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Ms. Michelle Borst
133 Lynch Street
Danville, VA 24540
(434) 793-0160

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Dec. 5, 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
8VAC20-770 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 conducted on 12/05/2022. There were 3 children, ages 6 years-9 years, totaling 3 points and 1 caregiver present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 3 children?s records, 1 caregiver record, 1 household member records and 1 pet record were reviewed. The children were observed arriving to the program, having an afternoon snack and in television time. The inspector arrived for the inspection at 3:00 pm and departed at 4:15 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 provider.

Violations:
Standard #: 8VAC20-800-730-D
Description: Based on observation, the provider failed to ensure that medication, including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: The door to the providers bedroom was unlocked. The bedroom is located directly off the kitchen in an area where the children are. There were numerous medications on the chest of drawers, bedside table and in the floor. The medications were not locked to prevent access by children.

Plan of Correction: The medication was removed from the home during the inspection and a locked box for medication will be purchased.

Standard #: 8VAC20-800-210-A
Description: Based on observation and interviews, the provider failed to ensure that caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

Evidence: Caregiver 1 verified that there were no training hours obtained in 2021.

Plan of Correction: Will get the hours for 2002 done.

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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