Inspection · 2022-08-23
Licensing Inspector
Todd Scott
(276) 608-3749
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
8VAC20-800 Nighttime Care
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 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
Inspector Notes
A renewal inspection was initiated on 8/23/2022 and concluded on 8/23/2022. There were seven children present with the provider and assistant supervising. The point total was 18. 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 five child records and four staff records were reviewed. The inspection started at 10:05 am and concluded at 12:50 pm.
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.
Standard 22.1-289.035-B-2
Based on record reviews, the provider failed to have a staff obtain a fingerprint based criminal history check prior to employment.
Evidence:
Staff #4 (hire date 6/27/2022) does not have a fingerprint base criminal history check.
Plan of Correction: The provider thought that the staff persons background checks from the residential facility would be acceptable. The provider will contact OBI and inquire about portability or other options.
Standard 8VAC20-770-60-B
Based on record reviews, the provider failed to obtain a completed sworn statement or affirmation from the assistant before beginning work.
Staff #4 (hire date ) does not have a sworn statement on file.
Plan of Correction: The provider will have the staff fill out a sworn disclosure statement.
Standard 8VAC20-770-60-C-2
Based on record review, the provider failed to obtain a search of the central registry for a staff member within 30 days of employment.
Evidence:
Staff record #4 (hire date 6/27/2022) did not have a central registry check within 30 days of employment.
Plan of Correction: Staff #4 works at a children's residential facility and the provider thought that background check would work. The provider will contact OBI and discuss portability options or if she needs to send in a new requests.
Standard 8VAC20-800-120-B
Based on record reviews the provider failed to ensure that the assistants record contained all the required information.
Evidence:
1. Staff #4 did not have an emergency contact listed.
2. Staff #4 did not have two references on file.
Plan of Correction: The provider will get emergency contacts for the staff person and will contact two references.
Standard 8VAC20-800-200-A
Based on record review the provider failed to provide orientation to the assistant by the end of their first week of assuming job responsibilities.
Evidence:
Staff #4 (hire date ) was not provided orientation by the end of their first week.
Plan of Correction: The provider will conduct and document orientation for the new staff.
Standard 8VAC20-800-210-A
Based on record reviews the provider failed to ensure that all staff obtain a minimum of 16 clock hours of annual training in areas relevant to their job responsibilities.
Evidence:
1. Staff # 1-3 records did not contain annual training hours.
Plan of Correction: The provided stated that she and the assistants have participated in on-line trainings however, they have not received any certificates for these trainings.