VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lisa Brooks
717 Graystone Way
Portsmouth, VA 23704
(757) 399-2292

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Dec. 13, 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

Technical Assistance:

The administration of medication was discussed with the provider as the Medication Administration Certification (MAT) has expired. NO medication (no prescription medication and no over the counter non-prescription medication) may be administered by the provider. Parent signed Decision to Administer Medication forms must all be changed to reflect that only TOPICAL OINTMENTS may be applied to a child. No prescription or over the counter non-prescription medicine will be administered.

Comments:

A monitoring inspection was conducted on 12/13/2022. There were 4 children present with the provider 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 2 provider/household 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 were reviewed with the provider during the exit interview.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based upon review of children's records and provider interview, the provider has not ensured that documentation of a physical examination is obtained within 30 days after the first day of attendance. Evidence: 1. According to the record, child 3 began attending on 11/13/2022. The record did not include the results of a physical examination. 2. The provider acknowledged that the results of a physical examination had not been obtained for the record .
Plan of Correction:	The provider responded with the following: The parent will be contacted to obtain documentation of a physical examination from their physician. In the future I will more carefully the documents submitted by the parents to ensure they are acceptable,.
Standard #:	8VAC20-800-60-B
Description:	Based upon review of children's records and provider interview, the provider has not ensured that each child's record includes all required documentation or information. Evidence: 1. The record provided for child 1 did not include documentation that the record has been updated since August 2021. 2. The record provided for child 3 included only 1 person to be contacted in an emergency if a parent cannot be reached. 3. The provider acknowledged the above noted missing information.
Plan of Correction:	The provider responded with the following: Parents will be required to review their child's record annually, make any needed changes and sign and date when the record has been reviewed. All parents will be required to provide the names, addresses and telephone numbers of two persons other than the parents to be contacted in an emergency when a parent cannot be reached.