VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Sandra Nicholas
2801 Montclair Court
Richmond, VA 23223
(804) 329-8830

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 monitoring inspection was conducted on August 10, 2023 from approximately 11:15 AM until 1:10 PM. There were 9 children present, ranging in ages from 6 months to 3 years totaling 25 points, with 2 caregivers supervising. The children were observed reading books, playing with toys, and preparing for lunch. 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, 2 caregiver records, and 1 household member record 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 at (804) 588-2362.

Violations:

Standard #:	8VAC20-800-830-C
Description:	Based on record review and interview with the provider, the provider failed to maintain documentation of emergency evacuation. Evidence: 1. There was no documentation of emergency evacuations drills January 2023 ? July 2023. 2. The provider stated that drills were completed but she was unable to provide documentation that verified drills were done.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on a review of children records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child?s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for child #1 did not contain documentation of a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on record review, children's records did not contain all required information. Evidence: The record for child #1 did not contain the address and phone number for a second emergency contact.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-80-C
Description:	Based on review of three children's records, the provider failed to obtain proof of child identity and age requirements for one child. Evidence: 1. Child #1's file did not contain documentation of proof of identity. Date of enrollment was 2/27/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements prior to attending the family day home. Evidence: 1. The record for Child #1 (DOE: 2/27/2023) did not contain a immunization record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away in areas inaccessible to children. Evidence: 1. Cleaning and disinfectant products were stored around the sink accessible to children. The following were unlocked and accessible to children: Clorox disinfectant wipes, Lysol disinfectant spray, Microband, and Lysol Cleaner.
Plan of Correction:	Not available online. Contact Inspector for more information.