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Ms. Dorothy Bruce
3410 Cliff Avenue
Richmond, VA 23222
(804) 321-2858

Current Inspector: Roshon Casey (804) 662-9760

Inspection Date: Nov. 30, 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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
none

Comments:
The licensing inspector conducted an unannounced monitoring inspection on Friday, November 30, 2018 from 12:15pm to 2:00pm. The children were observed resting on cots. Today, there were five children, totaling 12 points, present with two caregivers. Five children?s records and two caregivers? records were reviewed during the inspection. Medication is not being administered. Transportation is provided. Last emergency drill:11/29/2018 Last shelter-in-place drill: 05/10/2018 Emergency Plan Reviewed: 05/02/2018 The violations from the previous inspections were checked for corrections. There were no repeat violations found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Roshon Casey, at (804) 662-9760.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records on 11/30/2018, the provider did not ensure that three of five children's records reviewed contained documentation of an annual update of emergency information. EVIDENCE: 1. The most recent update documented in the record of Child #1 is dated 10/16/2017. 2. The most recent update documented in the record of Child #2 is dated 10/21/2017. 3. The most recent update documented in the record of Child #5 is dated 11/13/2017.

Plan of Correction: Parents will sign today when they are picked up.

Standard #: 22VAC40-111-90-C
Description: Based on a review of children's records on 11/30/2018, the provider did not ensure that documentation of additional immunizations were obtained every six months for children under the age of two years. EVIDENCE: The record of Child #1, who started at the home when he was 15 months old, and Child #2, who started at the home when she was 13 months old, did not contain documentation of immunizations every 6 months.

Plan of Correction: Going forward will make sure that children between the ages of 1 and 2 years old have 6 month check ups.

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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