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Ms. Sandra Nicholas

Inspection · 2025-01-08

Date
2025-01-08
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 renewal inspection was initiated and completed on January 8, 2025. The on-site inspection began at 11:10 am and ended at 1:00 pm. The inspector reviewed compliance in the areas listed above. There were 5 children present and (#) caregiver. The inspector reviewed 5 children?s records, 2caregiver records, and 1 household member?s record on-site on January 8, 2025. This inspection included document review, interviews observations, and a tour of the facility.

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 January 17, 2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of 16 clock hours of training annually.

Caregiver #2 did not obtain a minimum of 16 hours or training annually for 2024. Caregiver #2 obtained 7 hours of training hours for 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
(Repeat Violation) Children's records are required to contain name, address, and contact number for two designated persons to contact in case of an emergency if the parent cannot be reached.

The record for child #2 did not contain an address for 2 emergency contacts.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
(Repeat Violation) Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

1. Records for children #3, and #4 did not have a parent?s signature for an annual review of the emergency contact information. Child #3 and #4 had been in care for over a year without any annual review.
2. The provider verified that an annual review had not been completed for child #3 and child #4.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services