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:

Complaint Related: No

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.