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Keisha Jones
4120 Dorset Road
Richmond, VA 23234
(804) 298-0298

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Feb. 15, 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 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s 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 renewal inspection was conducted on 02/14/2024 from approximately 9:00 a.m. ? 12:14 p.m. Nine children were present aged two years old to four years old with two caregivers supervising. 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 five child records were reviewed. Caregiver and household member records were reviewed.

The information gathered during the inspection determined violations with applicable standards or law. Please sign the violation notice and 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.

Your plan of correction should 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 preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-B-4
Description: Based on staff record review, the provider failed to obtain the results of an out of state criminal history name check, sex offender registry search and out of state child abuse and neglect search from any state in which the individual has lived in the preceding five years.

Evidence:
Staff record for P2 documented on the sworn statement having lived out-of-state in the last five years. The records for P2, employed 05/10/2023 did not contain the results of an out of state criminal history name check, a sex offender search for a state in which the individual lived in the preceding five years, and the results of the out of state child abuse and neglect search.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-830-B
Description: Based on review of emergency response drills documentation, the provider failed to ensure
that shelter-in-place procedures shall be practiced twice per year.
Evidence:
The emergency drill documentation did not document a second practice of shelter-in-place procedures during 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-110-B
Description: Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician?s designee, or an official of a local health department.
Evidence:
The immunizations for C1 were not signed by the licensed physician, the physician?s designee, or an official of a local health department.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-180-A
Description: Based on record review, the provider failed to obtain for each caregiver and household member a current Report of Tuberculosis (TB) Screening form every two years.
Evidence:
The TB screenings for caregiver, P1 were dated 05/15/2021 and 07/09/2023.
The TB screenings for household member, HHM1 were dated 05/12/2021 and 09/23/2023.
The TB screening for household member, HHM2 were dated 03/23/2021 and 09/28/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

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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