VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shemik Sellars
601 Marblethorpe Road
North chesterfield, VA 23236
(804) 874-8913

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: May 25, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and House 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

Comments:

An on-site renewal inspection was conducted on May 25, 2022 and concluded on May 25, 2022. On The licensing inspectors were onsite from approximately 10:45am until 1:15pm. The provider assisted with the inspection. There were 11 children present, ranging in ages from seven months to four years, with three caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records, three caregiver records and three 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

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of caregiver records and observation, the provider did not obtain a national finger print background check for one caregiver prior to employment. Evidence: The record of caregiver #3, hired 05/09/2022, did not contain a national fingerprint background check. Caregiver #3 was observed working during today?s inspection on 05/25/2022.
Plan of Correction:	per the provider: I requested the fingerprint using the portability. I have not yet received the results. Going forward, I will not hire anyone until the fingerprint results are obtained.
Standard #:	8VAC20-770-40-D-6
Description:	Based on a review of three caregiver records, the provider did not ensure that a required central registry finding for one caregiver was not dated more than 90 days prior to the date of employment. Evidence: The record for caregiver #3, hired on 05/09/2022, had documentation of a central registry finding that was dated 08/17/2021. The central registry check exceeded 90 days prior to hire.
Plan of Correction:	Per the provider: I will request an updated central registry check. I had obtained one but then the caregiver didn't start. When she did start later, I was unaware the central registry could not be any older than 90 days.
Standard #:	8VAC20-800-770
Description:	Based on observation, the provider did not maintain a working portable battery-operated weather band radio, and extra batteries to be available to caregivers at all times. Evidence: The portable battery operated radio did not work. The provider did not have enough additional batteries for the radio to work.
Plan of Correction:	Per the provider: I ordered additional batteries for the radio from amazon today.
Standard #:	8VAC20-800-830-B
Description:	Based on review of the shelter in place drill log, the provider did not ensure shelter in place procedures were practiced a minimum of twice per year. Evidence: The shelter in place drill log had one shelter in place drill documented for the 2021 year. The drill was conducted on 09/14/2021.
Plan of Correction:	Per the provider: The sheet I use to document drills doesn't have a spot for a second shelter in place and at a glance I thought I had completed all the required shelter drill. I will change the form to include a spot for the second required drill.
Standard #:	8VAC20-800-100-A
Description:	Based on review of four children?s records, the provider did not obtain documentation of a physical examination prior to a child?s attendance or within 30 days after the first day of attendance for one child?s record. Evidence: The record for child #3, enrolled 01/24/2022, did not contain documentation of the child?s physical examination.
Plan of Correction:	Per the provider: I sent a message to the parent requesting they provide the physical documentation for the record.
Standard #:	8VAC20-800-120-A
Description:	Based on review of caregiver records, the provider did not obtain all required documentation for one caregiver?s record. Evidence: 1. The record for caregiver #3, hired 05/09/2022, did not contain the following required documentation; address, name, address and telephone number of a person to be notified in an emergency; documentation of two references prior to employment; documentation of tuberculosis screening; and orientation. 2. The provider stated she had not completed the record for caregiver #3.
Plan of Correction:	Per the provider: I am working on completing all the required information for the staff record. Going forward I will complete all paperwork in the required timeframe.
Standard #:	8VAC20-800-70-B
Description:	Based on review of four children?s records, the provider did not obtain the parent?s written acknowledgement of the receipt of the information regarding ?Information for Parents? and ?Policies for Administering Medications?. Evidence: 1. The record of child #1, enrolled 02/07/2022, did not have documentation of the parent?s written acknowledgement for receiving ?Information for Parents?. 2. The record of child #3, enrolled 01/24/2022, did not have documentation of the parent?s written acknowledgement for receiving ?information for parents? and the ?Policies for administering medications?.
Plan of Correction:	Per the provider: I sent a message asking the parent to sign the documentation at pick up.
Standard #:	8VAC20-800-90-A
Description:	Based on review of four children?s records, the provider did not obtain documentation that one child had been adequately immunized before the child?s first day of attendance. Evidence: 1. The record of child #3, enrolled 01/24/2022, did not have documentation of immunizations on record. 2. The provider stated she had not received documentation of the immunizations for the child?s record.
Plan of Correction:	Per the provider: I sent the parent a message requesting they provide the immunization record.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, the provider did not ensure caregivers washed their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Evidence: Staff #2 was observed changing the diapers of three children. Staff #2 did not wash her hands between children?s diaper changes. Staff #2 was wearing a pair of gloves and did not change the gloves during the diapering of the three children.
Plan of Correction:	Per the provider: I reviewed with the caregiver the steps to be taken for diapering. I also have a poster hanging over the diaper table that list steps to be taken.