VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Verlene Hall
104 Farrell Lane
Fredericksburg, VA 22408
(540) 424-8852

Current Inspector: Shawanda Henderson (540) 216-1434

Inspection Date: June 28, 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. 8VAC20-770 Background Checks 22.0 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication

Comments:

An unannounced renewal inspection was conducted on 6/28/22 from 9:30am to 11:20am with the provider. There were three children in care, ranging in age from twenty three months old to three years old, for a total of seven points. There were 4 pets in the home, 3 cats in the upstairs area and one dog in the childcare area. Children were observed reading a book and playing with toy vehicles. Three child records, four pet records and one staff records was reviewed. The provider is not Medication Administration Training (MAT) certified and cannot administer medication to children in care. The first aid kit, flashlight, and weather band radio were observed. The emergency drill log, attendance, and menu were also reviewed. Information gathered during the inspection determined non-compliances with applicable standards or laws and violations were documented on the violation notice issued to the program. If you have questions regarding this inspection, please contact the Licensing Inspector, Stephanie Reed, at Stephanie.Reed@doe.virginia.gov or 540-272-6558.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation, the provider did not ensure that the home was equipped with at least one working carbon monoxide detector. Evidence: There was no carbon monoxide detector in the home.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-240-A
Description:	Based on observation, the provider did not ensure that all areas and equipment of the family day home were maintained in a safe condition. 1.In the dining room, there was a large radio with speakers stacked on top of two unstable sterilite brand three drawer plastic organizers located on a low piece of furniture creating a crushing hazard. 2.In the dining room, there was a large printer/scanner sitting on a low piece of furniture that was unstable, creating a crushing hazard 3. Next to the living room/play area, there was a three rung step ladder leaning against a wall, a fan cord that was looped in such a way to cause a risk of tripping and an oversized plastic planter placed on top of a low plant stand that caused a crush hazard. 4. The rugs in the living room/play area were not secured causing a child to slip and fall during inspection. 5.There was a burning candle on the kitchen counter that was accessible to children
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-B
Description:	Based on review of records, the provider did not ensure that they reviewed the emergency preparedness plan annually. Evidence: The most recent documentation of review of the emergency plan was dated 1/1/16.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on review of three child records, the provider did not obtain a physical within 30 days of the child starting. Evidence: The record of Child #3 (start date: 3/22/22) did not contain a physical.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-140-B-3
Description:	Based on review of records, the provider did not ensure they had a current certification in cardiopulmonary resuscitation (CPR). Evidence: The record of the provider contained a cardiopulmonary resuscitation (CPR) certification that expired on 10/5/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review of records, the provider did not ensure they had a current certification in First Aid. Evidence: The record of the provider contained a First Aid certification that expired on 10/5/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-I
Description:	Based on observation and interview, the provider did not ensure they had a working smoke detector installed. Evidence: The smoke detectors were missing from their mounting brackets in the ceiling.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the provider did not ensure that the hands of the children were washed with liquid soap and warm running water before eating. Evidence: During the inspection, the provider prepared a snack for a child and did not wash the hands of the child prior to them eating.
Plan of Correction:	Not available online. Contact Inspector for more information.