VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Carolyn Dowdy
720 Lawn Drive
Christiansburg, VA 24073
(540) 577-0133

Current Inspector: Julia Kimbrough (804) 921-7596

Inspection Date: Oct. 7, 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 ?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 10-7-22 and concluded on 10-7-22. There were 8 children present with the provider and assistant supervising. The point total was 21. 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, 2 staff records, and 1 family record were reviewed. The inspection started at 9:15am and concluded at 10:45am. 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 #:	22.1-289.035-B-2
Description:	Based on review of staff files, the provider failed to maintain compliance with ensuring fingerprints were completed as a part of the background check prior to employment. Evidence: Assistant #1 who has been working since 9-6-2022 did not have a completed fingerprint record.
Plan of Correction:	An appointment for fingerprints will be scheduled and completed as soon as possible.
Standard #:	22.1-289.036-B-2
Description:	Based on review of staff files and interview, the provider failed to maintain compliance with ensuring fingerprints were completed as a part of the background check within 30 days of an adult residing in the household. Evidence: The provider stated that family member #1 had been residing in the home since summer. Family member #1 did not have a completed fingerprint at the time of inspection.
Plan of Correction:	The fingerprints will be scheduled and completed as possible.
Standard #:	8VAC20-770-40-D-4-a
Description:	Based on review of staff files and interview, the provider failed to maintain compliance with ensuring the search of the central registry was completed as a part of the background check within 30 days of an adult residing in the household; and that a Sworn Statement was completed by the first day of an adult residing in the household. Evidence: The provider stated that family member #1 had been residing in the home since summer. Family member #1 did not have a completed search of the central registry or sworn statement form completed.
Plan of Correction:	The CPS form will be completed and sent off as soon as possible. The sworn disclosure will be completed immediately and placed in the file.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of staff files, the provider failed to maintain compliance with ensuring a central registry search was completed as a part of the background check within 30 days of employment. Evidence: Assistant #1 who has been working since 9-6-2022 did not have a completed search of the central registry.
Plan of Correction:	The form will be completed and sent off as soon as possible.
Standard #:	8VAC20-800-830-D
Description:	Based on review of documentation, the provider failed to maintain compliance with ensuring that emergency response drill documentation is maintained. Evidence: The provider could not locate documentation of conducted monthly emergency evacuation drills or bi-annual shelter-in-place drills for 2022 at the time of the inspection.
Plan of Correction:	Documentation will be located or a new form started for compliance.
Standard #:	8VAC20-800-100-A
Description:	Based on review of children files, the provider failed to maintain compliance with obtaining documentation of a physical examination within 30 days of attendance. Evidence: The records for children #3-#5 did not contain a physical and the children had been in attendance for more than 30 days. Enrollment date was 9/6/2022.
Plan of Correction:	The physicals will be obtained and placed in the file for compliance. Physicals will be obtained upon enrollment or within 2 weeks after care begins for future compliance.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children files, the provider failed to maintain compliance with ensuring information on children?s allergies were completed upon enrollment. Evidence: The records for children #3-#5 did not address any known allergies. The enrollment date for the children was 9/6/2022.
Plan of Correction:	Children's records will be updated for compliance.
Standard #:	8VAC20-800-80-A
Description:	Based on review of children files, the provider failed to maintain compliance with ensuring proof of identity and age was obtained within seven business days. Evidence: The records for children #3-#5, who were in attendance at the time of inspection, did not contain any verification of proof of identity. The enrollment date for the children was 9/6/2022.
Plan of Correction:	Proof of birth will be documented upon enrollment as required.
Standard #:	8VAC20-800-90-A
Description:	Based on review of children files, the provider failed to maintain compliance with obtaining documentation of immunizations prior to attendance. Evidence: The records for children #3-#5, who were in attendance at the time of inspection, did not contain documentation of immunizations. The enrollment date for the children was 9/6/2022.
Plan of Correction:	Immunization records will be obtained and placed in the file for compliance. Immunization records will be obtained upon enrollment as required.
Standard #:	8VAC20-800-140-B-3
Description:	Based on review of staff files, the provider failed to maintain compliance with ensuring that current CPR certification is maintained. Evidence: The provider?s CPR certification had expired on 6/18/2022.
Plan of Correction:	A CPR class will be scheduled and completed as soon as possible.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review of staff files, the provider failed to maintain compliance with ensuring that current first aid certification is maintained. Evidence: The provider?s first aid certification had expired on 6/18/2022.
Plan of Correction:	A CPR-FA class will be scheduled and completed as soon as possible.
Standard #:	8VAC20-800-180-A
Description:	Based on review of staff files, the provider failed to maintain compliance with ensuring a current tuberculosis screening is maintained. Evidence: The last tuberculosis screening for the provider was completed on 6/12/2020. The screenings are required to be updated every two years.
Plan of Correction:	A new TB screening will be completed and placed in the file for future review.
Standard #:	8VAC20-800-200-A
Description:	Based on review of staff files, the provider failed to maintain compliance with ensuring orientation was provided to caregivers by the end of their first week of assuming job responsibilities. Evidence: The provider did not have proof of orientation training for the assistant that was hired on 9-6-22.
Plan of Correction:	Orientation will be completed for the assistant as soon as possible for compliance.
Standard #:	8VAC20-800-520-A
Description:	Based on review of the home and interview, the provider failed to maintain compliance with ensuring that each child from birth through 12 months of age is provided a crib for sleeping. Evidence: At the time of inspection there were only two cribs in the home available for use and there were three children under the age of 12 months in care. The provider stated that she had a third crib but that it was not assembled.
Plan of Correction:	The crib will be put together as soon as possible for compliance.