VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Katina Scott
2810 Seibel Road
Richmond, VA 23223
(804) 347-7372

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

Inspection Date: Dec. 18, 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 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

A renewal inspection was conducted on 12/18/2023 from 1:36 p.m. ? 4:45 p.m. There were seven children present during the inspection. 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 children?s records, three 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 #:	22.1-289.035-A
Description:	Based on record review, the provider failed to ensure a caregiver record contained a criminal background check every 5 years. Evidence: The record for P3, contained results of a national criminal background check dated 06/19/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.036-A
Description:	Based on record review, the provider failed to ensure a caretake record contained a central registry finding every 5 years. Evidence: The record for P3, contained results of a central registry finding dated 12/13/2017.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	Based on record review, the provider failed to annually review with the parent emergency contact information required in 8VAC20-800-60-B.2. Evidence: The record for C5, enrolled 07/12/2022 did not document the provider obtaining the parent?s signed acknowledgement of the emergency contact information review due 07/12/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
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, March, April, and November 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-1000
Description:	Based on observation, the provider failed to ensure that the vehicle used for transportation of children shall be licensed according to state law. Evidence: Licensing inspector observed the Department of Motor Vehicles (DMV) registration on the vehicle used to transport children expired in July 2023.
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 immunizations shall be signed by a licensed physician, the physician?s designee, or an official of a local health department. Evidence: The 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-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 C1 (under the age of 2 years) did not contain documentation of immunizations every six months. The last immunizations documented in the record were dated 05/22/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider failed to obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years. Evidence: The most recent TB screening for caregiver, P1 was dated 05/11/2021, and the most recent TB screening for P3 was 06/03/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-350-E
Description:	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 water with a digital thermometer. The hot water temperature registered at 134 degrees.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-570-A
Description:	Based on observation and interview, the provider exceeded 16 points based on the ages of the children in care without an additional caregiver being present. Evidence: On 12/18/2023, the inspector observed the provider upon arrival at the home providing single supervision of seven children (19 points). The provider reported the second caregiver, P2, was away from the home at an appointment. Caregiver P3 arrived approximately 30 minutes later. The provider acknowledged exceeding 16 points based on the number and ages of the children in care when the inspector arrived.
Plan of Correction:	Not available online. Contact Inspector for more information.