VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Beverly McPherson
4012 Norwood Street
Roanoke, VA 24018
(540) 774-1298

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: April 12, 2022

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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

The licensing inspector conducted an unannounced renewal inspection, at which play groups, outside time, and pre-lunch activities were observed. Children were observed; and staff and children files and other documentation were reviewed. Three (3) children were found to be in care, aged 4mths-5yrs. Please contact me if you need further assistance. Thank you for your cooperation.

Violations:

Standard #:	8VAC20-770-40-D-4-a
Description:	Based on review of files and discussions with the provider, the provider failed to maintain compliance with this standard related to obtaining background checks for a person residing in the home as required. Evidence: There was no documentation that the Finger-print Check or Central Registry Clearance was completed on household member #2 as required. The household member moved back into the home in October 2021. The allowed 30 day time frame to obtain these has expired.
Plan of Correction:	Both required background checks will be completed immediately and licensing notified when the findings of these is received.
Standard #:	8VAC20-800-80-A
Description:	Based on review of files and discussions with the provider, the provider failed to maintain compliance with this standard as required related to proof of birth documentation. Evidence: Child records #1 and #3 did not have documentation of verification of birth as required. Both children had been in care longer than the allowed 7 days to obtain this verification.
Plan of Correction:	Proof of birth will be recorded within the children's files as required.
Standard #:	8VAC20-800-140-B-3
Description:	Based on review of files and discussion with the provider, the provider failed to maintain compliance with this standard as required related to CPR certification. Evidence: The provider did not have current certification in CPR. The previous certification held expired in 2020.
Plan of Correction:	Provider will complete a CPR/FA approved course as soon as possible. Provider will notify licensing as soon as completed.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review of files and discussion with the provider, the provider failed to maintain compliance with this standard as required related to FA certification. Evidence: The provider did not have current certification in FA. The previous certification held expired in 2020
Plan of Correction:	Provider will complete a CPR/FA approved course as soon as possible. Provider will notify licensing as soon as completed.
Standard #:	8VAC20-800-170-A
Description:	Based on review of files and discussions with the provider, the provider failed to maintain compliance with this standard related to PPD/TB testing of household members as required. Evidence: There was no PPD/TB testing results for household member #2 as required. The individual has been within the home since October 2021. Testing is required to be completed within 30 days of becoming a household member.
Plan of Correction:	A TB/PPD test will be completed and results placed in the file. Licensing will be notified upon completion.