VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pearl Pulley
19627 Dorothy Circle
Dinwiddie, VA 23841
(804) 469-6064

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: March 20, 2024

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 conducted on 3/20/2024. Two inspectors were on site from approximately 10:36 am-12:50 pm. There were 5 children in care, ranging in age from 4 months to 3 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 2 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-A
Description:	Based on a review of caregiver records and interview, the provider did not ensure to obtain repeat background checks for one caregiver every five years as required. Evidence: 1. The record of caregiver #2 contained a sworn statement dated 10/17/2017, a central registry dated 9/25/2018, and fingerprint background checks dated 9/24/2018 and 11/8/2023. 2. The provider acknowledged that the repeat sworn statement and central registry had not been completed every five years and that the repeat fingerprint background check had been completed late.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.036-A
Description:	Based on a review of caregiver records and interview, the provider did not ensure to complete repeat background checks every five years for one agent/applicant of the family day home as required. Evidence: 1. The record of caregiver #1 contained a sworn statement dated 10/17/2017 and fingerprint background checks dated 9/20/2018 and 11/8/2023. 2. The provider acknowledged that the repeat sworn statement had not been completed every five years and that the repeat fingerprint background check was completed late.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-760-A
Description:	Based on observation and interview, the provider did not ensure that a complete first aid kit was kept in the vehicle used for transportation as required. Evidence: 1. The first aid kit in the provider's vehicle was missing scissors, a thermometer, a guide and the triangular bandages. 2. The provider acknowledged that the kit was incomplete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-C
Description:	Based on a review of documentation and interview, the provider did not ensure that documentation of emergency evacuation drills were documented as required. Evidence: 1. An evacuation drill was not documented in February of 2024. 2. The provider stated that the drill had been completed but not documented.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of five child records and interview, the provider did not ensure that a complete record was kept for two children as required. Evidence: 1. The record of child #1 (date of enrollment: 10/30/2023) did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent could not be reached. The record did not contain the signed acknowledgement of the parent's receipt of the provisions of the family day home's emergency preparedness and response plan. The record of child #3 (date of enrollment: 1/8/2024) did not contain the signed acknowledgement of the parent's receipt of the provisions of the family day home's emergency preparedness and response plan. 2. The provider acknowledged that the information was missing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	REPEAT VIOLATION Based on review of two caregiver records and interview, the provider did not ensure to obtain a current report of tuberculosis (TB) screening every two years from the date of the first screening for two caregivers as required. Evidence: 1. The record for caregiver #1 contained a tuberculosis screening dated 8/20/21. The record for caregiver #2 contained a tuberculosis screening dated 4/25/21. 2. The provider acknowledged that the repeat TB screenings had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation and interview, the provider did not ensure that potentially poisonous substances were stored in areas inaccessible to children. Evidence: 1. A bottle of glade air freshener was observed in an unlocked lower cabinet in the bathroom used by children. The bottle contained warning labels to include: caution and harmful to pets and animals. In one room that is used by children, a bottle of Orajel teething ointment was located on the floor. The ointment contained a label that read: keep out of the reach of children. 2. The provider acknowledged that the substances were not inaccessible and stated that a parent dropped the teething ointment that was observed during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-460-C
Description:	REPEAT VIOLATION Based on a review of documentation and interview, the provider did not ensure that a dog that resided in the home had a current rabies vaccination. Evidence: 1. The provider stated that a Morkie resided in the home and was not able to locate documentation to show that the household dog had a current rabies vaccination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-480-D
Description:	Based on observation and interview, the provider did not ensure that equipment used by children was used in accordance with the manufacturer's instructions. Evidence: 1. In the vehicle used for transporting children, two expired booster seats were observed. The seats contained documentation to discontinue use after December of 2013 and December of 2019. 2. The provider acknowledged that the seats were expired.
Plan of Correction:	Not available online. Contact Inspector for more information.