VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Katrina Nelson
2202 Westover Avenue
Henrico, VA 23231
(804) 482-9022

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Aug. 11, 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 22.1 Background Checks Code; storage of firearms 63.2 Child abuse and neglect 8VAC20-770 Background Checks

Technical Assistance:

Inspector discussed 8VAC20-800-510 Rest Areas with the provider and caregiver

Comments:

A renewal inspection was conducted on August 11, 2023 from approximately 1:50 pm to 4:00 pm. There were 10 children present, ranging in ages 1 month to 5 years with two caregivers supervising for a total of 23 points. A total of five child records were reviewed and the records for the two caregivers and one adult household member were reviewed. During the inspection, the children were observed during rest time, having an afternoon snack, and engaged in free play. The caregiver's interactions with the children were positive. 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. Just writing the word corrected is not acceptable. Your plan of correction must 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 preventative measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the provider failed to ensure the license was posted in a conspicuous place. Evidence: The provider was not able to locate the license during the inspection.
Plan of Correction:	Will print
Standard #:	8VAC20-800-830-A
Description:	Based on review of documentation and interview, the provider failed to practice monthly evacuation drill. Evidence: 1. The practice evacuation drills documented for 2023 did not include an evacuation drill for July 2023. 2. During an interview, the provider acknowledged the last drill was conducted on 6/19/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview, the provider failed to ensure areas and equipment of the home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1.The changing table had visible brown stains and coffee beans were observed underneath the changing pad. 2. During an interview, the provider acknowledged spilled coffee beans were under the changing pad and the changing table was not clean.
Plan of Correction:	Clean up changing table
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the provider did not ensure that the diapering surface was nonabsorbent. Evidence: 1.The diaper changing pad on the changing table had tears making it an absorbent surface. 2. Children were observed being diapered on the torn changing pad.
Plan of Correction:	Will order new one today