VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Towanda Tompkins
5024 Cedar Acres Court
Richmond, VA 23223
(804) 447-8732

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

Inspection Date: Aug. 2, 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An announced renewal inspection was conducted on-site August 2, 2022. The provider was available during the inspection. There were 2 children present with 1 staff 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 2 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. 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 #:	8VAC20-800-730-D
Description:	Based on observation on August 2, 2022, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several medications located in the refrigerator and within in reach of children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-920
Description:	Based on observation on August 2, 2022, the provider did not ensure the menu contained all required information. Evidence: The menu was not dated.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	Based on observation and interview on August 2, 2022, the provider did not ensure to keep a written record of children in attendance each day. Evidence: There was no attendance sheet on-site during the inspection. The provider stated she has not kept a written record of children in attendance daily.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-A
Description:	Based on a review of children's records and interview on August 2, 2022, the provider did not ensure that before each child's first day of attendance, all parents were not provided in writing all required information. Evidence: The provider confirmed the written information for parents was not provided to the parents of child #1 and child #2 (enrolled 8/1/22). There was no documentation in the records that the parent's were provided any of the written information required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-B
Description:	Based on a review of children's records and interview on August 2, 2022, the provider did not ensure to obtain the parent's written acknowledgement of the receipt of the information required in the written information for parents. Evidence: The records of child #1 and child #2 (enrolled 8/1/22) did not contain documentation of the parent's written acknowledgement. The provider confirmed the parent's weren't provided the information in writing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of children's records, the provider did not ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: The record of child #1 (enrolled 8/1/22) did not contain documentation that the child was adequately immunized.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-290
Description:	Based on observation on August 2, 2022, the provider did not ensure sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision. Evidence: There was an axe laying on the ground outside in the backyard and was accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-H
Description:	Based on observation on August 2, 2022, the provider did not ensure all flammable and combustible materials, such as, but not limited to, matches, lighters, lighter fluid, kerosene, turpentine, oil and grease products, aerosol cans, and alcohol shall be stored in an area inaccessible to children. Evidence: There was a gas can, with gasoline present, on a table outside in the backyard accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-530-A
Description:	Based on observation on August 2, 2022, the provider did not ensure that cribs, cots, rest mats and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: Two children were observed sleeping on rest mats with no bottom cover.
Plan of Correction:	Not available online. Contact Inspector for more information.