VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Nancy Carter
1214 Long Street
Charlottesville, VA 22901
(434) 977-4919

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: April 2, 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 VAC20-800 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.

Comments:

A monitoring inspection was initiated on 04/02/2024 and concluded on 04/02/2024 from 11:30 AM to 1:30 PM. There were 10 children present, ranging in ages from 14 months to four years, with 2 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies. A total of five children?s records and the three staff?s records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	8VAC20-800-110-B
Description:	Based on record review and interview, the provider failed to obtain physical examination and immunizations that were dated and signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: The physical and immunization record for child 3 was not signed and dated by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction:	The parents of the child were contacted during the inspection and are working on getting signed document s. In the future the provider will ensure the immunizations and physicals are signed prior to start.
Standard #:	8VAC20-800-80-A
Description:	Based on record review and interview, the provider failed to obtain within seven business days of the child's first day of attendance, verification of the identity and age of the child. Evidence: The record for child 4 did not contain verification of the identity and age of the child.
Plan of Correction:	The parents of the child have been contacted to provide the proof of age and identity. In the future the provider will ensure proof of age and identity is obtained within seven days of attendance.
Standard #:	8VAC20-800-140-B-3
Description:	Based on record review and interview, the provider failed to ensure the provider's and substitute provider's CPR certification was current. Evidence: The provider's and substitute provider's CPR certification expired 3/24.
Plan of Correction:	A class will be scheduled as soon as one is available. In the future the provider will ensure the certificate does not expire.
Standard #:	8VAC20-800-140-B-4
Description:	Based on record review and interview, the provider failed to ensure the provider's and substitute provider's first aid certification was current. Evidence: The provider's and substitute provider's first aid certification expired 3/24.
Plan of Correction:	A class will be scheduled as soon as one is available. In the future the provider will ensure the certificate does not expire.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the provider failed to ensure TB screenings were updated every two years for caregivers. Evidence: The TB for staff 1 was dated 3/22/22 and for staff 2 was dated 3/22/22.
Plan of Correction:	Both staff members will update TB screenings as soon as an appointment can be scheduled. The provider will ensure in the future that staff update TB's in a timely manner.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to ensure inside areas of the family day home are maintained in a clean, safe, and operable condition. Evidence: In the bathroom used by children there is peeling paint and drywall. The crib used by an infant there is peeling paint.
Plan of Correction:	The provider will replace the crib and have the walls in the bathroom repaired.