VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Valerie Cotten
26269 Watauga Road
Abingdon, VA 24211
(276) 628-2834

Current Inspector: Katie Gifford (276) 698-9981

Inspection Date: Sept. 22, 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 8VAC20 Access to minor?s 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:

A monitoring inspection was conducted; there were 9 children present with two staff supervising. Children were observed playing inside and outside, being helped with potty training, and washing hands. The point total was 22 points. 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 5 child records and 4 provider records were reviewed. There were three repeat violations. 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. Thank you for your cooperation.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, the provider failed to get a central registry history check on an employee every five years. Evidence: 1. Staff person #4 has a central registry history check dated 1/11/2017; therefore a repeat central registry check was due 1/11/2022.
Plan of Correction:	The provider will complete the paperwork for the repeat central registry history check.
Standard #:	8VAC20-800-770
Description:	Based on observation, the provider did not have a working battery operated weather band radio. Evidence: 1. The provider had a battery operated radio but is was not working.
Plan of Correction:	The provider ordered a new radio during the inspection.
Standard #:	8VAC20-800-60-A
Description:	Based on record review, the provider did not maintain up to date records for each enrolled child. Evidence: 1. Five children's records were reviewed, child #2 was past due for an annual update.
Plan of Correction:	The provider will get any updated information from the parents for the record.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, child records did not contain all of the required information. Evidence: 1. Child #1's record did not have the doctor's name and #. 2. Child #3's record did not have emergency addresses listed. Two are required. No policy # was listed for the health insurance. There was no signature on the emergency medical authorization.
Plan of Correction:	The provider will updated information from the parents and review all files for completeness.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the provider did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B of this section: Evidence: 1. Child # 3 last had immunizations documented 12/7/2021. Immunizations are due once every six months for children under the age of two years.
Plan of Correction:	The provider will get updated immunizations from the parents.
Standard #:	8VAC20-800-280
Description:	Based on observation, there were potentially poisonous substances accessible to children. Evidence: 1. On the front porch there were plant care chemicals, armor all, bug and tar remover and fire starters.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the findings of the most recent inspection were not posted. Evidence: 1. The last inspection had fallen and was not posted.
Plan of Correction:	Corrected during the inspection.