspection was conducted on 8/30/2023 from approximately 12:00 p.m. ? 3:15 p.m. There were 6 children present ranging in ages from 1 year to age 4 with 2 providers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five (5) child records, two (2) provider records, and two (2) household member records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. Please sign the violation notice and complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today, 09/08/2023. Please 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 again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on record review, the provider failed to ensure that adults living in the family day home shall undergo background checks as required by Code of Virginia 22.1-289.036.B.2. Evidence: The record for adult household member, HM2, who became a household member in May 2023, did not contain the results of a national criminal background check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-4
Description:	Based on household member file review, the provider failed to have central registry findings within 30 days of beginning to reside in the family day home. Evidence: The record for adult household member, HM2, who became a household member in May 2023, did not contain findings of a central registry search.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	Based on child record review, the provider failed to ensure that one of five records documented the annual review with the parent the emergency contact information required in 8VAC20-800-60-B-2. Evidence: The record for child, C4 enrolled 06/08/2022 did not contain documentation of the annual review with parents.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-40-A
Description:	Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: The approved capacity of the current license is 5 children. On the date of inspection, there were 6 children under care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	REPEAT VIOLATION Based on child record review, the provider failed to maintain up-to-date records for three of five children. Evidence: The record for C1 failed to contain the name, address, and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C4 did not contain documentation of immunizations due in October 2022 and April 2023 before the child became 2 years old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on interview and record review, the provider failed to obtain for each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form documenting the absence of tuberculosis (TB) in a communicable form. Evidence: Provider reported adult household member, HM2, became a household member in May 2023. The record for HM2 did not contain a TB screening form.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on record review, the provider did not ensure each caretaker shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S2, employed 01/21/2022 documented 3 hours of the required 16 hours of annual training.
Plan of Correction:	Not available online. Contact Inspector for more information.