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Ms. Sarah Cox

Inspection · 2024-03-12

Date
2024-03-12
Complaint Related
No
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

Inspector Notes

A monitoring inspection was initiated on 3/12/2024 and concluded on 3/12/2024. There were nine children present with two caregivers supervising. The point total was 20. 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 0? child records and three staff records were reviewed. The inspection started at 09:10 am and concluded at 11:50am.

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.

Violations

5
Standard 22.1-289.058
Based on observation, the provider did not ensure that a carbon monoxide detector was equipped in at least one room.
Evidence:
There was no carbon monoxide detector found in the home and the provider was unable to locate one.
Plan of Correction: Provider will purchase and install a carbon monoxide monitor.
Standard 8VAC20-800-280
Based on observation, the provider failed to ensure that poisonous materials be inaccessible to children.
Evidence:
A bottle of pesticide, Ex-Lax and Bleach were found in unlocked cabinets in the kitchen which is adjacent to the room where children eat.
Plan of Correction: Provider moved items to a locked location during the inspection.
Standard 8VAC20-800-350-E
(REPEAT VIOLATION) Based on observation, the provider failed to ensure that the hot water at taps available to children shall be maintained within a range of 105 degrees Fahrenheit to 120 degrees Fahrenheit.
Evidence:
The hot water measured 124.2 degrees Fahrenheit.
Plan of Correction: Provider stated the temperature would be lowered.
Standard 8VAC20-800-530-I
Based on observation, the provider failed to use a mattress covered in a waterproof material that can be cleaned or sanitized.
Evidence:
A mattress was found in a crib used for infant nap time had two cracks in it revealing a non-absorbent material.
Plan of Correction: Provider stated they had a new one and would replace it immediately.
Standard 8VAC20-800-900-A
Based on observation, the provider failed to serve grapes cut in small pieces to prevent choking.
Evidence:
The provider served whole grapes to children under four years of age.
Plan of Correction: Provider stated they would cut grapes into smaller pieces the next time grapes are served.
View original record on Virginia Department of Social Services