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Ms. Beverly McPherson

Inspection · 2023-04-10

Date
2023-04-10
Complaint Related
No
Licensing Inspector
Nicole Scott
(804) 588-2372
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced renewal inspection was conducted on 4/10/2023 from 2:03 pm to 4:15 pm. No children were in care during this time. The Licensing Inspector reviewed three children?s records, one caregiver record, and other program records.

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

7
Standard 22.1-289.036-A
Based on record review and interview, the provider failed to have required repeat background checks completed every five years.

EVIDENCE:
Staff 1?s most recent national fingerprint (criminal) check was dated 2/13/2018, and the most recent central registry (CPS) check was dated 2/21/2018. Staff 1 stated they have not yet been requested.
Plan of Correction: Completed background
Standard 8VAC20-800-100-A
Based on record review, the provider failed to obtain documentation of a physical examination for a child prior to or within 30 days after the first date of attendance.

EVIDENCE:
The record for Child 2 shows that attendance began on 3/15/2021 and the only documentation of a physical examination was dated 2/22/2023.
Plan of Correction: record in child's folder
Standard 8VAC20-800-230-A
Based on record review, the provider failed to have 16 hours of annual training.

EVIDENCE:
During the previous calendar year Staff 1 had 13 hours of documented training. This home uses calendar years to record training.
Plan of Correction: will take more training courses
Standard 8VAC20-800-280
Based on observation, the provider failed to ensure that poisonous materials were stored in areas inaccessible to children.

EVIDENCE:
Cleaning agents were stored under kitchen and bathroom cabinets. Both rooms were accessible to children and the storage areas were accessible to children.
Plan of Correction: Store in cabinet not accessible to children
Standard 8VAC20-800-770
Based on observation, the provider failed to have a working portable battery-operated weather band radio, and extra batteries available to caregivers at all times.

EVIDENCE:
The battery-operated radio did not work when Staff 1 turned it on. Staff 1 was unable to locate more batteries to see if the radio would work if they were changed.
Plan of Correction: Will replace batteries
Standard 8VAC20-800-790
Based on observation, the provider failed to have the poison control and emergency back-up caregiver phone numbers posted.

EVIDENCE:
The phone numbers for poison control and the emergency back-up caregiver were not posted.
Plan of Correction: put # next to phone
Standard 8VAC20-800-90-A
Based on record review, the provider failed to obtain documentation that a child has been adequately immunized prior to attending the family day home.

EVIDENCE:
The record for Child 2 shows that attendance began on 3/15/2021 and the only immunization record was dated 2/22/2023.
Plan of Correction: record in chill's folder