VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Carolyn Dowdy
720 Lawn Drive
Christiansburg, VA 24073
(540) 577-0133

Current Inspector: Julia Kimbrough (804) 921-7596

Inspection Date: April 27, 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. 8VAC20-770 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:

A monitoring inspection was initiated on 04/27/23 and concluded on 4/27/23. There were 8 children present with the provider and assistant. The point total was 22. 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 and 3 staff records were reviewed. The inspection started at 9:00am and concluded at 10:45am. 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.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of documentation and discussions the provider failed to ensure each caregiver obtained a finger print as required prior to hire. Evidence: Caregiver #2 and #3 did not have a fingerprint letter and had not submitted to fingerprinting and both have been working with the children. Caregiver #2 was hired on 3/15/23 and caregiver #3 began working on 4/27/23.
Plan of Correction:	Fingerprints will be set up and completed as soon as possible. No other caregivers will be hired prior to obtaining completed finger print results. This was an emergency situation.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review and discussion the provider failed to ensure that a central registry was submitted and completed within 30 days of employment for a caregiver as required. Evidence: Caregiver #2 began working on 3/15/23 and as of this inspection 4/27/23 a central registry request had not been submitted. This staff has been working over 30 days without a central registry finding.
Plan of Correction:	Both caregivers will have a CPS request submitted as soon as possible. In the future the CPS requests will be completed in the required timeframes. This was an emergency situation.
Standard #:	8VAC20-800-830-A
Description:	Based on review of documentation and discussions the provider failed to ensure monthly emergency drills were practiced as required. Evidence: There was no practiced March 2023 emergency escape drill.
Plan of Correction:	Drills will be conducted and documented monthly as required.
Standard #:	8VAC20-800-120-A
Description:	Based on review of records and documentation the provider failed to ensure that each caregiver has a record as required. Evidence: There were no records for caregiver #2 or #3.
Plan of Correction:	A record will be set up and completed for each caregiver as required.
Standard #:	8VAC20-800-60-B
Description:	Based on review of documentation the provider failed to ensure each child's record contained the required information. Evidence: There was no application or agreement in the record for child #2.
Plan of Correction:	The application was sent home for corrections. The application will be obtained and placed within the file as required. In the future the applications will not be sent home with the parents unless they are returned the next morning of care.
Standard #:	8VAC20-800-170-A
Description:	Based on review of documentation the provider failed to ensure each caregiver has a tuberculosis screening or test as required. Evidence: Caregivers #2 and #3 did not have a TB screening or test as required and they both have been working with the children.
Plan of Correction:	A TB will be obtained for each caregiver and placed in the record. No caregivers will begin working without the TB in the future.
Standard #:	8VAC20-800-330-A
Description:	Based on discussions the provider failed to ensure there was a working landline phone as required. Evidence: There was no longer a working landline phone as required.
Plan of Correction:	The landline will be back in service as soon as possible.
Standard #:	8VAC20-800-460-D
Description:	Based on review of documentation the provider failed to ensure there was documentation of current rabies vaccinations on the animals as required. Evidence: No verification of a rabies record could be located for one of the two dogs at the time of inspection.
Plan of Correction:	The documentation will be found or another copy will be obtained from the Vet.