VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Adrienne Camper
517 Stone Dale Drive
Richmond, VA 23223
(804) 225-1816

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: Oct. 3, 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 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on October 3, 2022 from approximately 2:00 pm to 3:30 pm. The substitute provider was in attendance and there were 5 children in attendance. The provider record, substitute record, one household member record and 5 children?s records were reviewed. All areas of the home were observed and areas where the children are cared for were inspected. Interviews were held with the provider throughout the inspection. The designated areas for childcare were deemed appropriate and are equipped with age appropriate toys to meet the needs of the children. Children were observed taking a nap, getting diapers changed, and eating snack while the licensing inspector was at the home. Evacuation drills were conducted monthly. Shelter in place drill conducted two times with the most recent on 05/12/22. The first aid kit was inspected and found complete. The home had a working flashlight and battery operated radio. There were violations cited as a result of this inspection. 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, 10/18/2022. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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 measure(s).

Violations:

Standard #:	8VAC20-800-800-B
Description:	Based on a review of documentation, the provider failed to review the emergency plan at least annually and update the emergency preparedness and response plan as needed. Evidence: The emergency preparedness and response plan was last reviewed and updated in 2018.
Plan of Correction:	Per the provider "the emergency plan has been updated. I will make sure to review the plan annually and update it as needed."
Standard #:	8VAC20-800-100-A
Description:	Based on a review of children?s records, the provider failed to obtain documentation of a physical examination prior to a child?s attendance or within 30 days after the first day of attendance. Evidence: The record for child #2, date of enrollment 5/2/21 did not contain documentation of a physical examination.
Plan of Correction:	Per the provider "I have spoken with the parent to obtain the physical examination. We will make sure to have all documentation prior to enrollment."
Standard #:	8VAC20-800-120-C
Description:	Based on review of substitute provider record, the provider failed to retain documentation of the time of arrivals and departures for substitute providers. Evidence: The record for the substitute provider, date of employment 9/4/18, did not contain documentation of the time of arrivals and departures. The substitute provider was working alone at the home during the inspection.
Plan of Correction:	Per the provider "the substitute's time is kept on timesheets for payroll purposes. I will document the time on the appropriate form."
Standard #:	8VAC20-800-80-A
Description:	Based on a review of children?s records, the provider failed to obtain verification of the identity and age of the child within seven days of the child?s first day of attendance. Evidence: The record for child #2, date of enrollment 5/2/21 did not contain verification of viewing the identity and age of the child.
Plan of Correction:	Per the provider "I have spoken with the parent to obtain the identity and age verification. We will make sure to have all documentation prior to enrollment."
Standard #:	8VAC20-800-140-D
Description:	Based on interview, the provider failed to document the time of arrivals and departures of the substitute provider. Evidence: The substitute provider stated that she does not document the time of arrivals and departures.
Plan of Correction:	Per the provider "the substitute's time is kept on a timesheet. I will document the time on the appropriate form.
Standard #:	8VAC20-800-530-A
Description:	Based on observation, the provider failed to ensure that cots used for sleeping or napping have linens consisting of a top cover and a bottom cover. Evidence: Three out of three cots where children were observed sleeping did not contain a bottom cover. The children were observed sleeping directly on the cot with a blanket on top of them.
Plan of Correction:	Per the provider "we will make sure that everyone will have a top and bottom cover when sleeping on the cots."
Standard #:	8VAC20-800-690-D
Description:	Based on observation, and interview, the provider failed to ensure that the diapering surface is nonabsorbent and washable; and cleaned and sanitized after each use. Evidence: The substitute provider changed each child after they woke up from nap on the cot that they were sleeping on. She then sprayed the cot with cleaning spray and stacked it on top of the other cots. When asked she said she changes the children on top of their cot each time.
Plan of Correction:	Per the center "changing pads have been purchased and the substitute knows to change the children on the appropriate pads.."
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the provider failed to ensure that the most recently issued inspection finding was posted on the premises. Evidence: The most recent inspection was not visible. When asked, the provider stated that the most recent inspection was not posted.
Plan of Correction:	Per the center "we will make sure to post the recent inspection soon after the inspection is over."