VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Michelle Henderson
2912 Silvertail Court
Henrico, VA 23231
(804) 795-2690

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: Sept. 24, 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. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program. A monitoring inspection was initiated and concluded on 09/24/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 7 children present, ranging in ages from 2 to 12 years, with 1 staff supervising. The inspector reviewed compliance in the areas of administration, personnel, caregiver training, physical environment and equipment, care of children, and background checks. A total of 2 child records and 1 caregiver record 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. 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. 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.

Violations:

Standard #:	22VAC40-111-90-A
Description:	Based on record review and interview, the provider did not ensure to obtain for each child documentation of adequate immunization prior to the first day of enrollment. Evidence: 1. The record of child #1 (DOE: 09/13/2021) did not contain documentation that the child has been adequately immunized. 2. The provider acknowledged that the record had not been obtained.
Plan of Correction:	Will make sure immunization is included in forms. Parent was unable to get immunization from doctor before physical appointment. Student will not be able to start without immunization.
Standard #:	63.2-1720.1-A
Description:	Based on record review and interview, the provider did not ensure to obtain the results of a repeat central registry background check for each caregiver every five years as required. Evidence: 1. The record of caregiver #1 contained the results of a central registry check dated 09/06/2016. 2. The provider acknowledged that the repeat central registry had not been completed.
Plan of Correction:	Have central registry completed and mailed. Will put 30 day notice on calendar when renewal is due.