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Deborah Mays

Inspection · 2024-10-28

Date
2024-10-28
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
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 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on October 28, 2024, as a part of the licensure period. The on-site inspection began at 10:00am and ended at 11:00am. The inspector reviewed compliance in the areas listed above. There were 2 children present and 1 caregiver; the point total was 5. The inspector reviewed 2 children?s records and 3 caregiver/household member(s) records on-site. This inspection included document review, tour of the home, and observations. 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on November 4, 2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-800-100-A
REPEAT VIOLATION
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam records available for Child #2, who had been in care for over 1 year.
Plan of Correction: I will get the needed record.
Standard 8VAC20-800-60-B
Children's records are required to contain the name, home address, and telephone number of each parent who has custody; the name, address and telephone number of each custodial parent's place of employment; the name, office address and telephone number of the child's physician; the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation; and the name and policy number of the child's medical insurance.

The record for Child #2, who was present during the inspection and had been in care for over 1 year, was missing all of the required information. The record for Child #1, who was present during the inspection and had been in care for over 1 year and 6 months, was missing the name, address, and phone number for one emergency contact.
Plan of Correction: I will get the required information from the parents.
Standard 8VAC20-800-80-C
REPEAT VIOLATION
The provider shall document the method of verification of the child?s age and identity in the child?s record.

There was no documentation of the method of verification of the child?s age and identity for Child #1.
Plan of Correction: I will document the information in the child's record.
Standard 8VAC20-800-830-A
The provider shall practice the emergency evacuation procedures monthly.

The last record of an emergency evacuation drill was 8/21/24 and the provider stated one had not been done for the month of September or October yet.
Plan of Correction: I will make sure the drills are completed and documented.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for child #2, who was in care during the inspection and had been in care for over 1 year.
Plan of Correction: I will get the needed record.
View original record on Virginia Department of Social Services