VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Keisha Jones
4120 Dorset Road
Richmond, VA 23234
(804) 298-0298

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Feb. 14, 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 8VAC20-800 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:

An unannounced renewal inspection was conducted on 02/14/2023 from approximately 1:25 p.m. ? 4:10 p.m. Caregiver, household members, children?s records and the physical plant were reviewed. There were 11 children present that were between 2 years old and four years old with 2 caregivers 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 5 child records were reviewed. Caregiver and household member records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. 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, 03/01/2023. 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 preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-920
Description:	Based on observation, the provider failed to ensure that the menu for the current one-week period was posted. Evidence: The menu posted in the family day home was not for the current week of 02/13/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of children?s records, the provider failed to ensure that five of five children?s records contained all of the required information. Evidence: 1. The records for C1, enrolled 12/05/2022, C2, enrolled 12/05/2022, and C3, enrolled 12/13/2022 did not document the parent?s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.6 and 7. 2. The record for C4 did not document: the name, address, and telephone number for two people to contact in case of an emergency if the parent cannot be reached (blank); the names of persons other than the custodial parents who are authorized to pick up the child (blank); the first date of attendance (blank); the parent?s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.6 and 7; and authorization for emergency medical care (blank). 3. The record for C5, enrolled 02/03/2022 did not document: the addresses of the child?s parents; the work phone number of the parent, if applicable; the addresses of the two emergency contacts; the names of persons other than the custodial parents who are authorized to pick up the child (blank); the annual parent confirmation of up-to-date information in the record as required by 8VAC20-800-780.B; and the authorization for emergency medical care (blank).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-C
Description:	Based on observation and interview, the provider failed document substitute provider orientation that is required by the end of the first week of assuming job responsibilities. Evidence: HHM1 (Household Member) was observed providing care and supervision of children during the inspection on 02/14/2023. The provider advised that HHM1 was needed to assist in the care of the eleven children in the family day home as the prior assistant left employment 01/ 27/2023. The provider did not have documentation of the orientation required by VAC20-800-200.C
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on file review, the provider failed to ensure that the provider obtained 16 hours of annual training. Evidence: The record for P1 contained verification of 11 hours of annual training in 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-510-C
Description:	Based on observation, the provider failed to ensure that occupied cots were at least 12 inches from each other. Evidence: Licensing inspector observed seven children resting in the classroom at the end of the living room. The rest mats were observed to be less than 12 inches apart.
Plan of Correction:	Not available online. Contact Inspector for more information.