VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lori Johnson
11740 Mill Road
Glen allen, VA 23059
(804) 909-2555

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Nov. 9, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Comments:

An unannounced monitoring inspection was conducted on Thursday, November 9, 2023, from 9:00am until 10:45am. The inspector observed children playing with various age-appropriate materials, interacting with the provider, and handwashing. There were 6 children present, ranging in ages from 2 years to 4 years, with 1 caregiver 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 1 household members record 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. If you have any questions about this inspection, please contact the licensing inspector at (804) 588-2362 or LaTasha.Smith@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, the family day home did not obtain results of the central registry findings and criminal history findings every 5 years for adult household members and staff. Evidence: 1. The record for Household member #1 contained a national central registry background dated 3/28/2016. Household member #1 should have undergone a central registry check on or before 3/28/2021. 2. The record for staff #1 contained a criminal history background dated 8/1/2018. Staff #1 should have undergone a criminal history background on or before 8/1/2023. 3. The record for staff #2 contained a criminal history background dated 7/27/2023. Staff #2 should have undergone a criminal history background on or before 7/27/2023. 4. The provider acknowledges that updated backgrounds had not been completed for household member #1, staff #1, and staff #2.
Plan of Correction:	Provider will update records within 1 week.
Standard #:	8VAC20-800-100-A
Description:	(Repeat Violation) Based on record review, the provider did not obtain documentation of a physical exam within 30 days of attendance. Evidence: 1. The record for child #1 (date of enrollment 9/5/2023), did not contain a physical examination. 2. The record for child #3 (date of enrollment 6/12/2023), did not contain a physical examination.
Plan of Correction:	Provider will update records within 1 week.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider did not ensure that all children?s records were complete with the required information. Evidence: 1. The record for child #4 (date of enrollment 6/27/2023), did not contain documentation of the address for 2 emergency contacts, persons authorized to pick up, and the parents work number.
Plan of Correction:	Provider will update records within 1 week.
Standard #:	8VAC20-800-80-A
Description:	(Repeat Violations) Based on record review, the provider did not verify the child's identity within seven days of attendance. Evidence: 1. The record for child #1 and child #3, did not documentation of proof of identification.
Plan of Correction:	Provider will update records within 1 week.
Standard #:	8VAC20-800-90-A
Description:	(Repeat Violation) Based on record review, the provider did not obtain documentation of an immunization record before the child can attend the Family Day Home. Evidence: 1. The record for Child #1 and Child #2 were missing documentation of an immunization record.
Plan of Correction:	Provider will update records within 1 week.