VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: May 5, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Transportation 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on-site on May 5, 2022. The provider was available during the inspection. There were 12 children present, ranging in ages from 2 years to 5 years, with 2 caregivers 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 6 child records were reviewed and 2 caregiver records and 1 household member record were requested and unable to be 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-2
Description:	Based on a review of records and an interview with the provider on May 5, 2022, the provider did not ensure every person required to undergo a background check shall submit to fingerprinting and provide personal descriptive information. Evidence: 1. The record of household member #1 (DOB 8/26/01) was not available for review. The provider was unable to locate the record. The provider confirmed household member #1 has resided in the home for household member #1's entire life. 2. There was no documentation of fingerprints for household member #1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-4-a
Description:	Based on a review of records and interview with the provider on May 5, 2022, the provider did not ensure to have a sworn statement or affirmation available for each household member and did not ensure a search of the central registry within 30 days for each household member. Evidence: 1. The record of household member #1 (DOB 8/26/01) was unable to be reviewed. The provider was unable to locate the record. The provider confirmed household member #1 has resided in the home for household member #1's entire life. 2. There was no documentation of a sworn statement and no documentation of central registry results for household member #1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-C
Description:	Based on a review of records and interview on May 5, 2022, the provider did not ensure to maintain documentation of emergency evacuation and shelter-in-place drills. Evidence: The fire drill and shelter-in-place records were not available for review. The provider was unable to locate the records. The provider stated she was unsure where the drills were.
Plan of Correction:	All records will be available and in the same location.
Standard #:	8VAC20-800-120-A
Description:	Based on a review of caregiver records and interview on May 5, 2022, the provider did not ensure to maintain a complete record for each caregiver as required. Evidence: The records of caregiver #1 and caregiver #2 were not available for review. The provider was unable to locate the records for both caregivers. The provider said she was unsure where the records were.
Plan of Correction:	All records will be kept in the same location.
Standard #:	8VAC20-800-80-C
Description:	Based on a review of records on May 5, 2022, the provider did not ensure to document in the child's record the method of verification of the child's age and identity. Evidence: Based on a review of records child #1 (enrolled 9/7/21), child #2 (enrolled 9/13/21), and child #3 (enrolled 9/7/21) did not contain documentation of the method of verification of the child's age and identity.
Plan of Correction:	Will request identity information from parents.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of records and interview on May 5, 2022, the provider did not obtain from one 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 for household member #1 (DOB 8/26/01) was unavailable to review. The provider was unable to locate the record. The provider confirmed household member #1 has resided in the home for household member #1's entire life. There was no documentation of a tb screening for household member #1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation on May 5, 2022, 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: 1. Approximately 15ft of chain link fence surrounding the play area had chain links that were not attached to the top pole of the fence. The links not attached to the pole created areas (holes) in which a child's arm could fit through. The edges of the links were sharp. A child's arm, hand, skin, or clothing could entangle or snag skin on the sharp edges. The children were observed climbing on the fence. 2. There were multiple ride in cars in the play area with broken plastic. The plastic that was broken off is sharp and can cut children's skin or snag clothing. 3. There is a little tykes pink slide that has broken pieces of plastic on the base to the slide. The plastic is sharp and cut children's skin or snag clothing. 4. The castle play structure has cracks in the plastic creating sharp edges that can cut children's skin and snag clothing.
Plan of Correction:	Broken playground equipment will be repaired or removed.
Standard #:	8VAC20-800-350-E
Description:	Based on observation and interview on May 5, 2022, 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 129?F. The provider acknowledged the water temperature was too hot.
Plan of Correction:	Water temperature will be adjusted to 120?F or less.
Standard #:	8VAC20-800-690-L
Description:	Based on observation and interview on May 5, 2022, the provider did not ensure toilet chairs are emptied promptly, cleaned and sanitized after each use. Evidence: Urine was observed in a potty chair in the bathroom used by children. The provider acknowledged she wasn't aware there was urine in the potty chair.
Plan of Correction:	Potty chair will be checked more frequently.