VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dawn Lauro
4539 Pennsylvania Ave. NE
Roanoke, VA 24019
(540) 238-1587

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: April 17, 2024 , April 18, 2024 and April 29, 2024

Complaint Related: Yes

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 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced, on-site complaint investigation began on 4/17/2024 in response to an allegation received on 4/11/2024 that the family day home was operating over the licensed capacity. Follow-up inspections occurred on 4/18/2024 and 4/29/2024. 9 children?s records were reviewed. The inspections included document review, tour of the home, interviews, and observations. Additional documents were received by partner agencies. Based on available evidence gathered during the investigation, the complaint is valid. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 5/23/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-2
Complaint related:	No
Description:	Providers must ensure that no person shall supervise children prior to the facility obtaining a completed fingerprint background check. Caregiver 2 did not have a completed fingerprint background check. Caregiver 2 provided care to the children beginning March 18, 2024.
Plan of Correction:	Moving forward I will make sure all people, employees & caregivers have a fingerprint background check & a central registry check before supervising children in care.
Standard #:	8VAC20-770-40-D-5
Complaint related:	No
Description:	Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day of residence. Household Member 1 did not have central registry results during the inspection of 4/17/2024. Household Member 1 moved in on March 2, 2024.
Plan of Correction:	All household members will have their Central Registry search within 30 days.
Standard #:	8VAC20-770-60-B
Complaint related:	No
Description:	A caregiver must not supervise children until the provider has the caregiver's completed sworn statement or affirmation. Caregiver 2 did not have a completed sworn statement available for review. Caregiver 2 provided care to the children beginning March 18, 2024.
Plan of Correction:	Caregiver 2 has a sworn disclosure statement signed as of . Moving Forward I will have future caregivers sign a sworn disclosure.
Standard #:	8VAC20-770-60-C-2
Complaint related:	No
Description:	Providers must obtain the results of a central registry search for a caregiver within 30 days of service. Caregiver 2 provided care to the children beginning March 18, 2024. There were no central registry search results during the 4/29/2024 inspection.
Plan of Correction:	All workers will have their Central Registry before 30 days are up.
Standard #:	8VAC20-800-100-A
Complaint related:	No
Description:	SYSTEMIC VIOLATION The provider shall obtain documentation of a physical examination prior to a child?s attendance or within 30 days after the first day of attendance. There were no physical exam records available for 5 children who were provided care in March 2024.
Plan of Correction:	I will make sure parents have physicals within 30 days of enrollment.
Standard #:	8VAC20-800-120-A
Complaint related:	No
Description:	SYSTEMIC VIOLATION Providers must maintain a record for each caregiver. Caregiver 2 provided care to the children on multiple days in March 2024 and April 2024. There was no record for Caregiver 2.
Plan of Correction:	I will make sure all caregivers have completed records.
Standard #:	8VAC20-800-40-A
Complaint related:	Yes
Description:	COMPLAINT RELATED SYSTEMIC VIOLATION Providers shall ensure the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. The provider is licensed for 5 children. On 18 days in March 2024 and 5 days in April 2024, the provider exceeded capacity by as many as 7 children.
Plan of Correction:	I will not go over my capacity at any time. I will make sure I only have 5 children and don't overlap during shift changes
Standard #:	8VAC20-800-50-A
Complaint related:	No
Description:	SYSTEMIC VIOLATION Providers must keep a written record of children in attendance each day. There were no attendance records available for review on 4/17/2024. On 4/18/2024, the provider did not have attendance records for April 8 ? 13, 2024. Provider stated they were not completed that week.
Plan of Correction:	I will keep daily written attendance for all children each day.
Standard #:	8VAC20-800-50-E
Complaint related:	No
Description:	SYSTEMIC VIOLATION Records and reports on children shall be maintained and made accessible to the department?s representative for two years from the date of termination of services for a child. There were no records available for two children who previously had records viewed on 7/10/2023. The provider stated they no longer receive care and records no longer exist.
Plan of Correction:	Moving forward I will keep all childrens records for 5 years.
Standard #:	8VAC20-800-60-A
Complaint related:	No
Description:	SYSTEMIC VIOLATION The provider must maintain an up-to-date record for each enrolled child. There were no children?s records available for 5 children who were provided care in March and April 2024.
Plan of Correction:	All children will have an up to date record before beginning care. All 5 children will have complete records.
Standard #:	8VAC20-800-60-B
Complaint related:	No
Description:	SYSTEMIC VIOLATION A child?s record must contain all information required by the standards. The record for Child 5 did not show the child?s full name. The record for Child 9 did not show the first date of attendance.
Plan of Correction:	I will make sure all children's records are complete with no missing information.
Standard #:	8VAC20-800-70-B
Complaint related:	No
Description:	SYSTEMIC VIOLATION The provider shall obtain the parent?s written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for 5 children who were provided care in March and April 2024.
Plan of Correction:	I will make sure I have parent acknowledgements signed & completed prior to caring for children.
Standard #:	8VAC20-800-80-A
Complaint related:	No
Description:	SYSTEMIC VIOLATION Within seven business days of the child?s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs. There were no records available for 5 children who were provided care in March and April 2024.
Plan of Correction:	I will make sure parent verification of identity and age are completed within 7 days of care.
Standard #:	8VAC20-800-90-A
Complaint related:	No
Description:	SYSTEMIC VIOLATION Before a child may attend, the provider shall obtain documentation that the child has been adequately immunized. There were no immunization records available for 5 children who were provided care in March and April 2024.
Plan of Correction:	I will make sure all kids have adequate immunization before care begins.
Standard #:	8VAC20-800-170-A
Complaint related:	No
Description:	Providers must obtain a current tuberculosis screening from a caregiver at the time of hire or service. Caregiver 2 provided care to the children on multiple days in March 2024 and April 2024. There was no tuberculosis screening for Caregiver 2.
Plan of Correction:	I will make sure all caregivers have their TB form completed before beginning work.
Standard #:	8VAC20-800-200-A
Complaint related:	No
Description:	The provider must orient assistants by the end of their first week of assuming job responsibilities. Caregiver 2 provided care to the children on multiple days in March 2024 and April 2024. There was no documentation that Caregiver 2 completed orientation.
Plan of Correction:	Moving forward I will make sure orientation is completed in the first week.
Standard #:	8VAC20-800-280
Complaint related:	No
Description:	Poisonous materials shall be stored in an area inaccessible to children. On 4/17/2024, cleaning chemicals were on the staircase and the ledge at the staircase that children use to enter the home.
Plan of Correction:	All cleaning supplies will be put away as soon as they enter the home, in a child proof cabinet.