VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Cynthia Holmes
26070 Old Office Road
Culpeper, VA 22701
(540) 854-8939

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Feb. 28, 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 monitoring inspection was conducted on-site February 28, 2023. The provider was available during the inspection. There was one child present, age 2, with 1 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 5 child records, 2 caregiver records, and 1 household member record 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 #:	22.1-289.035-A
Description:	Based on a review of caregiver records on February 28, 2023, the provider failed to ensure every person required to undergo a background check shall submit to fingerprinting and provide personal descriptive information. Evidence: 1. The record of caregiver #2 did not contain documentation of a five year repeat fingerprint check. The last reviewed documentation of caregiver #2's fingerprint was dated 2/8/18.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.036-A
Description:	Based on a review of household member records and interview on February 28, 2023, failed to obtain a repeat fingerprint check every five years. Evidence: 1. The record of household member #1 contained documentation of fingerprints dated 2/26/18. Caregiver #1 confirmed the fingerprint check was not redone.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on record review and interview on February 28, 2023, the provider failed to ensure to maintain a complete record for each caregiver as required. Evidence: The record of caregiver #2 did not contain documentation of the fingerprint determination letter. The provider stated she couldn't find it.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-140-B-3
Description:	Based on a review of caregiver records on February 28, 2023, the provider did not ensure certification in cardiopulmonary resuscitation (CPR) is current. Evidence: The record of caregiver #1 did not contain documentation of current CPR certification. The most recent CPR certification available for review expired 8/22/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-140-B-4
Description:	Based on a review of caregiver records on February 28, 2023, the provider did not ensure certification in first aid is current. Evidence: The record of caregiver #1 did not contain documentation of current first aid certification. The most recent first aid certification available for review expired 8/22/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview on February 28, 2023, the provider failed to 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. The swing set on the left of the property is not sturdy, had open, rusted S-hooks, and a broken and inoperable swing seat. 2. There are sharp metal pieces at the bottom of a broken pole that's supposed to be connected to double-swing. 3. There is a broken seat on the teeter swing. 4. The swing set on the right side of property has 4 S-hooks that are open enough to fit a pinky finger inside. 5. The plastic teeter totter on the ground is broken, creating sharp plastic edges. 6. The wooden playset is not a sturdy structure. 7. The provider acknowledged the broken and rusted equipment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-B
Description:	Based on observation and interview on February 28, 2023, the provider failed to ensure that children's hands are washed with liquid soap and warm running water after toileting or diapering. Evidence: 1. Caregiver #1 was observed changing a diaper. Caregiver #1 did not wash the child's hands after diapering the child. 2. Caregiver #1 stated she was not aware children's hands had to be washed after diapering.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-B
Description:	Based on observation on February 28, 2023, the provider failed to ensure when a child's clothing or diaper becomes wet or soiled, the child shall be cleaned and changed immediately. Evidence: 1. Upon arrival of the inspection at approximately 1:10pm one child was in the care of one caregiver. An odor of a soiled diaper (bowel movement) was detected immediately upon entering the home. 2. At 1:30pm the inspector informed caregiver #1 that child's diaper needed to be changed.
Plan of Correction:	Not available online. Contact Inspector for more information.