VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ariella Hargrave
8707 Bedell Road
Henrico, VA 23229
(804) 307-6532

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: Feb. 23, 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 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 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

The licensing inspectors initiated an unannounced renewal inspection on 2/23/2023 from 10:07am to 12:25pm. The inspection was completed on 2/24/2023. There were 10 children present with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing, supervision, programming, medication, special care, emergencies, and nutrition. A total of 5 children?s records, 1 household member record and 3 caregiver records were reviewed. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the licensing inspector at (804) 929-3771. 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 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 #:	8VAC20-800-730-D
Description:	Based on observation, the provider did not ensure medications were be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were three children?s medications located in an unlocked backpack. The backpack was observed in the family day home?s backyard within the reach of children in care.
Plan of Correction:	Lock backpack
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not ensure two of five children?s records contained documentation that the children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attendance. Evidence: 1. The record of child #1 (enrollment date: 10/24/2022) had documentation showing that the child has been adequately immunized, dated 1/12/2023. 2. The record of child #4 (enrollment date: 9/07/2021) had documentation showing that the child has been adequately immunized, dated 2/24/2023.
Plan of Correction:	1. Obtain documents right away. 2. Make sure those documents are on time.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider did not ensure to obtain from each caregiver at the time hire a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record of caregiver #3 (employment date: 9/6/2022) had documentation of a tuberculosis screening dated 2/7/2023.
Plan of Correction:	The original TB screening was done on time but had been misplaced. We will make sure to keep track of all paperwork.