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Ms. Shonna Lawrence
509 Otey Street
Bedford, VA 24523
(540) 797-9130

Current Inspector: James R Basham (804) 588-2370

Inspection Date: Feb. 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 2/22/2024. There were 6 children in care, ages 8 months ? 4 years, totaling 16 points, 2 caregivers and 1 household member present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 3 children?s records, 2 caregiver records and 2 household members records were reviewed. The children were observed during naptime. The inspector arrived for the inspection at 11:50am and departed at 1:00pm.

Discussion on emergency preparedness plan.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 22.1-289.035-A
Description: Based on the review of two caregiver records, the provider failed to ensure that all background checks were complete.
Evidence:
1. Caregiver 1 most recent criminal background was dated 1/25/2019 and on the day of the inspection did not have the required 5 year repeat check documented.
2. Caregiver 2 most recent criminal background was dated 1/25/2019 and on the day of the inspection did not have the required 5 year repeat check documented.

Plan of Correction: Provider will submit for 5 year repeat record checks.

Standard #: 22.1-289.036-A
Description: Based on the review of two household member records, the provider failed to ensure that all background checks were complete.
Evidence:
1. Household Member 1 most recent criminal background was dated 1/29/2019 and on the day of the inspection did not have the required 5 year repeat check documented.
2. Household Member 2 most recent criminal background was dated 1/29/2019 and on the day of the inspection did not have the required 5 year repeat check documented.

Plan of Correction: Provider will submit for 5 year repeat record checks for household members.

Standard #: 8VAC20-800-690-D
Description: Based on observation, the provider failed to ensure that the diapering surface shall be nonabsorbent and washable.

Evidence: The changing pad in the hallway bathroom had a tear approximately 1/4 inch long on the left side and the padding was exposed.

Plan of Correction: Provider will replace changing pad.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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