VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pearl Pulley
19627 Dorothy Circle
Dinwiddie, VA 23841
(804) 469-6064

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: March 4, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated and concluded on 03/04/2021. The provider was contacted by telephone to initiate the inspection. There were 7 children present and 3 staff. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 2 children?s records and 2 staff records submitted by the facility to ensure documentation was complete. 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 facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. Please 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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on record review and interview, the provider did not ensure that documentation of a physical examination was received for each child prior to attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #1 (DOE:01/13/2020) contained a physical record dated 05/14/2020. 2. The provider acknowledged that the physical was received more than 30 days after the child's first date of attendance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-60-A
Description:	Based on record review and interview, the provider did not ensure that an up-to-date record was maintained for each enrolled child. Evidence: 1. The record of child #1 (DOE: 1/13/2020) was missing the written authorization for emergency medical care. The record was also missing the name, address and phone number for a second emergency contact as required.
Plan of Correction:	The emergency contact and medical care agreement were signed on 03/04/2021.
Standard #:	22VAC40-111-90-A
Description:	Based on record review and interview, the provider did not ensure that documentation of immunizations were obtained for each child prior to the first day of attendance. Evidence: 1. The record of child #1 (DOE: 01/13/2020) contained an immunization record that was signed and dated by the doctor on 08/14/2020. 2. The provider acknowledged that the immunization form was received after the child's first day.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1720.1-A
Description:	Based on record review and interview, the provider did not ensure that a central registry background search was repeated every 5 years as required for all employees. Evidence: 1. The record of staff #2 (DOH: 03/25/2005) contained a central registry finding dated 12/17/2015. The results of the 5 year repeat were not in the record. 2. The provider confirmed that the results of the repeat background check had not been received.
Plan of Correction:	The Central Registry was sent in October 2020. I called and they stated they didn't have it and we would have to submit it again.