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Susan Cassidy
8305 Sharonway Drive
Glen allen, VA 23060
(804) 687-5430

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: June 15, 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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted on June 15, 2023, with the provider. The inspection began at approximately 12:30pm and concluded at 1:40pm. There were 12 children present, totaling 25 points with 5 staff supervising. The inspector observed children transitioning from lunch and playing on the playground. 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 4 child records and 3 staff records, and 2 household members 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.

If you have any questions about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for all staff as required.
Evidence:
1. The record of staff #2 (DOH: 6/17/2022) did not contain the results of a central registry background check.
2. The provider acknowledged that the background checks were completed but had not been received.

Plan of Correction: We've reached out and are waiting (since May 18) to hear back.

Standard #: 8VAC20-800-50-A
Description: Based on record review, and interview, the provider did not keep a written record of children in attendance each day.
Evidence:
1. There was not a written record that documented children?s attendance each day.
2. The provider stated that she is currently using a board that displays the children?s name and picture.

Plan of Correction: Will reinstitute the written list.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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