VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Helen Shaver
128 Cherokee Road
Tappahannock, VA 22560
(804) 445-4853

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Nov. 16, 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 16, 2023, with the provider. The inspection began at 12:10pm and concluded at 1:30pm. There were 9 children present (19 points), 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 5child records, 1 staff record, and 1 household member 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.

Violations:

Standard #:	22.1-289.035-A
Description:	(Repeat Violation) Based on record review and interview, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The record for caregiver #1 contained a national criminal background check dated 9/28/2018 and a central registry background check dated 8/9/2017. Caregiver #1 should have undergone a criminal background check on or before 9/28/2023 and should have completed a search a central registry on or before 8/9/2022. 2. Caregiver # 1 verified that an updated criminal background check and search a central registry had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on review of 5 children?s records, the provider failed to ensure that all the required information was on file. Evidence: 1. The record for child #1 (DOE 9/5/2023), and child #2 (DOE 6/14/2023), did not The Information for Parents form. 2. The provider stated that she thought the forms were completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-150-D-1
Description:	Based on record review, staff did not have current certification in cardiopulmonary resuscitation as appropriate to the age of the children in care. Evidence: 1. Caregiver #1 did not have current cardiopulmonary resuscitation (CPR). Caregiver #1's CPR expired in 9/19/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-150-D-2
Description:	Based on record review, staff did not have current first aid. Evidence: 1. Caregiver #1 did not have current first aid. Caregiver #1's first aid certification expired on 9/19/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-570-A
Description:	Based on observation, the provider did not ensure that a caregiver does not exceed 16 points. Evidence: Upon the arrival of the Licensing inspector at 12:10 pm on 11/16/2023, there were nine children in the care of 1 caregiver, totaling 18 points. 2. The provider confirmed that she was the only caregiver to the nine children (18 points).
Plan of Correction:	Not available online. Contact Inspector for more information.