VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Regina Christmas
127 Allen Lane
Palmyra, VA 22963
(434) 589-7971

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Jan. 18, 2023

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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site January 18, 2023. The provider was available during the inspection. There were 5 children present, ranging in ages from 1 year to 5 years, with 2 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 2 child records, 2 household members records, and 2 staff records were reviewed. 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on record review and interview on January 18, 2023, the provider failed to obtain the parent's signed acknowledgement that an annual review of the emergency contact information for each child occurred. Evidence: The record of child #2 did not contain documentation of a signed acknowledgement that an annual review of the emergency contact information occurred. The most recent review is dated 11/19/21. Caregiver #1 acknowledged it was not complete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of caregiver records and interview on January 18, 2023, the provider did not obtain a current Report of Tuberculosis Screening (TB) form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The record of caregiver #2 contained documentation of a TB screening dated 7/22/20. Caregiver #1 confirmed the repeat TB screening was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of annual training and interview on January 18, 2023, the provider failed to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #1 contained documentation of 3 training hours from July 2021-July 2022. 2. The record of caregiver #2, hired 7/17/17, did not contain documentation of 16 training hours from July 2021-July 2022. 3. Caregiver #1 confirmed the 16 hours of training was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observations and interview on January 18, 2023, the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: The following was observed: 1. On the outside play area there was a tricycle with no seat, a stationary bike missing a pedal, another tricycle with rusted handlebars and crossbar and the handlebars were missing the rubber end caps exposing rough metal edges, and a blue tricycle with missing handlebars and sharp broken plastic creating an approximate 4x4 hole in the seat, and a plastic slide with an approximate 1x1 inch hole on the sliding portion of the slide, which could entangle or snag skin. 2. Caregiver #1 acknowledged the broken equipment and stated it needed to be gone.
Plan of Correction:	Not available online. Contact Inspector for more information.