VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Toya Ray
102 Mountain Lane
Bluefield, VA 24605
(304) 888-5646

Current Inspector: Todd Scott (276) 608-3749

Inspection Date: June 9, 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 Early Childhood Care and Education 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

A remote renewal inspection was initiated on 6/9/2023 and concluded on 6/16/2023. There were no children present. 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 one child record and one staff record was 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 five (5) business days from today. You will need to 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 gain; and 3) person or person(s) responsible for implementation.

Violations:

Standard #:	8VAC20-800-830-A
Description:	Based on record review the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: Staff #1 did not provider documentation that the emergency evacuation drills (fire drills) are practiced monthly.
Plan of Correction:	I will provide documentation for emergency drills [sic]
Standard #:	8VAC20-800-830-B
Description:	Based on record review the provider failed to ensure that Shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: Staff #1 did not provide documentation showing that shelter-in-place drills are practiced at least twice a year.
Plan of Correction:	I will provide documentation showing drills [sic]
Standard #:	8VAC20-800-920
Description:	Based on record review the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall. Evidence: Staff #1 did not supply documentation of a menu for meals and snacks provided.
Plan of Correction:	I will provide the menu for meals and snacks [sic]
Standard #:	8VAC20-800-50-A
Description:	Based on observation the provider failed to ensure that a written record of children in attendance each day is kept at the family day home. Evidence: Staff #1 did not provide documentation that a written record of children in care is kept each day.
Plan of Correction:	I will provide documentation of a written record of children kept each day [sic]
Standard #:	8VAC20-800-140-B-3
Description:	Based on record review and interviews the provider failed to ensure that current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: CPR certificate for staff #1 expired March 25, 2023.
Plan of Correction:	I will complete a CPR class and show verification [sic]
Standard #:	8VAC20-800-140-B-4
Description:	Based on record review and interviews the provider failed to ensure that Current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: The first aid certification for staff #1 expired 3/25/2023.
Plan of Correction:	I will provide documentation of first aid [sic]
Standard #:	8VAC20-800-210-A
Description:	Based on record review and interviews the provider failed to ensure caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Staff #1 has zero annual training hours.
Plan of Correction:	I will complete 16 hrs of training and provide verification [sic]