VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Katrina Nelson
2202 Westover Avenue
Henrico, VA 23231
(804) 482-9022

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Sept. 15, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and House 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 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:

An unannounced renewal inspection was initiated on September 15, 2022 and concluded on September 16, 2022. The inspector was on site from approximately 3:00 pm until 4:50 pm. There were eight children present with two caregivers supervising for a value of 22 points. Children were observed having snack, playing with the kitchen set and coloring. 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 four child records and three caregiver records were reviewed. The inspector interacted with caregivers and children in care. 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. If you have any questions regarding this inspection, please contact the licensing inspector. Sharon Curlee, Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education 804-840-8312 Sharon.curlee@doe.virginia.gov

Violations:

Standard #:	8VAC20-800-90-A
Description:	Based on review of four children?s records, the provider did not obtain documentation that a child had been adequately immunized before a child attended the family day home. Evidence: 1. The record of child #1, enrolled 05/23/2022, contained documentation of immunizations dated 05/25/2022, exceeding the first day of enrollment. 2. The record of child #2, enrolled 08/15/2022, contained documentation of immunizations dated 08/23/2022, exceeding the first day of enrollment 3. The record of child #3, enrolled 09/06/2022, contained documentation of immunizations dated 09/12/2022, exceeding the first day of enrollment
Plan of Correction:	Per the provider: I will ask parents to provide the immunizations at the time of enrollment.
Standard #:	8VAC20-800-180-A
Description:	Based on review of caregiver records, the provider did not obtain for each caregiver a current tuberculosis screening every two years from the date of the first screening. Evidence: The record of caregiver #2 contained documentation of a tuberculosis screening dated 10/20/2019, exceeding two years.
Plan of Correction:	Per the provider: I scheduled caregiver #2 to have an updated TB completed today. Results will be ready tomorrow.
Standard #:	8VAC20-800-210-A
Description:	Based on review of caregiver records and interview, the provider did not ensure in addition to first aid and CPR training, caregivers obtained a minimum of 16 hours of training annually. Evidence: 1. The provider had documentation of three hours of training completed during the training period. The provider stated she could not locate her own record containing her remaining training hours for the year of September 17, 2021 through September 16, 2022. A total of 13 hours was missing. 2. The record of caregiver #2 contained documentation of 3 hours of annual training for the period 03/03/2021- 03/02/2022. A total of 13 hours was missing.
Plan of Correction:	Per the provider: We are signed up for some classes and are waiting on certificates from some as well. I will look for my training in my record.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers were stored in area inaccessible to children. Evidence: Two canisters of cleaning agents were observed under the bathroom sink in the unlocked cabinet. The bathroom is used by children in care.
Plan of Correction:	The provider removed all the cleaning agents from under the sink and relocated them out of reach of children in care.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider did not ensure child-resistant protective covers were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Two electrical outlets located in the living room where children were in care did not have protective covers installed.
Plan of Correction:	Per the provider: Outlet covers were installed today.
Standard #:	8VAC20-800-330-A
Description:	Based on interview, the provider did not have a landline telephone available, operable, and accessible during the family day home?s hours of operation. Evidence: The provider stated she did not have a telephone in the home but did have service for one.
Plan of Correction:	per the provider: I have ordered a new phone. It will arrive on Saturday.