VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Shonna Lawrence
509 Otey Street
Bedford, VA 24523
(540) 797-9130

Current Inspector: James R Basham (804) 588-2370

Inspection Date: April 20, 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 monitoring inspection was conducted on 4/20/2023. There were 4 children in care, ages 3 months ? 3 years, totaling 11 points and 2 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 2 children?s records and 3 pet records were reviewed. The children were observed during craft time. The inspector arrived for the inspection at 9:55am and departed at 11:27am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-800-800-B
Description:	Based on observation and discussion, the provider failed to review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was dated 10/18/2021 and on the day of the inspection did not have an annual update documented.
Plan of Correction:	Provider will review and update emergency plan.
Standard #:	8VAC20-800-100-A
Description:	Based on review of two children?s records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: Child 2 started on 2/1/2023 and on the day of the inspection did not have the required physical record documented.
Plan of Correction:	Provider will obtain physical record from parent.
Standard #:	8VAC20-800-90-A
Description:	Based on review of two children?s records, the provider failed to obtain documentation that the child has been adequately immunized. Evidence: Child 2 started on 2/1/2023 and on the day of the inspection did not have the required immunization record documented.
Plan of Correction:	Provider will obtain immunization record from parent.
Standard #:	8VAC20-800-320-A
Description:	Based on observation, the provider failed to ensure that small electrical appliances shall be unplugged unless being used by the caregiver or with children under close supervision. Evidence: 1. The licensing inspector observed a coffeemaker on the kitchen counter by the sink that was plugged into an outlet and was not in use. 2. The licensing inspector observed a microwave on the kitchen counter to the right of the coffeemaker that was plugged into an outlet and was not in use.
Plan of Correction:	Provider will unplug small appliances when not in use.