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Michelle Henderson

Inspection · 2024-02-29

Date
2024-02-29
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 conducted on 2/29/2024. Two inspectors were on site from approximately 9:45-11:30 am. There were 10 children in care, ranging in age from 23 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, and 2 caregiver 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.

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

4
Standard 22.1-289.036-A
Based on a review of records and interview, the provider did not ensure to obtain the results of a repeat fingerprint background check every five years as required.

Evidence:
1. The record of caregiver #1 contained a fingerprint background check dated 9/4/2018.
2. The provider acknowledged that the repeat fingerprint background check was not completed.
Plan of Correction: schedule appointment asap.

I will put on a calendar 60 days before due (all background dates)
Standard 8VAC20-800-500-C
Based on observation and interview, the provider did not ensure that stationary outdoor equipment was placed at least six feet from the perimeter of other play structures or
obstacle.

Evidence:
1. A blue climbing structure was observed. One corner of the structure measure approximately 5 feet 2 inches from a wooden border.
2. The provider acknowledged that the structure was not placed six feet from an obstacle.
Plan of Correction: The border will be extended out to have at least 6 feet clearance. The structure has been in place for at least 10 years. Border scheduled to be moved on 3/16. Children will not be on structure until work complete.
Standard 8VAC20-800-570-A
Based on observation and interview, the provider did not ensure to not exceed 16 points by using the point system.

Evidence:
1. Upon arrival at 9:43 am, the provider was observed with 10 children in care that equaled 21 points. Two children were picked up shortly after the inspectors arrived leaving the provider with 16 points.
2. The provider acknowledged that she exceeded her points by five for approximately 25 minutes.
Plan of Correction: No one will be left at home if assistant has not arrived that will exceed points.
Standard 8VAC20-800-780-B
Based on a review of five child records and interview, the provider did not ensure to annually review the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review for two children as required.

Evidence:
1. The record of child #4 (date of enrollment: 8/29/2022) and child #5 (date of enrollment: 9/26/2022) did not contain documentation of the parents' signed acknowledgement of the required annual review.
2. The provider acknowledged that the information was missing.
Plan of Correction: Have parent of both child #4 and #5 review and sign child's record
View original record on Virginia Department of Social Services