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Ms. Donna Sandiford
1924 Oak Hill Lane
Richmond, VA 23223
(804) 421-8572

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

Inspection Date: June 21, 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
?8VAC20-800 Nighttime Care
?8VAC20-820 THE LICENSE.
?8VAC20-820 THE LICENSING PROCESS.
?8VAC20-820 HEARINGS PROCEDURES.
?8VAC20-770 Background Checks
?20 Access to minor?s records
?22.1 Background Checks Code, Carbon Monoxide
?54.1 Provider must be MAT certified to administer prescription medication.
?63.2 Child abuse and neglect
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:
A monitoring inspection was conducted on 06/21/2022 from 11:33 a.m. ? 2:30 p.m. There were 8 children present during the inspection and one provider present. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five (5) children?s records, 1 provider record, and 1 household member record were reviewed. The information gathered during the inspection determined violations with applicable standards. A violation notice was issued.
If you have any questions related to this inspection, please contact Inspector, Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-730-D
Description: Based on observation the provider failed to keep all medications in a locked place using a safe locking method that prevents access by children.
Evidence:
On 06/21/2022, the inspector observed caregiver medications in an unsecured upper kitchen cabinet during the inspection.

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

Standard #: 8VAC20-800-40-A
Description: Based on observation and interview, the provider exceed the licensed capacity of the home.
Evidence:
On 06/21/2022, the inspector observed the provider providing care for 8 children. The maximum licensed capacity of the home is 7 children. The provider reported a parent needed ?drop in? care for a child who was previously enrolled in the family day home.

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 failed to ensure that four of five children?s records contained all of the required information.
Evidence:
1. C1?s first day of attendance (DOA) was documented as 12/10/2021, but the child?s record did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.
2. The records for C1 (DOA: 12/10/2021), C3 (DOA: 03/02/2020), C4 (DOA: 10/14/2021) and C5 (DOA: 11/16/2020) did not contain the results of the health examination for the child as required by 8VAC20-800-100.

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

Standard #: 8VAC20-800-240-A
Description: Based on observation and interview, the provider failed to maintain all areas of the home, inside and outside, in a safe and operable condition.
Evidence:
1. On 06/21/2022, the inspector observed a large wooden pallet being used as a gate in the backyard where the children play. The pallet was not secured to the fence on either side such that a child could pull the pallet down on himself.
2. The inspector observed protruding nails on the wooden back porch steps used by children that could entangle or snag a child?s skin.

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

Standard #: 8VAC20-800-350-E
Description: Based on observation, the provider failed to ensure the hot water at the sink available to children was maintained within a range of 105-120 degrees Fahrenheit.
Evidence:
On 06/21/2022, the inspector tested the hall bathroom sink used by the children in care with a digital thermometer. The hot water temperature registered at 135 degrees.

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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