VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Mary Mooney
103D Centre Ave. NE
Coeburn, VA 24230
(276) 395-2144

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: Sept. 30, 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 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 renewal inspection was initiated on 9/30/2022 and concluded on 9/30/2022. There was one child present with one provider. The point total was two. 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 two child records and two staff records were reviewed. The inspection started at 10:05 am and concluded at 11:40 am. 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.

Violations:

Standard #:	8VAC20-800-730-D
Description:	Based on observation the provider failed to ensure that medication shall be kept in a place using a safe locking method that prevents access by children. Evidence: Located on the bed, in the first bedroom in the hallway, were two prescription bottles and a bag of Halls cough drops. The door was slightly opened. The child in care was mobile and had access to this area.
Plan of Correction:	The provider will ensure that all medications in the house will be locked.
Standard #:	8VAC20-800-100-A
Description:	Based on record reviews the provider failed to obtain documentation of a physical examination prior to a child's attendance or within 30 days after first day of attendance. Evidence: Child #1 (first day 2/15/22) does not have a physical on file.
Plan of Correction:	The provider will have the parent bring this information. The provider will ensure that all required information is obtained within set time frames.
Standard #:	8VAC20-800-210-A
Description:	Based on record review the provider failed to ensure that all caregivers obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: Staff #2 has obtained zero (0) hours of annual training.
Plan of Correction:	The provider is setting up some online trainings for staff #2 and will ensure that 16 hours of annual training is obtained.
Standard #:	8VAC20-800-280
Description:	Based on observation the provider failed to ensure that potentially poisonous substances shall be stored in areas inaccessible to children. Evidence: Located in the cabinet below the sink is a bottle of bleach, peroxide, alcohol and cleaning agents. This cabinet was not lock and this bathroom is used by the children in care.
Plan of Correction:	The provider will ensure that all hazardous substances are kept locked.
Standard #:	8VAC20-800-500-A
Description:	Based on observations and interviews the provider failed to ensure that a non-climbable barrier at least four feet high surrounds the outdoor play area when located within 30 feet of hazards such as, railroad tracks. The new playground equipment is located in a neighboring yard and is within 30 feet of a railroad track.
Plan of Correction:	The provider ensured that no child will be allowed to play on this equipment until a fence is provided.
Standard #:	8VAC20-800-680-A
Description:	Based on observation the provider failed to ensure that caregivers hands are washed with soap and water prior to serving food. Evidence: The child in care wanted a snack and the provider sat the child in a seat and gave her the snack. Staff #1 did not wash her hands prior to serving the snack.
Plan of Correction:	The provider will ensure that hands are washed before preparing food.
Standard #:	8VAC20-800-680-B
Description:	Based on observation the provider failed to ensure that children's hands are washed with liquid soap and warm running water. Evidence: The child in care requested a snack. Staff #1 placed the child in a seat and gave the child a snack. The child's hands were not washed prior to eating snack.
Plan of Correction:	The provider will ensure that all children wash their hands prior to eating meals or snacks.
Standard #:	8VAC20-800-690-D
Description:	Based on observation and interviews the provider failed to ensure that the diapering surface shall be: separate from surfaces used for children's activities; cleaned and sanitized after each use. Evidence: The provider stated that when changing a diaper she uses a soft mat, on the couch. The mat is not sanitized after each use.
Plan of Correction:	The provider will ensure that diapering steps will be followed.