VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Varlie Thompson
420 Lewis Lane
Heathsville, VA 22473
(804) 724-0063

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: March 14, 2022

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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 22.1 Background Checks Code; carbon monoxide detectors 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures

Comments:

This inspection was conducted by licensing staff partially using an alternate remote protocol and documents review. The inspector was on site on 3/14/2022 from 9:18 am-10:25 am. A renewal inspection was initiated and concluded on 03/14/2022. There were 4 children present, ranging in ages from 2 to 3 years, with 1 caregiver supervising. The inspector reviewed compliance in the areas of administration, household members, caregiver training, care of children, nutrition, physical environment and equipment and background checks. A total of 2 child records, 1 caregiver record, and 1 household member records 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. 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-800-800-B
Description:	Based on record review and interview, the provider did not ensure to review the emergency preparedness plan at least annually and document the review in writing. Evidence: 1. The emergency preparedness plan contained a review that was signed and dated on 3/6/2020. 2. The provider acknowledged that the plan had not been reviewed in 2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on record review and interview, the provider did not ensure to obtain documentation of a physical examination by or under the direction of a physician prior to attendance or within 30 days after the first day of attendance for 2 children as required. Evidence: 1. The records of child #1 (DOE: 3/10/2022) and child #2 (3/10/2022) were missing documentation of a physical record. 2. The provider acknowledged that the physical records had not been obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview, the provider did not ensure to maintain a record for each enrolled child that contained all of the required information. Evidence: 1.The records of child #1 (DOE: 3/10/2022) and child #2 (DOE: 3/10/2022) were missing a complete home address for 1 of the 2 required emergency contacts and the policy number of each child's medical insurance. 2. The provider acknowledged that the records were not complete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview, the provider did not ensure that all areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. In the outdoor play area, 2 gasoline containers were observed. One container contained gasoline. 3 rusted propane tanks and 3 rusted cans were also observed in areas accessible to the children. 2. The provider stated that the unsafe items would be removed prior to the children playing outside later in the day.
Plan of Correction:	Not available online. Contact Inspector for more information.