VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Towanda Tompkins
5024 Cedar Acres Court
Richmond, VA 23223
(804) 447-8732

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

Inspection Date: April 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

Technical Assistance:

Assure that menu is updated for any substituted food served to children.

Comments:

A monitoring inspection was conducted 04/14/2023 from approximately 10:11 a.m. to 1:45 p.m. There were 3 children present during the inspection and 1 provider present. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of 5 child records were reviewed. Caregiver 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, 05/08/2023. 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 #:	8VAC20-800-730-D
Description:	Based on observation, the provider failed to keep medications in a locked place using a safe locking method that prevents access by children. Evidence: The inspector observed provider over-the-counter medications in an unsecured upper kitchen cabinet.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-A
Description:	Based on interview, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: Licensing inspector requested to review evacuation drill records conducted in the home. Provider stated she was not aware she needed to conduct drills.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-940-A
Description:	Based on observation, the provider failed to ensure that temperatures shall be maintained at or below 0 degrees Fahrenheit (0? F) in the freezer compartment was maintained. Evidence: The inspector observed the freezer temperature at 4? F .
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on observation, the provider failed to ensure that the substitute caregiver record documented the education and programmatic experience required by 8VAC20-800-230. Evidence: Record for S2 did not document applicable education and programmatic experience.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on child record review, the provider failed to ensure that four of five records contained the required information for each child enrolled. Evidence: The record for C2, enrolled 01/30/2023 did not contain the addresses of two designated person to contact in case of an emergency if the parent cannot be reached. The record for C3, enrolled 01/3/2023 did not contain the addresses of two designated person to contact in case of an emergency if the parent cannot be reached. The record for C4, enrolled 03/13/2023 did not contain the addresses of two designated person to contact in case of an emergency if the parent cannot be reached and the results of the health examination for the child as required by 8VAC-800-100, physical examinations for children. The record for C5, enrolled 02/13/2023 did not contain the telephone numbers and addresses of two designated persons to contact in case of an emergency if the parent cannot be reached and the results of the health examination for the child as required by 8VAC-800-100, physical examinations for children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-B
Description:	Based on child record review, the provider failed to ensure that parent?s written acknowledgement of the receipt of the information required by 8VAC20-800-70.A.4, policies for the administration of medication, and 8VAC20-800-70.A.5, whether or not there is a liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home as required by the Code of Virginia. Evidence: Records for children, C1, C2, C3, C4, and C5, did not contained written acknowledgement of the home?s policies for the administration of medications and whether there is liability insurance. The signed attachments for this information were not in the children?s records.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider did not ensure that areas outside the family day home were maintained in a clean, safe, and operable condition. Evidence: The following was observed: 1. Dog feces in the yard where the children play. 2. Oil changing pan, fuel can, ax, and old tires within in reach of children in the back yard. 3. Children?s sliding boards located on the wooden deck placed near the deck railing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, the provider failed to ensure that children under two years of age shall not have access to stairs. Evidence: The inspector observed a child under the age of two playing on a deck that failed to have a protective barrier at the stair opening leading to the ground. The deck had sliding boards and toy scooters that the children were playing on.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider failed to ensure that the diapering surface was cleaned and sanitized after each use. Evidence: The inspector observed the provider diaper a child. The provider failed to clean and sanitize the diapering surface after diapering the child.
Plan of Correction:	Not available online. Contact Inspector for more information.