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Maria Reyes

Inspection · 2021-10-19

Date
2021-10-19
Complaint Related
No
Licensing Inspector
Christina Bakonyi
(571) 596-3655
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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Licensure and Registration Procedures

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 10/19/2021 and concluded on 10/21/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 2 children present, ranging in ages from 4 months to 4 years, with 2 staff 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 2 child records and 3 staff/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. If you have any questions regarding this inspection, please contact me at (703) 479-4678 or at Sarah.Marbert@doe.virgina.gov.

Violations

5
Standard 22VAC40-111-140-B-3
Based on a review of documentation, Cardiopulmonary resuscitation (CPR) certification is not current for any caregiver.
Evidence:
The CPR certification for both caregivers expired on 3/16/2021. (Caregiver A, B)
Plan of Correction: We will take a new class.
Standard 22VAC40-111-140-B-4
Based on a review of documentation, first aid certification is not current for any caregiver.
Evidence:
The first aid certification for both expired on 3/16/2021. (Caregiver A, B)
Plan of Correction: We will take a new class.
Standard 22VAC40-111-60-B
Based on a review of records, one child record does not contain all required documentation.
Evidence;
1 of 2 records reviewed did not contain documentation of the insurance policy number. (Child 1)
Plan of Correction: The parent will be asked to provide the information.
Standard 22VAC40-111-70-A
Based on a review of records, one required policy has not been updated, and provided in writing to parents as needed.
Evidence:
The decision to administer medication policy needed to be updated in January 2021 when the Medication Administration Training (MAT) training certification expired (1/25/21). Medication cannot be administered until MAT certification is current. (Children #1, 2)
Plan of Correction: I will update the medication policy in all child records.
Standard 63.2-1720.1-A
Based on a review of records, caregiver and household records do not contain documentation of repeated Central Registry Searches (CPS) in the allowable 5 year time frame.
Evidence:
3 of 3 records reviewed contained documentation of CPS searches dated 10/11/12016 (expired).
(Caregivers A, B, Household member C).
Plan of Correction: New search forms will be submitted as soon as possible.