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Ms. Adrienne Camper
517 Stone Dale Drive
Richmond, VA 23223
(804) 225-1816

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: May 4, 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
?8VAC20-800 Transportation
?8VAC20-800 Nighttime Care
?8VAC20-820 THE LICENSE.
?8VAC20-820 THE LICENSING PROCESS.
?8VAC20-820 HEARINGS PROCEDURES.
?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
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:
A monitoring inspection was initiated on May 4, 2022 and concluded on May 6, 2022. Two licensing inspectors were onsite from approximately 9:55am until 12:00pm. The caregiver assisted the licensing inspectors during the inspection. There were seven children present, ranging from 15 months to four years of age (total of 19 points) with one staff supervising (see violation notice for additional information). The inspectors reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five children records and two staff 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.

Violations:
Standard #: 22.1-289.058
Description: Based on observation and interview, the caregiver did not ensure the home was equipped with at least one carbon monoxide detector.

Evidence:
Caregiver #1 stated a carbon monoxide detector has not been purchased as of May 4, 2022 when the licensing inspectors asked to see the carbon monoxide detector. The family day home was built before 2015.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-40-D-5-a
Description: Based on documentation review and interview, the caregiver did not obtain a central registry finding for one household member within 30 days of the household member becoming 14 years old.

Evidence:

Caregiver #1 stated Household Member #1 turned 14 years old in the Fall of 2021. When the licensing inspector asked to review the central registry finding for Household Member #1, Caregiver #1 stated it had not been requested as of May 4, 2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-770
Description: Based on observation and interview, the caregiver did not ensure a working portable battery-operate weather band radio was available to caregivers at all times.

Evidence:
The licensing inspectors asked to view the working portable battery-operated weather band radio. Caregiver #1 and Caregiver #2 looked for the radio during the inspection and could not find it.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-800-A
Description: Based on documentation review and interview, the caregiver did not have a written emergency preparedness and response plan available.

Evidence:

The provider stated the written emergency preparedness and response plan was taken out of the home and used for training when the licensing inspectors asked to review the written emergency preparedness and response plan.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-830-D
Description: Based on documentation review and interview, the caregiver did not maintain documentation of emergency evacuation and shelter-in-place drills.

Evidence:

The provider stated the documentation of emergency evacuation and shelter-in place drills were taken out of the home and used for training when the licensing inspectors asked to review the emergency drill log. The provider stated the drills are practiced as required.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-120-B
Description: Based on documentation review and interview, the caregiver did not ensure a substitute providers' record contained the required information.

Evidence:
1. The records for Caregiver #1 and Caregiver #2 did not documentation of the education and training.
2. The record for Caregiver #2 did not contain the name address and telephone number of a person to be notified in an emergency and the substitute providers' records containing documentation of the time of arrivals and departures times.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-A
Description: Based on documentation review and interview, the caregiver did not ensure an up-to-date record at the family day home for each enrolled child.
Evidence:

The licensing inspector requested to review seven children's records. The provider stated she had taken some of children's records from the home for training purposed. The provider could not locate three children's records while the licensing inspectors were one site.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-B
Description: Based on review of five children's records, the caregiver did not maintain the required information in the children's records.

Evidence:

1. The records for Child #3 and Child #5 did not contain documentation of the child?s first date of attending the family day home.
2. The records for Child #2 (start date 04/09/2019), Child #3 (start date not documented), Child #4 (start date 04/06/2021) and Child #5 (start date not documented) did not contain documentation that the caregiver reviewed the required emergency contact information listed in child's record with parent, obtaining parent's signed acknowledgement at least annually.
3. The records for Child #3 and Child #5 did not contain the physical addresses for the two listed emergency contacts and did not contain proof of the child?s age and identity.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-140-C
Description: Based on observation and interviews, the caregiver did not ensure the use of a substitute provider was limited to no more than a total of 240 hours per calendar year.

Evidence:
Caregiver #1 arrived at the home at approximately 10:10am. Caregiver #1 stated since February 2022, she had been at another location from approximately 6:00am until 10:30am to 11:00am, Monday through Friday.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-240-A
Description: Based on observation and interview, the caregiver did not ensure all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.

The licensing inspectors observed sections of the wooden fencing surrounding the backyard including the outdoor play equipment had fallen over, creating unsafe conditions. Caregiver #1 stated the children play on the outdoor play equipment and plans have been made to fix and replace the broken wooden fence.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-320-I
Description: Based on observation and interview, the caregiver did not ensure the home was equipped with a fire extinguisher that met the Uniform Statewide Building Code.

Evidence:
The licensing inspectors requested to see the fire extinguisher. Caregiver #1 looked for the fire extinguisher while the licensing inspectors were on site but could not locate it.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-430-A
Description: Based on observation and interview, the caregiver did not ensure children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision had access to stairs.

Evidence:
1. The mounted gate at the bottom of the stairs located in the child care area was left open for approximately 45 minutes. There were seven children in the child care area ranging in age 15 months to four years of age.
2. A stairway leading to the second floor of the home did not contain a barrier or gate blocking children's access to the stairs. The bathroom used by the children is located across from the stairway.
3. Caregiver #1 stated the barrier that was used to block the second floor stairway was moved to the outdoor shed.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-500-C
Description: Based on observation and interview, the caregiver did not ensure stationary outdoor playground equipment was not installed on a hard surface.

Evidence:
The licensing inspectors observed stationary outdoor playground equipment sitting on the bare ground. Caregiver #1 stated she is going to replace the climbing equipment and add resilient surfacing underneath the play equipment.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-570-A
Description: Based on observation, documentation review and interview, the caregiver did not ensure an additional caregiver was present when the caregiver exceed 16 points based on the ages of the children in care.

Evidence:
Two licensing inspectors arrived at the home on May 4, 2022 at approximately 9:55am. Upon arrival, the licensing inspectors observed seven children in care with one caregiver, Caregiver #2. The children ranged in age from 15 months to four years, for a total of 19 points. The attendance record for the day indicated there were seven children in care. Caregiver #2 stated Caregiver #1 was on her way. Caregiver #1 arrived at the home at approximately 10:10am.

Plan of Correction: Not available online. Contact Inspector for more information.

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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