VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Donna Sandiford
1924 Oak Hill Lane
Richmond, VA 23223
(804) 421-8572

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: June 20, 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 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 conducted on 06/20/2023 from 11:46 a.m. ? 2:24 p.m. There were 8 children present during the inspection and one provider present. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five (5) children?s records, 1 provider record, and 1 household member record were reviewed. The information gathered during the inspection determined violations with applicable standards. A violation notice was issued. 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, 07/3/2023. Please 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 again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-760-A-1
Description:	Based on observation, the provider did not ensure that the first aid kit contained at a minimum, supplies required by 8VAC20-800-760-A-1. Evidence: The first aid failed to contain triangular bandages.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-40-A
Description:	Based on observation and interview, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: On 06/20/2023, the inspector observed the provider caring for 8 children. The maximum licensed capacity of the home is 7 children. Provider reported trying to be helpful to parents by providing care despite knowing she was exceeding her licensed capacity. Provider reports she has submitted a request to county zoning to increase the home?s capacity.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on child record review, the provider failed to ensure that one of five contained required documentation. Evidence: The record for C4, enrolled 09/08/2021 did not contain documentation of the review of the child?s emergency contact information as required by 8VAC20-800-780-B.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-530-A
Description:	Based on observation, the provider failed to ensure that cots used for children shall have linens consisting of a top cover and bottom cover or a one-piece covering that is open on three edges. Evidence: During rest time multiple children were observed to be resting on cots without bottom covers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-560-C
Description:	Based on observation, the provider failed to allow only school-age children to play outdoors while the caregiver is indoors if the caregiver can hear the children playing outdoors. Evidence: Upon arrival for inspection, the provider and children were observed outside in the back yard with eight (8) children. The provider was observed to enter the home multiple times for several minutes at a time leaving children to play outside. Four (4) of the children were not school age.
Plan of Correction:	Not available online. Contact Inspector for more information.