VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Shamedra Alston
1873 East Boulevard
Petersburg, VA 23805
(276) 759-3432

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: March 17, 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 22VAC40-111 Transportation 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced monitoring inspection was conducted on-site on March 17, 2022. There were no children in care. The caregiver was available for the inspection. 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 household members 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 #:	8VAC20-770-40-D-4-a
Description:	Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement or affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement or affirmation and central registry results. The provider reported the sworn statement and central registry was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on interview, the provider did not maintain an up-to-date record for each enrolled child. Evidence: During an interview, caregiver #1 reported having no record for child #1 who is 22 months old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on a review of children's records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunizations record for child #2, age 22 months, were dated 6/17/20. The record of child #2 did not have documentation of additional immunizations every six months.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of household member records and interview, the provider did not obtain from one adult household member prior to coming into contact with children a current report of tuberculosis (TB) screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record of household member #1 did not contain documentation of a tuberculosis screening. The provider reported household member #1 has been a household member since December 28, 2021. The provider reported the tuberculosis screening was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider did not ensure that child-resistant protective covers larger than 1-1/4 inches in diameter were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There was a surge protector on the floor accessible to children, in the living room where children sleep, with 8 uncovered outlets.
Plan of Correction:	Not available online. Contact Inspector for more information.