VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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Current Inspector:

Inspection Date: Aug. 4, 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 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on August 4, 2020 and concluded on August 4, 2020. The provider was contacted by video call to initiate the inspection. There were six children present and two caregivers. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed two children?s records and three staff/resident records submitted by the facility to ensure documentation was complete. 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 facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on a review of records for children, and an interview with the provider, the provider did not arrange all annual reviews of the emergency contact information with parents to ensure the information is correct, and obtain all parent's signed acknowledgment of the review. Evidence: During the review of two records for children, the most recent signed acknowledgement of the annual review for child 2 was signed on March 1, 2019. A caregiver acknowledged the review was not completed in 2020.
Plan of Correction:	The provider will have the parent read over the emergency contact information during pick-up and obtain the parent's signature with today's date. The provider will keep track of when annual reviews of the emergency contact information is needed so they are completed on time each year.
Standard #:	22VAC40-111-180-A
Description:	Based on a review of three records for caregivers/residents, and an interview with the provider, the provider did not obtain an updated tuberculosis screening and statement for all caregivers by two years from the date of the previous screening. Evidence: The Tuberculosis statement for caregiver 2 completed on January 8, 2018 was not updated until January 27, 2020.
Plan of Correction:	The provider will direct caregivers who need to obtain another TB screening to inquire about appointments more than a month ahead so that the updated screening and results are obtained not later than two years from the date of the last TB statement.