VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Natacha Cox
2192 Merry Point Road
Lancaster, VA 22503
(804) 462-7200

Current Inspector: Sharon Curlee (804) 840-8312

Inspection Date: Jan. 5, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and House 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:

An unannounced renewal inspection was conducted today, January 5, 2024. The inspector was on site from approximately 12:30 pm until 2:30 pm. There were two children present with one caregivers supervising for a value of five points. Children were napping upon the inspector?s arrival. Later children were observed having a snack, playing with the kitchen set and dancing to music. The provider interacted with the children in a positive manner. 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 five child records, one caregiver and one household member record were reviewed. The inspector interacted with the caregiver and children in care. 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 regarding this inspection, please contact the licensing inspector. Sharon Curlee, Licensing Inspector Office of Child Care Health and Safety Division of Early Childhood Care and Education 804-840-8312 Sharon.curlee@doe.virginia.gov

Violations:

Standard #:	8VAC20-800-700-A
Description:	Based on review of medication logs and interview, the provider did not ensure prescription and nonprescription medications were only given to a child with written authorization from the parents. Evidence: 1. The record of child #5 contained a medication log listing nine dates where a prescription medication was administered to the child. The record did not contain a medication authorization completed by the parent. 2. The provider stated she had administered the medication and the parent had only verbally authorized the administration of the medication.
Plan of Correction:	Per the provider: I mis understood the requirement. Going forward I will collect the parents authorization form before administering any medications.
Standard #:	8VAC20-800-730-D
Description:	Based on observation, the provider did not ensure medication, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children. Evidence: The providers personal medication was observed on a table in the bedroom. The bedroom door had a lock however the door was open at the time of the inspection. The provider acknowledged the door was open at the time of the inspection. The bedroom is located in an area children are not permitted.
Plan of Correction:	Per the provider: The door is always closed and locked. I went in to get some paperwork and forgot to close it behind me. I will make sure it is closed every time after I go in or exit the room.
Standard #:	8VAC20-800-180-A
Description:	Based on review of caregiver records, the provider did for each caregiver a current report of tuberculosis screening every two years from the date of the first screening. Evidence: The record of caregiver #1 contained documentation of a tuberculosis screening dated 09/22/2021, exceeding two years. The provider stated a current tuberculosis screening had not yet been obtained.
Plan of Correction:	Per the provider: An updated tuberculosis screening will be obtained.