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Ms. Shawn Wells
96 Partridge Berry Lane
Troy, VA 22974
(434) 589-1825

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: March 7, 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 March 7, 2023. The provider was available during the inspection. There were 7 children present, ranging in ages from 4 months to 4 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 5 child records, 1 household member record and 3 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 #: 8VAC20-800-180-A
Description: Based on a review of caregiver records and interview on March 7, 2023, the provider did not obtain a current Report of Tuberculosis Screening 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: 1. The record of caregiver #2 contained documentation of a tuberculosis screening dated 12/30/2020. 2. Caregiver #1 acknowledged the repeat tuberculosis screening was not complete.

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 March 7, 2023, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence: 1. The record of caregiver #2 contained documentation of 14 hours of annual training from 08/16/2021 to 08/15/2022. 2. Caregiver #1 confirmed the 16 hours of training was not completed.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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