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Mrs. Cassandra Duff

Inspection · 2021-11-15

Date
2021-11-15
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
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

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 11/15/2021 and concluded on 12/01/2021. The director was contacted by telephone to initiate the inspection. There were 5 children present at a total of 11 points and the licensee. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 2 children?s records and 1 staff and one household records, along with any requested program records submitted by the facility to determine if required documentation was complete.

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

Violations

1
Standard 22VAC40-111-90-A
Based on review of two children's record, the provider failed to ensure that all immunizations were obtained by the first day of attendance.

Evidence:
1. Child # 2 start date was 8/16/2021 and the immunization record was dated 11/19/2021.
Plan of Correction: The provider stated that this child is only as needed and does not attend on a regular basis. The provider also stated that there was an immunization record from before the start date and the provider believes it was discarded when the new record was received.
View original record on Virginia Department of Social Services