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Ms. Michelle Borst
133 Lynch Street
Danville, VA 24540
(434) 793-0160

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: May 26, 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 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Comments:
A monitoring inspection was conducted on 5/26/2023 from 12:45 pm to 1:50 pm. There were no children in care. The Licensing Inspector reviewed three children?s records, one provider record, one household member record, and other program records.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 22.1-289.036-A
Description: Based on document review, the provider failed to ensure that subsequent background checks were done every five years for the provider and a household member over the age of 18.

EVIDENCE:
1. The most recent criminal history eligibility letter for Staff 1 was dated 3/9/2018. The most recent Central Registry ?No Match? letter was dated 1/10/2018.

2. The most recent criminal history eligibility letter for Household Member 1 was dated 2/16/2018.

Plan of Correction: The provider will request and obtain the required background checks.

Standard #: 8VAC20-800-180-A
Description: Based on record review, the provider failed to ensure that a household member had a current, subsequent TB screening. These are due every two years.

EVIDENCE:
The most recent TB screening for Household Member 1 was dated 6/15/2018.

Plan of Correction: The provider will have the household member obtain a TB screening.

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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