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Michelle Henderson

Inspection · 2023-01-17

Date
2023-01-17
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
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 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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minors 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 initiated and concluded on 1/17/2023. The inspector was on site from approximately 11:03 am-12:30 pm. There were 11 children in care, ranging in age from 9 months to 4 years, with 1 caregiver supervising. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. A total of 5 child records, 2 caregiver records, and 1 household member record 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.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

1
Standard 8VAC20-800-570-A
Based on observation, review of documentation and interview, the provider did not ensure that a caregiver did not exceed 16 points by using the point system to determine if an additional caregiver was needed as required.

Evidence:
1. On 1/17/2023 at approximately 11:03 am, Eleven (11) children ranging in age from 9 months to 4 years were observed in the care of one (1) caregiver. Eleven (11) children were signed in on the attendance roster and totaled 26 points. At 12:00, three (3) children were picked up which left the one (1) caregiver with 17 points. At approximately 12:52 pm, the provider notified the inspector that one (1) child had been picked up which gave the caregiver 14 points.
2. The provider acknowledged in interview that the caregiver was over points on 1/17/2023 from approximately 10:40 am to 12:52 pm.
Plan of Correction: As soon as I am notified of/made aware of possible lateness, parents will be asked to not bring child until assistant arrives. If they come I will turn away once points are reached.
View original record on Virginia Department of Social Services