VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Mary Bellamy
3477 Beaverdam Road
Franklin, VA 23851
(757) 562-7821

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: May 31, 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

Comments:

A monitoring inspection was initiated and concluded on 5/31/2022. At the time of the inspector's arrival, there were 7 children present, ranging in ages from infant to 4 years old, with 2 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 3 child records and 3 staff 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 #:	8VAC20-800-60-B
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that all of the required documentation was contained in each enrolled child's record. Evidence: Three children's records were reviewed. The records for child #1 and child #3 did not contain a policy number for the child's medical insurance. The licensee confirmed that this documentation was not present in the children's records.
Plan of Correction:	The licensee stated that she will obtain the hospitalization Plan number for child #1 and child #3 by the end of the week and document it in the children's records.
Standard #:	8VAC20-800-80-A
Description:	Based on a review of records and interview, the Licensee was unable to demonstrate that within 7 days of the child's first day of attendance the parent provided Verification of the age and identity of each enrolled child. Evidence: Three children's records were reviewed. The record for child #1, whose first date of attendance was 9/7/2021, did not contain documentation that the licensee had proof of child #1's age and identity. The licensee confirmed that this documentation was not in the record.
Plan of Correction:	The licensee stated that she would obtain this documentation within 10 days. The licensee stated that Child #1 was previously enrolled and the documentation of seeing proof of identity may be in her old paperwork.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of records and interview, the licensee did not obtain, for every adult household member, a tuberculosis screening within two years from the date of the most recently documented screening. Evidence: Three provider / Assistant / Household Member Records were reviewed. The record for Household Member #2 contained the most recent Tuberculosis screening results which were dated 1/16/2019. The licensee confirmed that household member #1 had not had a more recent screening.
Plan of Correction:	The licensee stated that she would ensure that household member #2 obtained a Tuberculosis Screening within 10 days and that the results would be filed in household member #2's record upon receipt.