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Carol Godfrey
1835 Silver Star Lane
Culpeper, VA 22701
(540) 522-4588

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Jan. 24, 2024

Complaint Related: No

Areas Reviewed:
8VAC20-790 SUBSIDY REGULATIONS

Comments:
An annual subsidy health and safety (SHSI) inspection was conducted on January 24, 2024. There were three children present with one caregiver supervising. Areas reviewed during the inspection included physical plant, diapering, safe sleep, evacuation drills, required postings, two children records, two caregiver records, and one household member record was 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 #: 8VAC20-790-170-C
Description: Repeat Violation
Based on a review of records, the vendor failed to ensure that one caregiver and household member, who is or will be alone with, in control of, or supervising one or more of the children, shall undergo background checks in accordance with 22.1-289.040 of the Code of Virginia; (ii) shall not have been convicted of a barrier crime as defined in 19.2-392.02 of the Code of Virginia; and (iii) is not the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.
Evidence: 1. Caregiver #1 was observed alone in the home, caring for three children ranging in age from 2 years to 4 years old. Caregiver #1 stated he did not complete a fingerprint check, a child abuse and neglect registry check, or a sworn disclosure statement. The vendor confirmed that background checks have not been completed for caregiver #1.
2. There was no documentation of background checks for household member #1. The vendor stated that household member #1 has been living in the home and confirmed the background checks were not completed.
3. The record for the vendor did not contain documentation of a sworn disclosure statement. The vendor was unable to locate the sworn disclosure and then submitted it with the date of the inspection.

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

Standard #: 8VAC20-790-180-B
Description: Based on inspection, the vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: Caregiver #1 was unable to provide a record of attendance, reporting he didn?t know where it was located. During the inspection, child #1 was observed to arrive at the home and arrival was not documented as it occurred.

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

Standard #: 8VAC20-790-200-1
Description: Based on inspection and interview, the vendor failed to keep a record for one caregiver.
Evidence: There was no record for caregiver #1. Caregiver #1 confirmed there was no record to review.

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

Standard #: 8VAC20-790-210-A
Description: Based on interview, the vendor failed to have each caregiver evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB).
Evidence: Caregiver #1 did not have a tb skin test/screening. Caregiver #1 was caring for three children at the time of inspection. The vendor confirmed caregiver #1 has not completed a tb test/screening.

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

Standard #: 8VAC20-790-210-B
Description: Repeat Violation
Based on a review of caregiver records and interview, the vendor failed to ensure that at least every two years from the date of the initial screening or testing, the provider obtained the results of a follow-up tuberculosis screening.
Evidence: The vendor failed to obtain the results of a tuberculosis screening at least every two years from the date of the initial screening.

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

Standard #: 8VAC20-790-250-C
Description: Based on interview, the vendor did not complete orientation training for one caregiver prior to the caregiver working alone with children.
Evidence: 1.) At the time of inspection, caregiver #1 was observed working alone with three children, ranging in age from 2 years to 4 years old. 2.) There was no record for caregiver #1. 3.) During interview, caregiver #1 reported that he has not completed orientation training.

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

Standard #: 8VAC20-790-250-D-1
Description: Repeat Violation
Based on interview, the vendor failed to ensure there must always be at least one caregiver with current certification in cardiopulmonary (CPR) training, appropriate to the ages of children in care, present during operating hours of the family day home.
Evidence: Caregiver #1 was observed caring for three children, ranging in age from 2 years to 4 years. During interview, caregiver #1 reported that he did not have current certification in CPR and that the vendor was not home.

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

Standard #: 8VAC20-790-250-D-2
Description: Repeat Violation
Based on interview, the vendor failed to ensure there must always be at least one caregiver with current certification in first aid appropriate to the ages of children in care, present during the operating hours of the family day home.
Evidence: Caregiver #1 was observed caring for three children, ranging in age from 2 years to 4 years. During interview, caregiver #1 reported that he did not have current certification in first aid and that the vendor was not home.

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

Standard #: 8VAC20-790-430-B
Description: Based on interview, the vendor failed to maintain a record of the dates of the practice drills for one year.
Evidence: Caregiver #1 was unable to provide a record of the dates of practice drills during the inspection.

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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