VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Monica Alegre Munoz
2515 Lauderdale Drive
Henrico, VA 23233
(804) 445-2511

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Dec. 9, 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies

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 renewal inspection was initiated on December 9, 2021 and concluded on December 9, 2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 8 children present, ranging in ages from 15 months to 5 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records, 2 caregiver records and 2 household member 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. 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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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 #:	22.1-289.036-B-4
Description:	Based on a review of records and interview, the provider did not obtain results of a check of the out-of-state sex offender registry by 12/31/2020 for each caregiver or household member over the age of 18 that was residing in the home prior to July 1, 2020, and has resided in any state in the preceding five years. Evidence: 1. The record of caregiver #1 did not contain results of an out-of-state sex offender check. Caregiver #1 identified living in another state in the past 5 years on the caregiver's sworn disclosure statement dated 06/10/20. 2. The record of household member #1 did not contain results of an out-of-state sex offender check. Household member #1 identified living in another state in the past 5 years on the household member's sworn disclosure statement dated 6/10/20. 3. The provider acknowledged the out-of-state sex offender checks were not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-5-a
Description:	Based on a review of records, the provider failed to ensure that each household member obtained a central registry check within 30 days of turning 14 years of age. Evidence: 1. The record of household member #2 (DOB 11/9/06) contained documentation of central registry results dated 4/15/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-A
Description:	Based on a review of the fire drill log and interview, the provider did not ensure the emergency evacuation procedures were practiced monthly with all caregivers and children during all shifts that children are in care. Evidence: 1. There was no documentation of a fire drill in September 2020. 2. The provider stated she conducted a shelter-in-place that month and didn't know she had to do a fire drill if she did a shelter-in-place.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-A
Description:	Based on record review and interview, the provider did not ensure to maintain a complete record for each caregiver as required. Evidence: 1. The record of caregiver #2 (DOH 11/3/21) did not contain documentation that two or more references as to character and reputation, as well as, competency were checked before employment. 2. The provider acknowledged that the references were not obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.