Inspection · 2025-01-28
Date
2025-01-28
Complaint Related
No
Licensing Inspector
Adrianna Walden
(757) 404-2487
(757) 404-2487
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
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was initiated on 01/28/2025 and completed on 02/04/2025 in response to a self-report received by the licensing office on 01/28/2025 relating to Medication. This inspection included: document review, tour of the facility and interviews.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Violations
5Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care, protection, and guidance.
On 01/24/2025 Staff A administered an undetermined amount of medication to 3-year-old child #2 that was provided to the center and intended for 5 year-old child #1.The center reported the child's mother verbally told staff A the bottle contained a prescription medication.
Staff A accepted this medication in an unlabeled amber bottle, not in its original packaging and without the parent's signature on the medication authorization form. Staff A did not review the medication authorization form prior to giving child #2 the medication. The center was unable to provide the dosage amount that was given to the child.
On 01/24/2025 Staff A administered an undetermined amount of medication to 3-year-old child #2 that was provided to the center and intended for 5 year-old child #1.The center reported the child's mother verbally told staff A the bottle contained a prescription medication.
Staff A accepted this medication in an unlabeled amber bottle, not in its original packaging and without the parent's signature on the medication authorization form. Staff A did not review the medication authorization form prior to giving child #2 the medication. The center was unable to provide the dosage amount that was given to the child.
Plan of Correction: The Staff member was terminated immediately. The Director is addressing the incident at the next staff meeting and all MAT trained staff will have a period of being observed during medication administration to ensure all requirements are being met.
Standard 8VAC20-780-510-B
Prescription medication shall be given to a child only with written authorization from the parent.
01/24/2025 a prescription medication was administered to 3 year-old Child #2 without written authorization from the parent.
01/24/2025 a prescription medication was administered to 3 year-old Child #2 without written authorization from the parent.
Plan of Correction: The Staff member was terminated immediately. The Director is addressing the incident at the next staff meeting and all MAT trained staff will have a period of being observed during medication administration to ensure all requirements are being met.
Standard 8VAC20-780-510-E
The center's procedures for administering medication shall include any general restrictions of the center, duration of the parent's authorization for medication, and methods to prevent use of outdated medication.
The center's medication policy, provided by the Program Director did not include procedures related to duration of the parent's authorization for medication, and methods to prevent use of outdated medication.
The center's medication policy, provided by the Program Director did not include procedures related to duration of the parent's authorization for medication, and methods to prevent use of outdated medication.
Plan of Correction: The center is currently working on its medication policies and procedures. All required policies will be included.
Standard 8VAC20-780-510-I
The center may administer prescription medication that would normally be administered by a parent to a child provided:The center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container and only to the child identified on the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration.
On 01/24/2025 Staff A administered a prescription medication to 3 year-old Child #2 that was intended for 5 year-old Child #1. When the medication was received by Staff A from the parent it was not in the original container dispensed from the pharmacy. The medication was in an amber colored bottle with no label and no instructions on dosage, frequency or manner of administration.
On 01/24/2025 Staff A administered a prescription medication to 3 year-old Child #2 that was intended for 5 year-old Child #1. When the medication was received by Staff A from the parent it was not in the original container dispensed from the pharmacy. The medication was in an amber colored bottle with no label and no instructions on dosage, frequency or manner of administration.
Plan of Correction: The Staff member was terminated immediately. The Director is addressing the incident at the next staff meeting and all MAT trained staff will have a period of being observed during medication administration to ensure all requirements are being met.
Standard 8VAC20-780-510-N
Centers shall keep a record of medication that has been given to children.
On 01/24/2025 Staff A administered a prescription medication to 3 year-old Child #2 and did not keep a record of the medication given.
On 01/24/2025 Staff A administered a prescription medication to 3 year-old Child #2 and did not keep a record of the medication given.
Plan of Correction: The Staff member was terminated immediately. The Director is addressing the incident at the next staff meeting and all MAT trained staff will have a period of being observed during medication administration to ensure all requirements are being met.