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Gedell Gresham

Inspection · 2022-01-07

Date
2022-01-07
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was initiated on January 7, 2022 and concluded on January 11, 2022. The provider was contacted by telephone and a virtual inspection was conducted. There were six children present, ranging in ages from two years to five years, 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 three child records, one caregiver and two household member 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.

Violations

3
Standard 22.1-289.036-A
Based on a review of caregiver records and interview, the provider did not obtain the required repeat background checks for one caregiver every five years.

Evidence:

The most recent central registry check for caregiver #1 was dated 11/02/2016 and expired on 11/02/2021. The provider stated she requested an updated central registry check in November 2021 however she had not received the results and had not followed up to obtain the status of the request.
Plan of Correction: Per the provider: I will follow up to find out the status and request another one if need be within the next ten days.
Standard 8VAC20-800-180-A
Based on review of household member records, the provider did not ensure household member #2 obtained a current report of tuberculosis screening every two years from the date of the first screening.

Evidence:

Documentation of a tuberculosis screening for household member #2 was dated 04/24/2019, exceeding the two year allowance.
Plan of Correction: Per the provider: I will have him renew the tuberculosis screening this week.
Standard 8VAC20-800-260-A
Based on observation and interview, the provider did not ensure the aboveground swimming pool was locked in a manner to prevent access to the water by children in care.

Evidence:

The gate to the aboveground swimming pool was closed but was not locked in a manner that would prevent access by children in care. The provider stated the lock was not in place as they had been working on the pool over the weekend.
Plan of Correction: Per the provider: I will have my son lock the gate immediately and remind him to ensure the gate is locked after each time using the gate.