VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Aliesha Miffin
1829 Louisa Street
Henrico, VA 23231
(804) 222-2386

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: Dec. 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 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 22.1 Background Checks Code; carbon monoxide detectors 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, interviews and a virtual tour of the program. A monitoring inspection was initiated on 12/21/2021 and concluded on 12/21/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 0 children present, with 1 caregiver. 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 children's record and 2 caregiver records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or laws and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider did not ensure two of two children's records contained documentation of the policy number of the child's medical insurance. Evidence: The record of child # 1 (start date: 11/30/21) and child #2 (start date: 7/5/21) did not contain documentation of each child's medical insurance policy number.
Plan of Correction:	I will call child #1 and child #2's mom to get the insurance policy number.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not ensure two of two children's records had documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before enrollment. Evidence: 1. The record of child #1 (start date: 11/30/21) had documentation of a immunization record that did not disclose if the child was adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. 2. The record of child #2 (start date: 7/5/21) had documentation of immunizations dated 7/7/21.
Plan of Correction:	I will call child #1's mom to get a completed immunization record.