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Ms. Michelle Borst
133 Lynch Street
Danville, VA 24540
(434) 793-0160

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: June 8, 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 EMERGENCIES
8VAC20-800 NUTRITION
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

Comments:
An unannounced monitoring inspection was conducted on 06/08/2022. There were no children present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, emergencies and nutrition. A total of 4 children?s records, 1 caregiver records, 1 household member and 3 pet records were reviewed. The inspector discussed the following with the provider: immunizations, evening care, diapering, nutrition, and caring for children with special needs. The inspector arrived for the inspection at 11:00 am and departed the family day home at 12:00 pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 22.1-289.036-A
Description: Based on record review, the provider failed to ensure that every adult living in a family day home shall undergo all background checks in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter.

Evidence: The most recent findings from a search of the central registry in the record for Household Member 1 was dated 02/10/2016. There was not an updated search of the central registry completed in 2021.

Plan of Correction: Will email to follow-up.

Standard #: 8VAC20-800-800-B
Description: Based on document review and discussion, the provider failed to review the emergency plan at least annually.

Evidence: The most recent review of the emergency plan was completed on 03/10/2021. There was not a 2022 review completed.

Plan of Correction: Will review them today.

Standard #: 8VAC20-800-100-B
Description: Based on record review and discussion, the provider failed to ensure that the required physical examinations are conducted within the timeframes specified by the standards.

Evidence: The physical in the record for Child 2 was dated 06/02/2017; the record for Child 2 has a documented start date of 10/04/2021. Based on the child's age and timeframe requirement, the physical was required to have been conducted within 24 months prior to attendance.

Plan of Correction: Will talk to the parent.

Standard #: 8VAC20-800-50-A
Description: Based on discussion, the provider failed to ensure that the family day home shall keep a written record of children in attendance each day.

Evidence: The provider stated she did not take a written record of children?s attendance.

Plan of Correction: Will use the model form to take attendance daily.

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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