VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Deborah Plaugher
267 N. Massanutten Street
Strasburg, VA 22657
(540) 465-8339

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Oct. 24, 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

Technical Assistance:

8VAC20-800-790

Comments:

An unannounced monitoring inspection was conducted on 10/24/2023 from 3:05 p.m. to 4:20 p.m. There were six children present, ranging in ages five to eleven years old with one 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 five child records and one staff records was 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. If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923.

Violations:

Standard #:	8VAC20-800-830-A
Description:	Based on review of records and interview, the provider failed to practice monthly evacuation drills. Evidence: 1. There was no documentation of a monthly evacuation drill for the month of August and September.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on review of records and interview, the provider failed to obtain documentation of a physical examination prior to the child?s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2?s record did not contain documentation of a physical examination. The provider confirmed that Child #2 had been in attendance for more than 30 days. 2. Child?3?s first day of attendance was 08/21/2023 and did not contain documentation of a physical examination. 3. Child #4?s first day of attendance was 08/21/2023 and did not contain documentation of a physical examination. 4. The provider was unable to provide documentation of a physical examination for Child #2, Child #3 and Child #4 at the time of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-110-B
Description:	Based on review of records and interview, the provider failed to ensure that each immunization report was signed by a physician. Evidence: 1. Child #1?s immunization report did not contain a signature from the physician. 2. The provider confirmed that the immunization report did not contain a signature from the physician
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	8VAC20-800-60-B: B2 Based on review of records and interview, the provider failed to maintain a record for each child that contained the required information. Evidence: 1. Child #1?s file was missing the first day of attendance, emergency contacts, information on allergies and food intolerances, name, address and phone number of each custodial parent and employment information for each parent. 2. Child #2?s file was missing the first day of attendance. 3. The provider was unable to provide documentation of the required at the time of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-B
Description:	REPEAT VIOLATION Based on review of records and interview, the provider failed to obtain the parent?s written acknowledgement of the receipt of the required parent information. Evidence: 1. Child #3 and Child #4?s file did not contain the parent?s written acknowledgement of the receipt of the required parent information. 2. The provider confirmed that there was no parent?s written acknowledgement of the receipt of the required parent information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-80-A
Description:	Based on review of records and interview, the provider failed to obtain documentation of a physical examination prior to the child?s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2?s record did not contain documentation of a physical examination. The provider confirmed that Child #2 had been in attendance for more than 30 days. 2. Child?3?s first day of attendance was 08/21/2023 and did not contain documentation of a physical examination. 3. Child #4?s first day of attendance was 08/21/2023 and did not contain documentation of a physical examination. 4. The provider was unable to provide documentation of a physical examination for Child #2, Child #3 and Child #4 at the time of the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.