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Ms. McShanna Jackson
301 Paynor Avenue
Gordonsville, VA 22942
(540) 832-3387

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Oct. 20, 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
VAC20-800 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.

Comments:
A monitoring inspection was conducted on October 20, 2022. There were eight children present, ranging in ages from 21 months to 4 years, with two staff supervising. 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 two staff records were reviewed.

Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

lease contact your licensing inspector, Chrystal King, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you at 804-297-4469

Violations:
Standard #: 8VAC20-800-60-B
Description: Based on review of three children's records, program failed to ensure that all required information was present.

Evidence:
1. The first day of attendance for Child #2 was 6/7/2021. The immunization record in the file was dated 6/17/2021.
2. The required information for parents in the file for Child #3 was not signed.

Plan of Correction: Already corrected. They had no papers coming from island.

Already corrected. It's signed same day.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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