VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Shamedra Alston
1873 East Boulevard
Petersburg, VA 23805
(276) 759-3432

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Dec. 17, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Caregiver Training 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 HEARINGS PROCEDURES.

Technical Assistance:

n/a

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 December 17, 2020 and concluded on December 18, 2020. The director was contacted by telephone to initiate the inspection. There were 8 children present and 2 staff. The Inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 2 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility. If you have any questions regarding this inspection please contact the licensing inspector, Kelly Adriazola at (804) 662-9760. 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. You will need to specify how the deficient practice will be or has been corrected. 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.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on review of record on December 18, 2020, the provider did not ensure to obtain a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: The records of Child #1 (DOE 2/4/20) and Child #2 (DOE 8/4/20) did not contain documentation of a physical examination.
Plan of Correction:	I will get physicals for kids and immunizations records signed.
Standard #:	22VAC40-111-110-B
Description:	Based on a review of records on December 18, 2020, the provider did not ensure that immunizations received shall be signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: The record of Child #1 contained documentation of immunizations that were not signed by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction:	I will get physicals for kids and immunizations records signed.
Standard #:	22VAC40-111-50-E
Description:	Based on interview on December 17, 2020, the provider did not ensure records and reports on children shall be maintained and made accessible to the department's representative for two years from the date of termination of services for a child. Evidence: 1. The record of Child #3 was not available upon request. 2. Administration confirmed she did not maintain Child #3's record as required. 3. Administration stated Child #3 last attended the family day home a year ago but could not provide an exact date.
Plan of Correction:	I will retain kids records for five years after last attendance date.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of records on December 18, 2020, the provider did not ensure that each child's record contained all the required information. Evidence: 1. The records of Child #1 and Child #2 did not contain documentation of the father's address and chronic physical problems. 2. The record of Child #2 did not contain documentation of both parent's employers name, address, and phone number. 3. The record of Child #2 (DOE 8/4/20) contained documentation of the receipt of the information for parents dated 8/24/20.
Plan of Correction:	I will get the father's information or put n/a if it's unknown.