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Lori Johnson
11740 Mill Road
Glen allen, VA 23059
(804) 909-2555

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Dec. 22, 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.
22.1 Background Checks Code; carbon monoxide detectors

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 December 22, 2021 and concluded on December 22, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 12 children present, ranging in ages from 2 years 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 and 2 staff 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 #: 22.1-289.035-B-3
Description: Based on a review of records and interview on December 22, 2021, the center failed to obtain central registry search results every five years for all employees.
Evidence: 1. The record of caregiver #1 did not contain documentation of a repeat central registry check. The most recent documentation of a central registry result is dated 3/28/16, which expired 3/28/21. 2. The record of caregiver #2 did not contain documentation of a repeat central registry check. The most recent documentation of a central registry result is dated 11/3/16, which expired 11/3/21. 3. The caregiver acknowledged she didn't have the repeat central registry results.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-B
Description: Based on a review of children's records, the provider did not obtain all required information for one of two children's records reviewed.
Evidence: The record of Child #1 did not contain the address for one emergency contact.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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