VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ramona Castner
5236 Windsor Lane
Virginia beach, VA 23464
(757) 497-1921

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Nov. 1, 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 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted on 11/01/2023. At the time of entrance, 11 children were in care with the provider and assistant providers. The record sample size consisted of 5 children's records and the provider's record, the assistants' records, and the household member's record. The children in care were observed engaging with the providers, participating in educational activities, and nap. There have been no injuries since the last inspection and no medications are being administered at this time. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on record review and interview it was determined the provider did not ensure that the parents reviewed and documented the review of the information in their child's file annually. Evidence: 1. The records for child #1(enrolled 8/17/22), child #2(enrolled 8/15/22), and child #5(enrolled 8/17/22) did not contain documentation of an annual review. 2. Provider confirmed the information had not been reviewed.
Plan of Correction:	Provider will review information with parents and document the update.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview it was determined the provider did not ensure all caregivers had a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening. Evidence: 1. The record for assistant #2(hired 1/15/20) did not contain documentation of a current TB screening. The screening in the record was dated 8/4/21. 2. Assistant #2 confirmed that there was not an updated form available during this inspection.
Plan of Correction:	Assistant will get an updated TB screening.