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Ms. Sandra Nicholas

Inspection · 2024-09-10

Date
2024-09-10
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

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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on September 10, 2024. The on-site inspection began at 12:10 am and ended at 2:05 pm. The inspector reviewed compliance in the areas listed above. There were 8 children present and 2 staff. The inspector reviewed 5 children?s records, 2 staff records, and 1 household member record on-site. This inspection included document review, interviews, tour of the family day home, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on September 16, 2024. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 8VAC20-800-60-A
Based on a review of five (5) child records, the provider did not ensure that records contained the required documents.

Evidence: The record for child # 3 did not contain the addresses for two emergency contacts, the name and policy number of the child?s medical insurance.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Based on record review, the provider did not ensure to annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and to obtain the parent's signed acknowledgment of the review.

Evidence:
The record for child # 3 did not contain an annual review.
Plan of Correction: Not available online. Contact Inspector for more information.