VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Yvette Williams-Patterson
2109 Ives Lane
N. chesterfield, VA 23235
(804) 615-9204

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: Aug. 27, 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 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

Technical Assistance:

N/A

Comments:

An unannounced renewal inspection was conducted on Tuesday, August 27, 2019 to determine compliance with licensing standards. The inspector arrived at 1:25 PM and concluded the inspection at 3:15 PM. Today, there were 10 children, present with two caregivers. During the inspection, children were napping, washing hands, eating snack, singing, dancing, and reading stories. Children's equipment, learning materials, indoor and outdoor space, and restrooms were inspected. Five children's records, three caregiver records and one household member record, daily attendance records, fire drill and shelter in place drill logs, first aid kit and non-medical emergency supplies and all required postings were reviewed. The provider was available for the inspection and was present at the exit interview at which time inspection findings were reviewed and an Acknowledgment of Inspection form was signed and left with the licensee. Violations were cited and are documented on the violation notice. 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 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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. If you have any questions about this inspection, please contact the licensing inspector, Heather Dapper, at (804) 662-7014.

Violations:

Standard #:	22VAC40-111-60-A
Description:	Based on a review of children's records, the provider did not ensure that each record contains all required information. Evidence: 1. The provider was unable to find the complete record for child #3. 2. The record for child #3 did not contain the child's first day of attendance; name, address and telephone number of each parent who has custody; name, address and telephone number of each custodial parent's place of employment; name, address and telephone number of two designated persons to contact in case of an emergency; information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation; name and policy number of the child's medical insurance; and name of persons other than the custodial parents who are authorized to pick up child.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-180-A
Description:	Based on a review of caregiver and household member records, the provider did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for caregiver #1, (date of last TB screening 05/18/16) did not contain updated TB screening results as of 08/27/19. 2. The record for caregiver #2, (date of last TB screening 07/10/17) did not contain updated TB screening results as of 08/27/19. 3. The record for household member #1, (date of last TB screening 05/18/16) did not contain updated TB screening results as of 08/27/19.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-540-A
Description:	Based on observation and interview, the provider did not ensure that when a child is placed in a feeding or activity table, the protective belt shall be fastened securely. Evidence: 1. Six children were seated at the feeding or activity table and six children did not have a protective belt securely fastened. 2. The provider stated she did not know that they had to be fastened into feeding or activity table. 3. The children in care were infants, toddlers and preschoolers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1720.1-A
Description:	Based on a review of records and interview, one staff did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding. Evidence: 1. The most recent central registry finding in the record for caregiver #2 was dated 04/25/14. 2. The provider stated the central registry findings have not been updated for caregiver #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1721.1-A
Description:	Based on a review of records and interview, the provider/licensee did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding. Evidence: 1. The most recent central registry finding in the record for caregiver #1 was dated 01/28/14. 2. The provider stated the central registry findings have not been updated for caregiver #1.
Plan of Correction:	Not available online. Contact Inspector for more information.