VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Sandra Nicholas
2801 Montclair Court
Richmond, VA 23223
(804) 329-8830

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: July 22, 2021 , July 23, 2021 and July 28, 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 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Technical Assistance:

n/a

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program A monitoring inspection was initiated on 07/22/21 and concluded on 07/28/21. The provider was contacted by telephone and a virtual inspection was conducted. There were nine children present, ranging in ages from six months to 4 years, with two caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of two child records and two caregiver records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on a review of two children's records and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to one child's attendance or within 30 days after the first day of attendance. Evidence: 1) The record for Child #1, enrolled on 06/08/2021, did not contain a physical examination. 2) During interview, Caregiver #1 reported the physical examination for Child #1 has not been received to date.
Plan of Correction:	The parent will submit the physical this week.
Standard #:	22VAC40-111-90-A
Description:	Based on a review of two children's records and interview, the provider did not obtain documentation that one child had been adequately immunized before the child may attend the family day home. Evidence: 1) The record for Child #1, enrolled on 06/08/2021, did not contain documentation that the child has been adequately immunized. 2) During interview, Caregiver #1 reported the documentation was not requested before the child attended the family day home.
Plan of Correction:	The parent will submit the immunizations this week.
Standard #:	22VAC40-111-180-A
Description:	Based on a review of documentation and interview, the provider did not maintain a current Report of Tuberculosis (TB) Screening form for one out of two caregivers every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1) The record for Caregiver #1 contained a TB screening test dated 06/07/2017. 2) During interview, Caregiver #1 reported a repeat TB screening has not been completed since 06/07/2017.
Plan of Correction:	The TB test/screening was completed on 08/02/21. The provider will provide a copy of the results upon receipt.