VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Gloria Almond
207 Avondale Drive
Lynchburg, VA 24502
(434) 426-6775

Current Inspector: Kelly Campbell (540) 309-2494

Inspection Date: Nov. 22, 2019

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 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Comments:

An unannounced monitoring inspection was conducted today 11/22/2019 There were eleven children present with two caregivers and total of thirty-one points. The inspection began at 9:00 am and concluded at 11:20 am. During the inspection diapering was observed, children's center time was observed, morning snack observed, five children's records were reviewed, the provider's records was reviewed, the assistant's record was viewed, emergency supplies were viewed, and some policies and procedures were reviewed.

Violations:

Standard #:	22VAC40-111-110-B
Description:	Based on review of five children's records, the provider failed to ensure that all immunizations were signed and dated. Evidence: 1. Child # 1 did not have a signature from the physician on the immunizations. Child's start date was 11/11/2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-120-A
Description:	Based on review of caregiver's records, the provider failed to ensure that all working staff had a record. Evidence: 1. Staff # 3 that was observed working in the family day home did not have a record that contained the required information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-60-B
Description:	REPEAT VIOLATION Based on review of five children's records, the licensee failed to ensure that all records were complete. Evidence: 1. Children # 2 and 4 did not have the policy number for their medical insurance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-200-A
Description:	Based on review of the staff's records, the provider failed to ensure that orientation was completed by the end of their first week of assuming job responsibilities. Evidence: 1. Staff # 1 has documented start date of 7/20/2008 with no orientation record in the file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, the provider failed to ensure that all areas and furnishings of the family day home, inside and outside was maintained in a clean, safe and operable condition. Evidence: 1. Observed the wooden fence around the backyard had several slats that were deteriorating and had sharp edges on the bottom and posed a safety hazard to the children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-240-B
Description:	Based on recall information and observation, the provider failed to ensure that all recalled items that have been identified by the U.S. Consumer Product Safety Commission was not being used. Evidence: 1. Child # 1 was placed in a rock and play that was recalled on April 12, 2019. The CPSC recommends users to stop using the product.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-b
Description:	Based on record review and observation, the provider failed to ensure that all staff working with the children had a sworn statement prior to the first day of employment. Evidence: 1. Staff # 2 did not have a signed Sworn Statement on the day of the inspection. Staff # 2 was observed working with the children and was used to meet the point requirement. The provider had 31 points, the regular assistant stepped out and staff # 2 was working as the assistant for approximately 45 minutes.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1720.1-A
Description:	Based on review of records and observation, the provider failed to ensure that all staff had a finger print eligibility letter prior to starting. Evidence: 1. Staff # 2 did not have the finger print eligibility letter returned on the day of the inspection. Staff # 2 was working as a staff and used in the point requirement.
Plan of Correction:	Not available online. Contact Inspector for more information.