VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Adelaide Nyamedi
15039 Coronet Place
Waterford, VA 20197
(571) 258-9124

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: July 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 8VAC20-820 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. 63.2 Child abuse and neglect

Comments:

A renewal inspection was initiated on 7/20/2023 at approximately 10:20am and concluded on 7/20/2023 at approximately 11:35am. There were a total of 6 children (13 points) observed with 1 caregivers present. The children were engaged in the following: toy play, games, snack, bathroom breaks, hand washing, and other organized activities. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 6 child records and 3 caregiver/household member 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 contact me if you have any questions at Mark.Davis@doe.virginia.gov or 804-629-7103.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on review of staff information, and confirmed by provider, the provider did not complete a fingerprint check (criminal history check) every 5 years. Evidence: The most recent criminal history check for staff #1 was more than 5 years ago.
Plan of Correction:	Provider will obtain a criminal history (fingerprint) check.
Standard #:	8VAC20-800-830-A
Description:	Based on document review, emergency evacuation procedures were not practiced monthly. Evidence: There was no documentation of an emergency evacuation drill for June 2023.
Plan of Correction:	Provider will ensure that emergency evacuation drills are practiced monthly.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children's information, the provider did not obtain verification of the identity and age of the child within 7 business days of the child's first day of attendance. Evidence: There was no proof of identity for Child #1, who began attending 4/6/2018.
Plan of Correction:	Provider will obtain proof of identity for Child #1.
Standard #:	8VAC20-800-140-B-3
Description:	Based on staff information review, and confirmed by provider, the provider did not have current certification in CPR. Evidence: The CPR certification for Staff #1 was expired.
Plan of Correction:	Provider will obtain certification in CPR.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review of staff information, and confirmed by the provider, current certification in first aid was not obtained. Evidence: The first aid certification for Staff #1 was expired.
Plan of Correction:	Provider will obtain certification in first aid.
Standard #:	8VAC20-800-180-A
Description:	Based on document review, and confirmed by provider, the provider did not obtain a current report of Tuberculosis screening every two years from the date of the first screening. Evidence: The most recent report of Tuberculosis screening was from over 2 years ago for Staff #1.
Plan of Correction:	Provider will obtain a tuberculosis screening.
Standard #:	8VAC20-800-210-A
Description:	Based on review of staff information, and confirmed by the provider, the provider did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider did not obtain any annual training.
Plan of Correction:	Provider will ensure they complete 16 hours of training annually.
Standard #:	8VAC20-800-280
Description:	Based on observation of the home, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: A tube of Neosporin cream, labeled, "Keep out of reach of children," was found in an area accessible to children.
Plan of Correction:	Neosporin tube was moved to an area inaccessible to children during the visit.