VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Desiree Robinson
3212 Piccolo Drive
Richmond, VA 23223
(804) 497-0604

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Aug. 10, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Comments:

An unannounced renewal inspection was conducted on August 10, 2023. The inspection began at approximately 8:50 AM and concluded at 10:10 AM. There were 5 children present, totaling 16 points, with 2 caregivers supervising. Children were observed playing with various play materials. 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 3 child records and 2 staff records and 1 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 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. 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 about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on record review, the provider did not obtain a sworn statement or affirmation for all assistants and substitutes. Evidence: 1. The record for staff 2, did not contain a sworn statement. 2. The provider stated that staff 2 had not completed a sworn statement but will have staff 2 complete the form.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-760-A
Description:	Based on emergency supplies review and interview, the provider did not have a complete first aid kit. Evidence: The first aid kit in the family day home contained 1of 2 triangular bandages.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-A
Description:	Based on a review of the emergency evacuation logs, the provider failed to ensure that emergency evacuation procedures will be practiced monthly with all caregivers and children in care. Evidence: 1. There is no documentation for emergency evacuation drills for March, April, May, June, and July 2023. 2. The provider stated that drills had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, a caregiver's records did not contain all required information. Evidence: 1. Staff 2?s record did not contain documentation of the following required information: address, verification of age, job title, date of employment, name/address/telephone number of a person to be notified in an emergency, and two or more references. Staff 2?s date of employment was 8/7/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-B
Description:	Based on a review of staff records and interview, the provider failed to obtain a Tuberculosis (TB) test within 30 days of hire. Evidence: 1. Staff 2?s record contained a Tuberculosis test results dated 4/12/2023. Staff 2?s date of employment was 8/7/2023. 2. The provider stated that she didn?t know that an updated Tuberculosis test needed to be completed
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-B
Description:	Based on a review of staff records and interview, the provider failed to obtain a Tuberculosis (TB) test within 30 days of hire. Evidence: 1. Staff 2?s record contained a Tuberculosis test results dated 4/12/2023. Staff 2?s date of employment was 8/7/2023. 2. The provider stated that she didn?t know that an updated Tuberculosis test needed to be completed
Plan of Correction:	Not available online. Contact Inspector for more information.