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Pamela Shands

Inspection · 2022-04-11

Date
2022-04-11
Complaint Related
No
Licensing Inspector
Molly Muscat
(804) 588-2367
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
8VAC20-800 Transportation
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.

Inspector Notes

An unannounced monitoring inspection was conducted on-site on April 11, 2022. The provider was available during the inspection. There were 6 children in care, ranging in ages from 14 months to 4 years, with 2 caregivers 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 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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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

5
Standard 8VAC20-800-110-B
Based on a review of children's records on April 11, 2022, the provider did not ensure that immunizations received shall be signed by a licensed physician, the physician's designee, or an official of a local health department.
Evidence: The record of child #3 (enrolled 3/14/22) contained documentation of immunizations that were not signed by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction: I will look over physical and immunization records along with parents to make sure information is present and correct.
Standard 8VAC20-800-320-G
Based on an interview on April 11, 2022, the provider did not ensure the fireplace would be inspected annually by a knowledgeable inspector to verify that the devices were properly installed, maintained, and cleaned as needed.
Evidence: The provider stated the fireplace had not been annually inspected.
Plan of Correction: Google fireplace inspectors today and schedule asap.
Standard 8VAC20-800-70-A
Based on a review of children's records and interview on April 11, 2022, the provider failed to ensure that parents were provided the required information for parents before the child's first day of attendance.
Evidence: 1. The record of child #3 (enrolled 3/14/22) did not contain the parent's written acknowledgement of receipt of information regarding the liability insurance declaration. 2. The provider acknowledged the insurance paperwork wasn't signed.
Plan of Correction: Will go over children's information packet with parents when children are enrolled.
Standard 8VAC20-800-730-D
Based on observation on April 11, 2022, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: Prescription medication was located in an unlocked medicine cabinet in the bathroom used by children.
Plan of Correction: Prescription medication will be locked from this point on.
Standard 8VAC20-800-800-B
Based on a review of the emergency preparedness plan and interview on April 11, 2022, the provider did not ensure that documentation of an annual review of the emergency preparedness plan was completed.
Evidence: Written documentation indicated the emergency preparedness plan was last reviewed on 6/21/17. The provider confirmed that she had reviewed the plan but had not documented the review.
Plan of Correction: Sign and date emergency response plan every year.
View original record on Virginia Department of Social Services