VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Deborah Plaugher
267 N. Massanutten Street
Strasburg, VA 22657
(540) 465-8339

Current Inspector: Amy Tomblin (804) 629-3923

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 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

A monitoring inspection was conducted on May 25, 2022 from 3:00 P.M.-5:00 P.M. There were five children present for a total of four points, ranging in ages from five to ten years of age, with one caregiver 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 one child record, one caregiver, and one 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of the providers record, the provider failed to ensure that every five years a sworn disclosure statement was updated. Evidence: 1. The sworn disclosure statement on file was dated 04/19/2022. A new signed sworn disclosure statement was due on 01/29/2022. 2. The provider verified the date on the sworn disclosure statement on file, and the previous sworn disclosure statement on file.
Plan of Correction:	The provider has marked on the top of the new sworn disclosure statement when the new one is due by.
Standard #:	22.1-289.036-A
Description:	Based on a review of the household member's background checks, the provider failed to ensure that every five years a sworn disclosure statement was updated. Evidence: 1. The sworn disclosure statement on file was dated 04/19/2022. A new signed sworn disclosure statement was due on 01/29/2022. 2. The provider verified the date on the sworn disclosure statement on file, and the previous sworn disclosure statement on file.
Plan of Correction:	The provider has marked on the top of the new sworn disclosure statement when the new one is due by.
Standard #:	8VAC20-800-800-B
Description:	Based on a review of the emergency plan, the provider failed to update and review the emergency plan at least annually. Evidence: 1. The last date documented that the emergency plan was reviewed was 01/11/2021. A review was due by 01/11/2022. 2. The provider verified that the emergency plan had not been updated or reviewed since January 2021.
Plan of Correction:	The provider will review and update the emergency plan. In the future at the beginning of the new year the provider will check paperwork and ensure all updates are completed.
Standard #:	8VAC20-800-100-A
Description:	Based on a review of children records, the provider failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. Child #1's date of enrollment was 05/03/2021. There was no documentation of a physical exam in the file. 2. The provider verified that there was no a completed physical on file.
Plan of Correction:	The provider will request documentation of a physical exam from the parent the next day the child is in care.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children records, the provider failed to have all required information in a child's file. Evidence: 1. Child #1 date of enrollment was 05/03/2021. The record did not contain the following: name, home address, and telephone number of each parent who has custody; name, address, and telephone number of each custodial parent's place of employment; name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; information on allergies and intolerance to food, medication, or any other substance, and actions to take in an emergency situation; and names of persons other than the custodial parents who are authorized to pick up the child. 2. The provider looked through the file and verified the enrollment paperwork was not in the record.
Plan of Correction:	The provider will request a registration be completed by the parent as soon as possible.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider failed to ensure that all hazardous materials were kept in an area inaccessible to children. Evidence: 1. In the kitchen on the counter next to the refrigerator there were several containers of prescription medication and over the counter medications. The provider serves school age children who are tall enough or taller than the counter and the medication is accessible. 2. In the front restroom there was a bottle of Febreze Air Freshener in the bottom of the cabinet under the sink.
Plan of Correction:	The provider will move all medication to a place that is inaccessible to children, and the air freshener was immediately placed in a spot inaccessible to children.