VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Cynthia Holmes
26070 Old Office Road
Culpeper, VA 22701
(540) 854-8939

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Aug. 15, 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 unannounced renewal inspection was conducted on-site August 15, 2022. The provider was available during the inspection. There were 4 children present, ranging in ages from 1 year to 3 years, with 2 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 4 child records, 2 staff records, and 2 household member records 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 #:	8VAC20-770-60-C-2
Description:	Based on a review of staff records on August 15, 2022, the provider failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #1 (hired 4/13/17) did not contain documentation of a central registry finding.
Plan of Correction:	I will get them done right away.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of children's records on August 15, 2022, the provider did not ensure to maintain an up-to-date record at the family day home for each child record reviewed. Evidence: The record of child #3 (enrolled 2/18/22) did not contain documentation of the name and policy number of the child's medical insurance.
Plan of Correction:	Will obtain the info from the parents.
Standard #:	8VAC20-800-140-B-3
Description:	Based on a review of caregiver records on August 15, 2022, the provider did not ensure certification in cardiopulmonary resuscitation (CPR) is current. Evidence: The record of caregiver #1 did not contain documentation of current CPR certification. The most recent CPR certification available for review expired 8/22/21.
Plan of Correction:	I will get on them right away.
Standard #:	8VAC20-800-140-B-4
Description:	Based on a review of caregiver records on August 15, 2022, the provider did not ensure certification in first aid is current. Evidence: The record of caregiver #1 did not contain documentation of current first aid certification. The most recent first aid certification available for review expired 8/22/21.
Plan of Correction:	I will get on them right away.