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Ms. Elizabeth's Daycare, LLC
4577 Davis Highway
Louisa, VA 23093
(540) 967-9834

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: June 8, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Comments:
An unannounced monitoring inspection was conducted on-site June 8, 2023. The director was available during the inspection. There were 35 children present, ranging in ages from 7 months to 5 years, with 9 staff 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 5 child records and 5 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please 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 from today. Please specify how the deficient practice will be or has been corrected. 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:
Standard #: 22.1-289.035-B-4
Description: Based on a review of records and interview on 06/08/2023, the center failed to ensure to obtain a copy of the results of a criminal history record check and sex offender registry check prior to the first day of employment from any state in which the applicant has resided in the preceding five years and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years.
Evidence: 1. The record of staff #4, hired 07/01/2021, did not contain documentation of an out-of-state central registry check, out-of-state sex offender registry check and an out-of-state criminal history check. Staff #4 identified living in another state in the previous five years on the staff's sworn disclosure statement. Staff #6 confirmed the out-of-state checks were not completed.
2. The record of staff #5, hired 02/24/2023, contained documentation of an out-of-state sex offender check dated 03/16/23. Staff #5 indicated living in another state in the previous five years on the staff's sworn disclosure statement. Staff #6 confirmed the out-of-state sex offender check was not completed prior to hire.

Plan of Correction: Filed paperwork with the state of PA.

Standard #: 8VAC20-770-60-C-2
Description: Repeat Violation
Based on a review of staff records and interview on 06/08/2023, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: The record of staff #1, hired 06/01/2022, contained documentation of a central registry finding dated 09/09/2022. Staff #6 acknowledged the central registry results were late.

Plan of Correction: I failed to show follow up on background paperwork filed. The paperwork was filed prior to hire date just not received back in the required time.

Standard #: 8VAC20-780-40-K
Description: Based on record review and interview on 06/08/2023, the center failed to develop written procedures safe sleeping practices and sudden infant death syndrome awareness.
Evidence: 1. During the time of inspection, there was no documentation of written procedures for safe sleep practices.
2. Staff #6 stated she could not find the written procedures.

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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