VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Belinda Hubble
865 West Madison Street
Wytheville, VA 24382
(276) 620-9502

Current Inspector: Todd Scott (276) 608-3749

Inspection Date: Oct. 3, 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. 8VAC20-770 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 monitoring inspection was initiated on 10/3/2022 and concluded on 10/3/2022. There was one children present with the provider and an assistant present. The point total was three. 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 three child records and one staff record was reviewed. The inspection started at 1:15 pm and concluded at 2:20 pm. 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 all medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Located on a shelf beside the bathtub and in front of the toilet was more than three tubes of over the counter creams (Benadryl, Cortizine, etc). These items are not locked and are accessible to the children.
Plan of Correction:	The provider will ensure that all medications, over the counter and prescription are always kept locked.
Standard #:	8VAC20-800-60-B
Description:	Based on record reviews the provider failed to ensure that a child's record contained all the required information. Evidence: 1. Child #2 (first day 8/22/22) and child #3 (first day8/12/22) are missing information regarding if a child has allergies, chronic physical problems and results of a health examination (physical)
Plan of Correction:	The provider will ensure that all required information is added to the children's records.
Standard #:	8VAC20-800-140-B-3
Description:	Based on review of records and interviews the provider failed to ensure that all substitutes have a current certificate in CPR. Evidence: Staff #1 listed as a substitute. Staff #1 was not able to locate her current certification in CPR.
Plan of Correction:	The provider has scheduled the substitute for training in October.
Standard #:	8VAC20-800-140-B-4
Description:	Based on record reviews and interviews the provider failed to ensure that all substitutes have a current certification in first aid. Evidence: Staff #1 is listed as a substitute. Staff #1 was not able to locate her current certification in first aid.
Plan of Correction:	The provider has scheduled the substitute for training in October
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation the provide failed to ensure that the findings of the most recent inspection is posted. Evidence: The violation notice from the last inspection conducted on 6/23/2022 was not posted.
Plan of Correction:	The provider will ensure that all items required to be posted will be posted.