VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Jacqueline Tyree
1027-A Forest Hills Avenue
Charlottesville, VA 22903
(434) 923-0643

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: March 28, 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 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.

Comments:

A monitoring inspection was conducted on 03/28/2023 from 2:40 pm until 3:50 pm. There were four children present, ranging in ages from eight months to eight years old, with one staff 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 five child records and two staff records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility. Please contact your licensing inspector, Chrystal King, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you at 804-297-4469

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on the review of five child records, the program failed to ensure a signed acknowledgment of an annual review of emergency contact information for two children. Evidence: 1. The last date that a review was completed for Child #4 was 08/12/2021. 2. The last date that a review was completed for Child $5 was 08/10/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on the review of five child records, the program failed to ensure a child's record contain all required information for one child. Evidence: The record for Child #3 was missing the following information: sex, address, parent's name and address and phone number, doctor's name and phone number, two emergency contacts, and authorization to pick up.
Plan of Correction:	Not available online. Contact Inspector for more information.