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Ms. Sandra Nicholas

Inspection · 2021-07-22

Date
2021-07-22
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
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 07/22/21 and concluded on 07/28/21. The provider was contacted by telephone and a virtual inspection was conducted. There were nine children present, ranging in ages from six months to 4 years, with two caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of two child records and two 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.

Violations

3
Standard 22VAC40-111-100-A
Based on a review of two children's records and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to one child's attendance or within 30 days after the first day of attendance.

Evidence: 1) The record for Child #1, enrolled on 06/08/2021, did not contain a physical examination. 2) During interview, Caregiver #1 reported the physical examination for Child #1 has not been received to date.
Plan of Correction: The parent will submit the physical this week.
Standard 22VAC40-111-180-A
Based on a review of documentation and interview, the provider did not maintain a current Report of Tuberculosis (TB) Screening form for one out of two caregivers every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: 1) The record for Caregiver #1 contained a TB screening test dated 06/07/2017. 2) During interview, Caregiver #1 reported a repeat TB screening has not been completed since 06/07/2017.
Plan of Correction: The TB test/screening was completed on 08/02/21. The provider will provide a copy of the results upon receipt.
Standard 22VAC40-111-90-A
Based on a review of two children's records and interview, the provider did not obtain documentation that one child had been adequately immunized before the child may attend the family day home.

Evidence: 1) The record for Child #1, enrolled on 06/08/2021, did not contain documentation that the child has been adequately immunized. 2) During interview, Caregiver #1 reported the documentation was not requested before the child attended the family day home.
Plan of Correction: The parent will submit the immunizations this week.
View original record on Virginia Department of Social Services