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Gedell Gresham

Inspection · 2023-06-28

Date
2023-06-28
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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

Inspector Notes

An unannounced monitoring inspection was conducted today, June 28, 2023. The inspector was on site from approximately 12:00pm until 1:30 pm. There were ten children present with two caregiver supervising for a value of 17 points. Children were observed playing with
balls, the kitchen set and blocks. Later children had prepared for nap.
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 eight children?s records, two caregiver records and two household member records were
reviewed. The inspectors 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

3
Standard 8VAC20-800-100-A
Based on review of eight children?s records, the provider did not obtain documentation of the
child?s physical prior to the child?s attendance or within 30 days after the first day of attendance for two children?s records.

Evidence:

1. The record of Child #3, enrolled 01/23/2023, did not have documentation of a physical
exceeding 30 days from the first day of attendance.
2. The record of Child #6, enrolled 01/03/2023, did not have documentation of a physical
exceeding 30 days from the first day of attendance.
Plan of Correction: Per the provider: I will ask the parent to bring me a copy of the physical.
Standard 8VAC20-800-240-A
Based on observation, the provider did not ensure areas and furnishing of the family day
home, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence:

Two sheets of wooden latus were observed on the ground near the slide. The latus had multiple nails that were protruding upward and posed a risk of puncturing a child in care.
Plan of Correction: Per the provider: I will have the latus removed from the yard.
Standard 8VAC20-800-780-B
Based on review of eight children?s records, the provider did not annually obtain the parents signed acknowledgement of the emergency contact information review.

Evidence:

1. The most recent acknowledgement of the emergency contact information for child #4 was dated 03/18/2018, exceeding the annual requirements.
2. The most recent acknowledgement of the emergency contact information for child #8 was dated 04/03/2017, exceeding the annual requirements.
Plan of Correction: Per the provider: I will have the parents review the record and sign it.
View original record on Virginia Department of Social Services