VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mrs. Regina Christmas
127 Allen Lane
Palmyra, VA 22963
(434) 589-7971

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Sept. 14, 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 monitoring inspection was conducted on-site September 14, 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 #:	8VAC20-800-60-A
Description:	Based on a review of children's records and interview, the provider failed to maintain an up-to-date record for each child enrolled. Evidence: The records of child #1 and child #4 did not contain documentation of the first date of attendance. The provider confirmed the dates of attendance were not in the record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on a review of children's records, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Documentation of immunizations for child #5 were last updated on 12/08/22 when the child was 17 months old. Child #5 is currently over two years of age.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Repeat Violation Based on a review of annual training and interview, the provider failed to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #1 did not contain documentation of 16 hours of annual training from July 2022 to July 2023. 2. The record of caregiver #2, hired July 17, 2017, did not contain documentation of 16 hours of annual training from July 17, 2022 to July 16, 2023. 3. The provider confirmed the annual training was not completed.
Plan of Correction:	Not available online. Contact Inspector for more information.