VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patricia Wooden
4403 Wrenn Forrest Drive
N. dinwiddie, VA 23803
(434) 480-5350

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: March 6, 2023

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 monitoring inspection was initiated and concluded on 3/6/2023. The inspector was on site from approximately 8:47 am-10:00 am. There were 7 children in care, ranging in age from 14 months to 4 years, with 2 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 and 3 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 #:	22.1-289.035-B-2
Description:	Based on a review of three (3) caregiver records and interview, the provider did not ensure to obtain a fingerprint background check for one (1) caregiver prior to the first date of employment as required. Evidence: 1. The record of caregiver #3 (date of employment: 12/19/2022) did not contain the fingerprint background check that was required prior to hire. The record contained a fingerprint check from 2021 that was conducted at another child care. 2. The provider stated that she thought that the background checks were transferable so she did not complete the fingerprint background check.
Plan of Correction:	On 3/6/2023, I made her an appointment to get fingerprints done at 10:00 am on 3/7/2023.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of three (3) caregiver records and interview, the provider did not ensure to obtain a central registry finding for one (1) caregiver by the end of the 30th day of employment as required. Evidence: 1. The record of caregiver #3 (date of employment: 12/19/2022) did not contain the required central registry finding. The record contained a central registry finding from 2021 that was conducted at another child care. 2. The provider stated that she thought the background check was transferable. She acknowledged that a current central registry finding had not been obtained within the 30 days.
Plan of Correction:	On 3/6/2023 I sent in a central registry in for caregiver #3.
Standard #:	8VAC20-800-120-B
Description:	Based on a review of three (3) caregiver records and interview, the provider did not ensure that one (1) caregiver had a record that contained the required information. Evidence: 1. The record of caregiver #3 (date of employment: 12/19/2022) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The provider acknowledged that the reference checks were not documented.
Plan of Correction:	The provider will document the reference checks that was conducted.
Standard #:	8VAC20-800-170-B
Description:	Based on a review of three (3) caregiver records and interview, the provider did not ensure to obtain a tuberculosis (TB) screening for one (1) caregiver at the time of hire that had been completed within the last 30 days as required. Evidence: 1. The record of caregiver #3 (date of employment: 12/19/2022) contained a TB screening that was completed in 2021. 2. The provider acknowledged that the TB form screening was not current.
Plan of Correction:	Caregiver #3 will go to CVS to receive a current TB test before returning.