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Ms. Rachel Massey
11400 Chester Road
Chester, VA 23831
(804) 496-9068

Current Inspector: Tara Barton (804) 662-9766

Inspection Date: Sept. 24, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
The licensing inspector conducted an unannounced monitoring inspection on 09/24/2018 from 11:30am to 3:20pm. The children were observed playing with toys, eating lunch, and napping. Today, there were 10 children, totaling 30 points, present with four caregivers. The caregivers were observed interacting with the children and cleaning. An interview was held with the caregiver throughout the inspection. Additionally, when appropriate the inspector interacted with children.

The provider does administer medication.
The provider does not provide transportation.
The provider does have a pet.

Five children?s records and four caregiver records were reviewed during the inspection.

Last emergency drill: 09/14/2018
Last shelter-in-place drill: 09/17/2018

The violations from the previous inspections were checked for corrections. There were two repeat violations found during today?s inspection.

If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on review, the provider did not ensure that three of five children's records contained the required information. Evidence: 1. The record of child #1 (start date: 01/08/2016) did not contain the required insurance policy information. 2. The record of chid #3 (start date: 09/05/2017) did not contain annual documentation of updated information (last updated: 08/26/17). 3. The record of child #5 (start date: 08/22/2018) did not contain documentation of proof of ID.

Plan of Correction: We will correct by the 28th.

Standard #: 22VAC40-111-180-A
Description: Based on review, the provider did not ensure that two of four staff records contained documentation of a current TB screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of staff #2 (start date: 05/13/2016) did not contain documentation of a current TB screening. Last documented TB screening was 01/08/2016. 2. The record of staff #3 (start date: 01/10/2016) did not contain documentation of a current TB screening. Last documented TB screening was 01/08/2016.

Plan of Correction: Staff will obtain current TB screenings by October 5th.

Standard #: 22VAC40-111-210-A
Description: Based on review, the provider did not ensure that two of four staff records contained documentation of the required annual training hours. Evidence: The record of staff #2 (start date: 5/3/16) did not contain documentation of the required (16) annual training hours. The record of staff #3 (start date: 01/10/2016) did not contain documentation of the required (16) annual training hours.

Plan of Correction: We will obtain 16 training hours annually.

Standard #: 22VAC40-111-350-E
Description: Based on observation, the provider did not ensure that hot water at taps available to children were maintained within a range of 105?F to 120?F. Evidence: The inspector checked the temperature of the hot water taps made available to children and the hot water temperature was 135.5?F.

Plan of Correction: We will adjust the thermostat on the hot water heater today. I will test the water to make sure it is the appropriate temperature through out the week.

Standard #: 22VAC40-111-460-C
Description: Based on review, the provider did not ensure that documentation of an updated vaccination was obtained for their pet. Evidence: Documentation of pet vaccination was last obtained 04/28/2015.

Plan of Correction: We will get her shots updated by the 5th of October.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on review, the provider did not ensure that one of three household members had a child protective services central registry check within 30 days of becoming 14 years old. Evidence: Household Member #5 did not contain documentation of a required central registry check. The provider had documentation of fingerprint check results on file for household member #5 dated 05/21/2018.

Plan of Correction: We will send out the central registry for Household member #5 by September 25th.

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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