VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dionne Jordan
1900 Arlington Road
Hopewell, VA 23860
(804) 415-7077

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: June 13, 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 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 Access to minors 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 initiated and concluded on 6/13/2023. The inspector was on site from approximately 8:40 am-10:12 am. There were 8 children in care, ranging in age from 15 months to 8 years, with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. A total of 5 child records, and 3 caregiver records 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. 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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of three (3) caregiver records and interview, the provider did not ensure to obtain a fingerprint background check for one (1) caregiver prior to the first date of employment: Evidence: 1. The record of caregiver #2 (date of employment: 1/2/2023) did not contain a fingerprint background check. 2. The provider acknowledged that it had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of five (5) caregiver records and interview, the provider did not ensure to obtain a central registry finding for one caregiver by the end of the 30th day of employment as required. Evidence: 1. The record of caregiver #2 (date of employment: 1/2/2023) contained a central registry finding dated 3/20/2023. 2. The provider acknowledged the finding was not received within the required time frame.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on a review of five (5) child records and interview, the provider did not ensure to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance for three (3) children as required. Evidence: 1. The records of child #1, child #2 and child #4 (dates of attendance: 10/1/2022) did not contain physical records. 2. The provider acknowledged that the physical records had not been obtained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of five (5) child records and interview, the provider did not ensure to obtain documentation that one (1) child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. The record of child #1 (date of attendance: 10/1/2022) contained an immunization record dated 10/31/2022. 2. The provider acknowledged that the immunizations were received after the first date of enrollment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of three (3) caregiver records and interview, the provider did not ensure to obtain a tuberculosis screening for one (1) caregiver at the time of hire and prior to coming into contact with children. Evidence: 1. The record of caregiver #2 (date of employment: 1/2/2023) contained a tuberculosis screening dated 1/16/2023. 2. The provider acknowledged that the TB screening was received after the start of employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of three (3) caregiver records and interview, the provider did not ensure to obtain a follow up tuberculosis screening for one (1) caregiver every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #3 contained a TB screening dated 5/11/2021. 2. The provider was unable to locate documentation of a follow up tuberculosis screening for caregiver #3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-350-E
Description:	Based on observation and measurements, the provider did not ensure that hot water at taps available to children were maintained within a range of 105?F to 120?F. Evidence: 1. The hot water was measured at the handwashing sink in the bathroom used by children. The water temp measured at 130 degrees. 2. The provider acknowledged that the water temperature did not fall within the allowable range.
Plan of Correction:	Not available online. Contact Inspector for more information.