VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Cynthia Holmes
26070 Old Office Road
Culpeper, VA 22701
(540) 854-8939

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Sept. 7, 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 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site September 7, 2023. The provider was available during the inspection. There were 6 children present, ranging in ages from 1 year to 4 years, with 2 staff supervising. 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 5 child records, 2 staff records, and 2 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-800-980-B
Description:	Based on a review of children's records and interview, the provider failed to ensure to obtain special written permission from the parent of each child for the provider to take the child on special field trips. Evidence: 1. On August 22, 2023, the provider and children were not home when an inspection was attempted. The inspector was informed the provider took the children to the dentist. 2. At the inspection on September 7, 2023, the provider stated there were five children in care on August 22, 2023 and this was confirmed on the attendance sheet. 3. There was no documentation of special written permission from parents for the provider to take the children on a special field trip. 4. The provider stated she didn't obtain written special permission from each parent.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of children's records, the provider failed to obtain all required information for children records. Evidence: The record of child #4 did not contain documentation of written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of annual training records and interview, the provider failed to obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: The record of caregiver #2, hired April 13, 2017, did not contain documentation of 16 hours of training from April 13, 2022 to April 12, 2023. The provider confirmed the training was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.