VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Donna Sandiford
1924 Oak Hill Lane
Richmond, VA 23223
(804) 421-8572

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Dec. 5, 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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 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:

A renewal inspection was conducted on 12/05/2023 from 11:09 a.m. ? 1:15 p.m. There were 6 children present during the inspection and two caretakers present. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five (5) children?s records and two provider records were reviewed. The information gathered during the inspection determined violations with applicable standards. A violation notice was issued. Please sign and 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. 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 preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-830-A
Description:	Based on review of emergency response drills documentation, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly. Evidence: The emergency drill documentation did not document emergency response drills being conducted during February and July 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-900-B
Description:	Based on observation, the provider failed to ensure a child not being allowed to drink a bottle while lying down. Evidence: C4, an 8-month-old infant was observed in a crib lying down with a bottle filled with milk in her mouth.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on child record review, the provider failed to obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. The physical exam for C1, enrolled 07/31/2023 was dated 11/15/2023. The record for C2, enrolled 08/16/2023 did not contain a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-110-B
Description:	Based on child record review, the provider failed to assure that each report of physical examination and immunizations shall be signed by a licensed physician, the physician?s designee, or an official of a local health department. Evidence: The physical examination and immunizations for C4 were not signed by the licensed physician, the physician?s designee, or an official of a local health department.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on child record review, the provider failed to obtain documentation that each child was adequately immunized accordingly to the requirements of the Code of Virginia and applicable State Board of Health regulations prior to attending the family day home. Evidence: The record for C2, enrolled 08/16/2023 did not contain an immunization record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C4 (under the age of 2 years) did not contain documentation of immunizations every six months. The immunizations documented in the record were dated 05/02/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-350-E
Description:	(Repeat violation) Based on observation, the provider failed to ensure the hot water at the sink available to children was maintained within a range of 105-120 degrees Fahrenheit. Evidence: The inspector tested the hall bathroom sink used by the children in care with a digital thermometer. The hot water temperature registered at 124 degrees.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-530-F
Description:	Based on observation, the provider failed to ensure that no soft bedding shall be used under or around infants. Evidence: C4, an 8-month-old infant was observed sleeping in a crib on top of a contoured soft foam diaper changing pad.
Plan of Correction:	Not available online. Contact Inspector for more information.