VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Pamela Shands
327 Beauregard Avenue
Petersburg, VA 23805
(804) 861-0055

Current Inspector: Molly Muscat (804) 588-2367

Inspection Date: Jan. 22, 2024

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:

An unannounced monitoring inspection was conducted on January 22, 2024 from approximately 10:20 am to 12:00 pm. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, emergencies, caregiver training, preventing the spread of disease and nutrition. The provider record, 1 caregiver record, and 4 children?s records were reviewed. All areas of the home were observed and areas where the children are cared for were inspected. There were 4 children in attendance for a total of 9 points. The children were observed dancing, reading a book about letters, putting a number puzzle together, and painting, while the inspector was on the premises. The first aid kit was inspected and found complete. The menu, emergency numbers, and daily schedule were posted. The information gathered during the inspection determined violations with applicable standards or law. Violations were issued. Please 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 from today, 01/22/2024. Please specify how the deficient practice will be or has been corrected. 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 preventative measure(s).

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, and interview, the provider failed to obtain the results of central registry background check every five years for all caregivers. Evidence: The record for caregiver #1, date of employment 9/4/2018, contained a central registry background check dated 12/12/18. A repeat central registry background check was due on or before 12/12/23. The provider confirmed that a repeat central registry background check was not obtained for caregiver #1.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on record review, and interview, the provider failed to ensure that caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The record for caregiver #1 did not contain documentation of a minimum of sixteen clock hours of training annually. The provider confirmed that caregiver #1 did not have the required sixteen annual clock hours of training.
Plan of Correction:	Not available online. Contact Inspector for more information.