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Linda Roper
11400 Chester Road
Chester, VA 23831
(804) 496-9068

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Aug. 19, 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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minors 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 announced initial inspection was initiated and concluded on 8/19/2022. The inspector was on site from 9:30 am-10:37 am. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. Three caregiver 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.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not
acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:
Standard #: 8VAC20-800-320-G
Description: Based on observation and interview, the provider did not ensure that a wood burning fireplace and associated chimney was inspected annually by a knowledgeable inspector to verify that the device was properly installed, maintained, and cleaned as needed.

Evidence:
1. A wood burning fireplace was observed during the inspection on 08/19/2022.
2. The provider acknowledged that an annual fireplace inspection had not been completed.

Plan of Correction: We will begin tearing out the current fireplace, mantle and hearth immediately. Upon completion of the tear down we will replace the walls into a normal corner making sure to properly close of the flue and put up appropriate drywall. As this is being done, we will be taking pictures of the progress as we go so that you can see how the work progressed once it is completed so you can be assured that it has been completely removed. When the work is complete we will send the pictures and a notice that the work is complete.

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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