VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Towanda Tompkins
5024 Cedar Acres Court
Richmond, VA 23223
(804) 447-8732

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Jan. 11, 2022

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 LICENSING PROCESS.

Comments:

An initial inspection was conducted on-site on January 11, 2022. The provider was available during the inspection. There were no children in care. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The provider's record and 1 household member record was 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. Proof of corrections were submitted. 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 #:	8VAC20-800-760-A
Description:	Based on observation and interview, the first aid kit did not contain all required supplies. Evidence: 1. The first aid kit did not contain two triangular bandages. 2. The provider confirmed there were no triangular bandages.
Plan of Correction:	Bought triangular bandages.
Standard #:	8VAC20-800-770
Description:	Based on observation and interview, the provider did not ensure to have a working battery-operated weather band radio. Evidence: 1. There was no weather-band radio present. 2. The provider confirmed she did not have the radio.
Plan of Correction:	Bought weather band radio.
Standard #:	8VAC20-800-790
Description:	Based on observation, the provider did not ensure to have the required telephone numbers posted in a visible area close to the telephone. Evidence: There were no posted telephone numbers close to the telephone.
Plan of Correction:	Phone numbers posted on refrigerator.
Standard #:	8VAC20-800-940-B
Description:	Based on observation and interview, the provider did not ensure to have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: 1. There was no thermometer located in the refrigerator or freezer compartments. 2. The provider confirmed she did not have thermometers.
Plan of Correction:	Bought thermometers and placed in refrigerator and freezer.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: The following was observed: 1. A protruding nail sticking out from a piece of wood on the deck. 2. All areas of the deck has chipped and peeling paint. 3. There are several splintered pieces of wood on the deck.
Plan of Correction:	The deck as been painted and the protruding nail on the back deck has been fixed.
Standard #:	8VAC20-800-250-A
Description:	Based on observation and interview, the provider did not ensure hanging items including, but not limited to, window blinds or curtain cords, appliance cords, and ropes shall be out of the reach of children under five years of age. Evidence: 1. There was rope observed hanging from the wall accessible to children as well as rope tiebacks on the curtains. 2. The cords to the window shades were also hanging.
Plan of Correction:	Remove the tie bags from curtains and put the cords to mini blinds all the way at top of window blinds.
Standard #:	8VAC20-800-270-A
Description:	Based on observation and interview, the provider did not ensure firearms of every type and purpose shall be stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition. Evidence: During an interview the provider stated she had a firearm and that it's kept loaded in her purse on the couch. The firearm was observed in the purse loaded.
Plan of Correction:	Both the firearm and ammunition will be locked in 2 separate safes when children are in my care.
Standard #:	8VAC20-800-270-B
Description:	Based on interview, the provider did not ensure that ammunition shall be stored in a locked container, compartment, or cabinet during the family day home's hours of operation. Evidence: During an interview with the provider she stated her firearm was loaded with ammunition and that she keeps additional ammunition in a dresser.
Plan of Correction:	Both the firearm and ammunition will be locked in 2 separate safes when children are in my care.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. Evidence: 1. There was clorox located on top of the laundry machine. The label on the clorox contained the language "keep out of reach of children and danger." 2. There were cleaners and clorox in an unlocked cabinet under the sink in the bathroom used by children. The label contained the language "keep out of reach of children and danger." 3. There were several cleaners and a spray adhesive in an unlocked lower cabinet in the kitchen. The label on the Ajax contained the language "keep out of reach of children and caution." The label of the spray adhesive contained the language "keep out of reach of children, danger, and warning." 4. There were several cleaners, such as Lysol and air freshener and the pesticide Raid in the upstairs bathroom in unlocked cabinets and on the sink. The labels contain the language "keep out of reach of children and caution" 5. There was Lysol and hand sanitizer on a table in an unlocked bedroom. The labels contain the language "keep out of reach of children and caution."
Plan of Correction:	Door lock with key was put on bathroom door upstairs and no kids were there.
Standard #:	8VAC20-800-290
Description:	Based on observation, the provider did not ensure sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision. Evidence: 1. There was a block of knives located on the kitchen counter. 2. There were three kitchen drawers that were not locked that contained a box cutter, sharp tools, and knives.
Plan of Correction:	Child safety locks was put on cabinets and kitchen drawers and no kids were there.
Standard #:	8VAC20-800-320-H
Description:	Based on observations, the provider did not ensure all flammable and combustible materials, such as, but not limited to, matches, lighters, lighter fluid, kerosene, turpentine, oil and grease products, aerosol cans, and alcohol shall be stored in an area inaccessible to children. Evidence: Multiple lighters were observed in an unlocked kitchen drawer.
Plan of Correction:	Child safety locks was put on cabinets and kitchen drawers and no kids were there.
Standard #:	8VAC20-800-330-A
Description:	Based on observation and interview, the provider did not ensure a landline telephone, excluding a cordless or cell phone, was available, operable, and accessible during the family day home's hours of operation. Evidence: The telephone observed was a cordless phone requiring electricity to operate.
Plan of Correction:	Landline phone purchased and put upstairs.
Standard #:	8VAC20-800-350-E
Description:	Based on observation, the provider did not ensure that hot water taps available to children were maintained within a range of 105?F to 120?F. Evidence: The hot water temperature in the children's bathroom was obtained using a digital thermometer. The hot water temperature registered at 133.7?.
Plan of Correction:	Didn't know water needed to be a certain temp. Got temp. turned down on water heater.