VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Holly King
2231 Deyerle Knob Rd.
Rocky mount, VA 24151
(540) 352-9814

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: July 31, 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 8VAC20-770 BACKGROUND CHECKS 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 conducted on 07/31/2023. There were 9 children, ages 7 months- 10 years, totaling 21 points and 2 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 5 children?s records, 3 caregiver records, 1 household member records and 1 pet record were reviewed. The children were observed in free choice play, having a morning snack and in music and movement. The inspector discussed the following with the provider: infant play spaces and subsidy. The inspector arrived for the inspection at 9:55 am and departed at 11:30 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-800-90-C
Description:	Based on record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 5, determined to be 2 years old, contained a documented start date of 02/28/2022. The most recent immunization record for Child 5 was the initial immunization record dated 02/24/2022. Additional immunization records were not obtained between 02/24/2022 and the child?s 2nd birthday.
Plan of Correction:	Will get an updated copy.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider failed to obtain for each caregiver and adult household member a current tuberculosis screening every two years from the date of the first screening. Evidence: 1. The most recent tuberculosis screening for Caregiver 1 was dated 06/01/2021. There was not a follow-up screening obtained before 06/01/2023. 2. The most recent tuberculosis screening for Household Member 1 was dated 05/30/2021. There was not a follow-up screening obtained before 05/30/2023.
Plan of Correction:	Will call around and get appointments to get them updated.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child. Evidence: Caregiver 2 was observed during two diaper changes. Caregiver 2 did not wash their hands after changing each of the diapers.
Plan of Correction:	Will retrain caregivers.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the provider failed to ensure that children?s hands are washed with liquid soap and warm running water before eating and after toileting or diapering. Evidence: Caregiver 2 was observed during two diaper changes. The two children that were observed during diapering did not wash their hands after diapering.
Plan of Correction:	Will retrain caregivers.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider failed to ensure that the diapering surface is cleaned and sanitized after each use. Evidence: Caregiver 2 was observed changing two diapers. Caregiver 2 did not sanitize the diapering surface after each use.
Plan of Correction:	Will retrain caregivers.