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Cynthia Garrett
93 Theresa Lane
Louisa, VA 23093
(434) 825-5634

Current Inspector: Barbara Workman (540) 430-9257

Inspection Date: June 12, 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
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Comments:
A renewal inspection was conducted on June 12, 2023 from 10:40 A.M.-12:00 P.M.. The There were no children present, at the time of the inspection. The inspector reviewed compliance in the areas of administration, physical plant, household members, programming, medication, special care and emergencies and nutrition. A total of four child records, one household member, and one caregiver record 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.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:
Standard #: 8VAC20-800-830-A
Description: Based on review of evacuation drills, the provider failed to ensure that an emergency evacuation was practiced monthly.

Evidence:
1. There was no documentation that an emergency evacuation drill had been completed for May 2023.
2. The provider verified that the emergency evacuation drill had not been documented.

Plan of Correction: Moving forward the provider will ensure to document all emergency evacuation drills.

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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