VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pearl Pulley
19627 Dorothy Circle
Dinwiddie, VA 23841
(804) 469-6064

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: Sept. 7, 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 unannounced renewal inspection was initiated and concluded on 9/7/2022. The inspector was on site from 9:30 am-11:15 am. There were 4 children in care, ranging in age from 13 months to 3 years, with 3 caregivers supervising. 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. A total of 5 child records, 3 caregiver records, and 1 household member 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. 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 #:	8VAC20-800-830-A
Description:	Based on record review and interview, the provider did not ensure that emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: 1. An evacuation drill was not completed in March of 2022. 2. The provider acknowledged that an evacuation drill was not completed.
Plan of Correction:	will review fire drill book monthly to ensure all drills are held.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of five (5) children's records and interview, four (4) children did not have documentation that the child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. The records of child #1 (DOE: 8/31/2022), child #2 (DOE:8/31/2022), child #3: (DOE: 8/31/2022) and child # 5 (DOE: 8/31/2022) did not contain an immunization record. 2. The provider acknowledged that the immunization records were not obtained before the first date of attendance for the four (4) children.
Plan of Correction:	copies of physicals were obtained from dr office with dates of 8/8/2022 and 8/15/2022.
Standard #:	8VAC20-800-480-D
Description:	Based on observation and interview, the provider did not ensure that equipment used by children was assembled, maintained, and used in accordance with the manufacturer's instructions. Evidence: 1. Two booster seats were observed in the provider's van that were expired. Manufacturer's labels noted that one expired in 2015 and one expired in 2019. 2. A caregiver confirmed that the two seats were being used by children during transport.
Plan of Correction:	4 new booster seats were purchased 9/8/2022. Seats will be monitored monthly.