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Ms. Deneen Kelly
5507 Troy Road
Richmond, VA 23224
(804) 233-5333

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: Nov. 16, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-790 Subsidy Regulations

Comments:
An unannounced subsidy health and safety inspection (SHSI) was initiated and concluded on Wednesday, November 16, 2022. The licensing inspector was on site from approximately 9:50am until 10:45am. There was one child present with one caregiver supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and programming. A total of one child's records and one caregiver's records were reviewed. A monitoring inspection was also conducted on this date. Only subsidy requirements that are not covered in licensing standards were reviewed during this supplemental inspection.

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 #: 8VAC20-790-190-B
Description: Based on a review of one child's record and interview, the vendor did not ensure the child's record contained the required information.

Evidence: 1) The record of Child #1, date of attendance 10/05/22, did not contain the following information - proof of the child's identity; name, address, and telephone number for each custodial parent's place of employment; or the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached.
2) During interview, the provider confirmed the information was missing from the child's record.

Plan of Correction: The information will be obtained when the child is picked up.

Standard #: 8VAC20-790-230-A
Description: Based on a review of one child's record and interview, the vendor did not obtain documentation that the child has been immunized according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations before the child attended the family day home.

Evidence: 1) The record for Child #1, date of attendance 10/05/22, did not contain immunization documentation. 2) During interview, the provider reported the immunization documentation for Child #1 has not been obtained.

Plan of Correction: The immunizations for Child #1 will be requested.

Standard #: 8VAC20-790-250-F
Description: Based on a review of one caregiver's records and interview, the vendor did not ensure one caregiver had documentation of the department's health and safety update course.

Evidence: 1) The record of Caregiver #1 did not have documentation of the department's health and safety update course. 2) During interview, Caregiver #1 confirmed the updated course has not been completed. The department's health and safety update course should be completed annually.

Plan of Correction: The training will be completed.

Standard #: 8VAC20-790-430-B
Description: Based on documentation reviewed, the vendor did not maintain a record of the dates of the practice drills for one year.

Evidence: 1) The last evacuation drill documented in the emergency response drill log was 04/15/22. 2) During interview, the provider reported the evacuation drills have been practiced monthly, but documentation has not been maintained as required.

Plan of Correction: Moving forward, the provider will document all drills when they are practiced.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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