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Alena Stewart
10114 Holly Trace Court
Chesterfield, VA 23832
(804) 715-4525

Current Inspector: Heather Dapper (804) 625-2304

Inspection Date: Feb. 20, 2020

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 Caregiver Training
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
22VAC40-80 THE LICENSE.

Technical Assistance:
N/A

Comments:
An unannounced monitoring inspection was conducted on Thursday, February 20, 2020 to determine compliance with licensing standards. The inspectors arrived at 1:38 PM and concluded the inspection at 3:05 PM. Today, there were five children in care, totaling 16 points. The provider stated that medication is administered; however they did not have any medications being given at this time. Children?s equipment, learning materials, indoor and outdoor space, restroom, first aid kit and nonmedical emergency supplies were inspected. Five children?s records and one caregiver record, fire drill, lockdown drill and shelter in place drill logs 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 Acknowledgement 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 #: 22VAC40-111-830-A
Description: Based on a review of the fire drill log and interview, the provider did not ensure the emergency evacuation procedures were practiced monthly with all caregivers and children during all shifts that children are in care.

Evidence:
1. The last documented fire drill was dated July 2019.
2. The caregiver stated she could not locate the fire drill log.

Plan of Correction: Will email form when I find it in the cabinet in two weeks.

Standard #: 22VAC40-111-830-B
Description: Based on a review of the shelter-in-place drill log and interview, the provider did not ensure that sherlter-in-place procedures were practiced a minimum of twice a year.

Evidence:
1. The last documented shelter-in-place drill was dated June 6, 2019
2. The provider stated she could not find documentation of the other shelter-in-place drill.

Plan of Correction: Will email form when I find it in the cabinet in two weeks.

Standard #: 22VAC40-111-180-A
Description: Based on a review of caregiver records, the caregiver 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 had a TB screening that expired 1/20/2020.

Plan of Correction: TB appointment 2/22/2020

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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