VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hannah Anokye-Gyambrah
504 Berwick Court
Charlottesville, VA 22901
(434) 327-7205

Current Inspector: Barbara Workman (540) 430-9257

Inspection Date: March 19, 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 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

8VAC20-800-240 Home Maintance

Comments:

A mandated monitoirng inspection was conducted on March 18, 2024 from 2:30 P.M.-3:45 P.M. There were four children present for a total of eight points, ranging in ages from two years to four years of age, with one caregiver supervising. 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 record, and two household members records were reviewed. 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 or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on review of children records, the provider failed to ensure that documentation of a physical examination was obtained within 30 days after the first day of attendance. Evidence: Child #1's first date of attendance was 01/15/2024. There was no documentation of a physical examination in the file. Child #1 was in attendance on 03/19/2024.
Plan of Correction:	The provider emailed the parent requesting a copy of the physical exam.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of children records, the center failed to ensure that all required information was in the children records. Evidence: 1. Child #1's file did not contain the name and policy number of the child's medical insurance. 2. The provider verified that the record did not contain the name and policy number of the child's medical insurance.
Plan of Correction:	The provider will request the missing information when the parents pick up the child from care on 03/19/2024.
Standard #:	8VAC20-800-90-A
Description:	Based on review of children records, the provider failed to ensure that immunization documentation were in in the children records before the day the first date of attendance. Evidence: Child #1's first date of attendance was 01/15/2024. There was no documentation of immunizations in the record. Child #1 was in attendance on 03/19/2024.
Plan of Correction:	The provider emailed the parent requesting a copy of immunizations. In the future children will not be able to attend until immunizations are received and in the record.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of the provider's record, the provider failed to ensure an updated tuberculosis screening was completed every two years from the date of the first screening. Evidence: 1. The tuberculosis documentation in the record of the provider was dated 11/19/2021. A new tuberculosis screening was required by 11/19/2023. 2. The provider verified that they had not obtained an updated tuberculosis screening.
Plan of Correction:	The provider made an appointment for a tuberculosis screening while the inspector was on site. The provider emailed the results to the inspector.