VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Regina Christmas
127 Allen Lane
Palmyra, VA 22963
(434) 589-7971

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Aug. 24, 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 monitoring inspection was conducted on-site August 24, 2022. The provider was available during the inspection. There were 3 children present, ranging in ages from 8 months to 4 years, 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 3 child 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 #:	22.1-289.036-B-2
Description:	Based on a review of records and interview on August 24, 2022, the provider failed to ensure every person required to undergo a background check shall submit to fingerprinting and provide personal descriptive information. Evidence: The record of household member #1 did not contain documentation of fingerprints. The provider confirmed the fingerprints have not been completed.
Plan of Correction:	He goes next week to get fingerprints
Standard #:	8VAC20-770-40-D-4-a
Description:	Based on a review of records and interview on August 24, 2022, the provider failed to obtain a sworn statement or affirmation for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement or affirmation. The provider confirmed the sworn statement was not completed.
Plan of Correction:	Will get sworn disclosure this week
Standard #:	8VAC20-800-170-A
Description:	Based on a review of household member records and interview on August 24, 2022, the provider failed to obtain from one adult household member prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: A report of TB screening for household member #1 was not in the record. The provider confirmed the TB screening was not completed.
Plan of Correction:	Will make TB appointment