VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Angela Branch
4012 Clipper Bay Drive
Chester, VA 23831
(804) 318-6893

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: April 21, 2021

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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 63.2 Licensure and Registration 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 April 21, 2021 and concluded on April 22, 2021. The director was contacted by telephone to initiate the inspection. There were 5 children present and 3 staff. The Inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 2 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. 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 #:	63.2-1720.1-A
Description:	Based on a review of records and interview on April 22, 2021, the provider failed to obtain a sworn disclosure statement every five years for all employees. Evidence: 1. The record of Staff #2 contained documentation of an incomplete sworn statement dated 10/9/20. The questions were not answered. 2. The last sworn statement in the record is dated 10/9/15. 3. The provider acknowledged she didn't know the sworn statement wasn't completed.
Plan of Correction:	I got the staff to complete her form.