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Lisa Salih

Inspection · 2023-04-20

Date
2023-04-20
Complaint Related
No
Licensing Inspector
Lynn Powers
(804) 840-8260
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
22.1 Background Checks Code; storage of firearms
63.2 Child abuse and neglect
8VAC20-770 Background Checks

Inspector Notes

A monitoring inspection was conducted on April 20, 2023 from 1:00 pm to 3:15 pm. There were six children present, ranging from 11 months to four years of age (total of 16 points) with one staff supervising. The provider's record and a total of five children records were reviewed.

The inspector reviewed compliance in the areas of administration, care of children, physical plant, physical equipment and environment, staffing and supervision, programming, special care and emergencies and nutrition.

Medication is not administered. The provider home is equipped with toys and supplies and items were available to the children. The provider's interactions with the children were positive.

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

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Just writing the word corrected is not
acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.
Please do not use staff names; list staff by positions only.

If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.

Violations

5
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
The record for Child #2 (start date: 4/28/2021) did not contain a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on a review of children's records, 1 out of 5 children's records did not contain the required information.

Evidence:
The record for Child #1 (doe: 4/5/2023) was missing 1 out of the 2 required emergency contacts and the address of the 1 emergency contact person listed did not include an address.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-680-A
Based on observation, the provider failed to wash her hands with liquid soap and warm running water after diapering an infant.

Evidence:
During the inspection the provider was observed diapering an infant.

The provider did not wash her hands after diapering the infant.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-680-B
Based on observation the provider failed to ensure that children's hands are washed with liquid soap and warm running water after diapering.

Evidence:
During the inspection, the provider was observed diapering an 11 month old infant and immediately after diapering the infant, the provider placed the infant in a bouncy seat.

The infant's hands were not washed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface was not cleaned and sanitized after use.

Evidence: The provider was observed changing the diaper of one infant and did not clean and sanitize the diapering table.

The provider placed the blankets of 4 other children on the diapering table immediately after changing the infant.

The provider acknowledged during the inspection that the diapering observed was "unsanitary" and that she would wash the blankets on this date.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services