VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Michelle Henderson
2912 Silvertail Court
Henrico, VA 23231
(804) 795-2690

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: July 26, 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 20 Access to minors 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

Comments:

An unannounced monitoring inspection was initiated and concluded on 7/26/2022. The inspector was on site from 8:40 am-10:20 am. There were 6 children in care ranging in age from 2-5 years with 1 caregiver. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. A total of 5 child records, and 1 caregiver record 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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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 #:	8VAC20-800-940-A
Description:	Based on observation and interview, the provider did not ensure that temperatures were maintained at or below 40 degrees F in refrigerator compartments. Evidence: 1. Two refrigerators were observed. Refrigerator #1 contained a thermometer with a temperature reading of 43 degrees and refrigerator #2 read at 45 degrees. 2. The provider acknowledged that the temperatures were not maintained at the required levels.
Plan of Correction:	check thermometer weekly for fridge #2 and adjust if necessary, 2nd thermometer in fridge #1 read 40 degrees.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the provider did not ensure to obtain for each caregiver a current Report of Tuberculosis (TB) Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #1 contained a tuberculosis screening dated 06/24/2020. 2. The provider acknowledged that the subsequent TB screening had not been obtained every two years.
Plan of Correction:	Due to contact + testing positive, unable to keep appointment- Next appointment scheduled for 8/4
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and interview, the provider did not ensure that the finding of the most recent inspection were posted. Evidence: 1. The most recent inspection findings were not observed during the inspection. 2. The provider acknowledged that they were not posted.
Plan of Correction:	Make sure inspection is posted