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: Aug. 19, 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, including telephone contacts, documents review and a virtual tour of the program. A monitoring inspection was initiated and concluded on 08/19/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 8 children present, ranging in ages from 15 months to 11 years with 3 staff supervising. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, nutrition, and background checks. A total of 2 child records, 1 staff record, and 1 household record were reviewed. 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. 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 #:	22VAC40-111-90-C
Description:	Based on record review and interview, the provider did not ensure to obtain required documentation of additional immunizations for each enrolled child. Evidence: 1. The record of child #1 (DOE:10/13/2014) did not contain documentation of additional immunizations between the child's fourth and sixth birthday. 2. The provider acknowledged that the additional immunization documentation had not been obtained.
Plan of Correction:	Child #1 Provider acknowledged that the documentation was not there between the 4th and 6th birthday. Evidently previous inspectors and provider missed this also.
Standard #:	22VAC40-111-140-B-3
Description:	Based on record review and interview, the provider did not ensure to obtain current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care for all providers and substitute providers. Evidence: 1. The record of caregiver #1 contained a CPR certification dated 11/17/2018. 2. The provider acknowledged that the certification was expired.
Plan of Correction:	A CPR and first aid class will be scheduled.
Standard #:	22VAC40-111-140-B-4
Description:	Based on record review and interview, the provider did not ensure to obtain a current certification in first aid for all providers and substitute providers as required. . Evidence: 1. The record of caregiver #1 contained a first aid certification dated 11/17/2018. 2. The provider acknowledged that the certification was expired.
Plan of Correction:	A CPR and first aid class will be scheduled.
Standard #:	22VAC40-111-180-A
Description:	Based on record review and interview, the provider did not ensure to obtain a current Report of Tuberculosis Screening form for each caregiver every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #1 contained a Report of Tuberculosis Screening form dated 03/19/2019. 2. The provider acknowledged that the follow up screening had not been completed.
Plan of Correction:	TB screening scheduled
Standard #:	63.2-1721.1-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 caregivers and adult household members. Evidence: 1. The record of caregiver #1 contained the results of a central registry background check dated 12/17/2015. 2. The record of household member #1 contained a central registry finding dated 12/17/2015. 3. The provider acknowledged that the 5 year repeat check had not been completed.
Plan of Correction:	Household member is scheduled to have central registry notarized 08/25/2021. Caregiver #1 Central Registry filled out and notarized on 08/23/2021.