VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Sheila Martin
8360 Botha Road
Warrenton, VA 20186
(540) 402-6694

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Dec. 9, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Reviewed caregiver and substitute requirements.

Comments:

An unannounced monitoring inspection was conducted on 12/09/2022 from 12:00pm to 1:35pm. There were 7 children ages 12 months to age 3 years old (20 points) with the Provider and 1 assistant. The programming area, attendance, menus, Provider, Assistant and 2 additional Household member records, 3 children?s records, emergency drills and emergency supplies were reviewed. There were no medications onsite. Children were observed participating napping. The Provider and assistant had current certification in CPR and First Aid training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 12/15/22. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.036-A
Description:	Based on review of 3 Household member records, the provider did not obtain a central registry background check report every five years from the date of the last check. Evidence: The record for Household member #2 did not contain documentation that a central registry background check report had been completed every five years from the date of the last check. The last central registry check was completed 12/7/2017.
Plan of Correction:	Provider will get necessary background check.
Standard #:	22.1-289.036-B-2
Description:	Based on review of 3 Household member records, the provider did not obtain documentation of the results of a national fingerprint background check by the end of the 30th day of residence. Evidence: The record for Household Member #3 (Date of Move in 9/20/22), did not contain documentation of a fingerprint background check completed by the end of the 30th day of beginning residence in the home.
Plan of Correction:	Richmond never sent Background check or from taking fingerprints.
Standard #:	22.1-289.036-B-4
Description:	Based on review of 3 Household member records, the Provider did not obtain the results of a central registry check from all states in which Household members have resided within the last five years by the end of the 30th day of residence. Evidence: The record for Household Member #3 (Date of Move in 9/20/22), did not contain documentation of a completed central registry record check from all states where they resided within the last five years completed by the end of the 30th day of beginning residence in the home.
Plan of Correction:	Didn't know I had to do a out of State registry waiting for it to come back.
Standard #:	22.1-289.058
Description:	Based on observation and Provider interview, the provider did not ensure that the home was equipped with at least one working carbon monoxide detector. Evidence: The Provider stated there was no carbon monoxide detector in the home.
Plan of Correction:	Carbon monoxide detector is plugged in wall.
Standard #:	8VAC20-770-40-C-1-c
Description:	Based on review of 3 Household member records, the provider did not obtain documentation of the results of a Central Registry background check by the end of the 30th day of residence. Evidence: The record for Household Member #3 (Date of Move in 9/20/22) did not contain documentation of a Central Registry background check by the end of the 30th day of beginning residence in the home.
Plan of Correction:	Richmond never sent report for fingerprint or CR.
Standard #:	8VAC20-800-180-A
Description:	Based on review of 3 household records, the provider did not obtain for each Household member a current report of Tuberculosis screening every 2 years from the date of the first screening. Evidence: The record for Household member #1 contained a Tuberculosis screening that was last completed on 10/6/20.
Plan of Correction:	Done
Standard #:	8VAC20-800-210-A
Description:	Based on review of 2 Caregiver records and Provider interview, the Provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually. Evidence: The record for the Provider and the assistant (Date of Hire 10/19/22) did not contain documentation of the completion of 16 training hours in the last year.
Plan of Correction:	In process of now.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider did not ensure that potentially poisonous substances were stored in an area inaccessible to children. Evidence: 1)A bottle of sanitizer was hanging on the side of the changing table and was accessible to children. 2)In the unlocked child height drawer in the changing table, there was a disinfectant spray that was accessible to children. 3)There was spray paint on the edge of the counter in the kitchen that was accessible to children.
Plan of Correction:	All items were put up out of reach.
Standard #:	8VAC20-800-320-G
Description:	Based on review of documentation and Provider interview, the Provider did not ensure that fireplaces and associated chimneys were inspected annually and cleaned as needed. Evidence: The Provider had documentation that the last fireplace inspection was completed on 11/26/19 and the Provider confirmed that it had not been inspected since this date.
Plan of Correction:	Will be completed on 1/13/22
Standard #:	8VAC20-800-570-A
Description:	Based on observation the provider did not ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed. Evidence: Upon arrival for the inspection at approximately 12:00pm, the assistant was alone with 7 children (20 points) and the Provider did not arrive until approximately 12:20pm.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the Provider did not ensure that the diapering surface was nonabsorbent and washable. Evidence: During inspection, a hole was noticed in the diaper changing pad preventing it from being nonabsorbent and washable.
Plan of Correction:	Diapering surface is nonabsorbent and washable. Extra pad was in nursery.