VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Celia Price
10009 Chesney Drive
Spotsylvania, VA 22553
(540) 395-2596

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Sept. 6, 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 8VAC20-800 Nighttime Care 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes 8VAC20-820 The License 8VAC20-820 The Licensing Process 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Better organization is needed regarding files, please audit all children's files to make sure the required information is present and organized.

Comments:

An unannounced monitoring inspection was conducted today from 10:30 am to 11:40 am. The provider was present with two assistants and 8 children for a total of 22 points. The children were napping and watching a movie at the beginning of the inspection. During the inspection they were provided a morning snack that consisted of donuts, yogurt and water. No children had medication on site and there have been no injuries/accidents requiring documentation. The provider and her assistant's First Aid/CPR certification is through American Safety Health Institute and is due to expire on 10/2/23. The areas of non compliance is outlined on the violation notice.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation and interview, it was determined that the provided did not have a carbon monoxide detector in the licensed family day home.
Plan of Correction:	I will purchase a carbon monoxide detector.
Standard #:	8VAC20-800-100-A
Description:	Based on a review of 5 files and an interview, it was determined that one child's file did not have a physical within 30 days of attendance. Evidence: Child D enrolled on 7/31/22 and does not have a physical on file.
Plan of Correction:	I will obtain the missing physical.
Standard #:	8VAC20-800-50-A
Description:	Based on observation and interview, it was determined that the provider was not keeping a written record of children in attendance each day. Evidence: There were 4 children documented on the attendance however 8 children were present.
Plan of Correction:	We will make sure to keep an up to date attendance.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of record keeping, and interviews, it was determined that there were no files maintained for two children. Evidence: There were no file information provided for child A and B.
Plan of Correction:	We will locate the complete file and make sure all of the information is in each child's file.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of children's files and interview, it was determined that children's records did not contain all of the required information under this standard. Evidence: The files for child C and D did not contain authorization to seek emergency care.
Plan of Correction:	I will obtain the missing information in the children's files.
Standard #:	8VAC20-800-70-A
Description:	Based on a review of recordkeeping and interview, it was determined that information was not provided to parents in writing before the child's first day of attendance. Evidence: The provider's medication administration policy was not provided to the parents of child C and D. Child C enrolled on 2/14/22 and child child D enrolled on 7/31/22.
Plan of Correction:	We will obtain the missing information.