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Sandra Reardon

Inspection · 2021-03-18

Date
2021-03-18
Complaint Related
No
Licensing Inspector
Sarah Marbert
(703) 479-4678
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
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A Renewal inspection was initiated on 03/18/2021 and concluded on 03/24/2021. The Provider was contacted by email to initiate the inspection. There were three children with one caregiver for 8 points which is within ratio for supervision. Reviewed children and household member?s records, trainings and emergency preparation. Lunch served today was chicken noddle soup with vegetables, milk and bananas. Observed children sleeping using FaceTime. No medication was reported to be on-site the day of the inspection. The information gathered during the inspection determined no violations with applicable standards or law.
Feel free to contact me if you have any questions. 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 facility.
Thank you
Ann Dramstad
Ann.dramstad@dss.virginia.gov

Violations

6
Standard 22VAC40-111-180-A
Based on record review, the provider did not get a subsequent TB within 2 years of the previous screening.
Evidence:
The provider's TB record was dated 9/2018 and expired 9/2020.
Plan of Correction: TB testing will be done on Monday 3/29/2021.
Standard 22VAC40-111-340-C
Based on provider statement, the bathroom did not contain papertowels.
Evidence:
When observing the bathroom, the provider stated no paper towels were available.
Plan of Correction: Paper towels were placed in the bathroom on 3/26/2021.
Standard 22VAC40-111-60-B
Based on record review, 2 of 2 children's records do not contain all required information.
Evidence:
Child #1's record is missing the acknowledgement of liability disclosure, signed medication policy, a Physician signature or stamp on the child's physical and an annual update (1/2021).
Child #2's record is missing the parent signature on the provision of emergency relocation.
Plan of Correction: The information was required from the parents on 3/26/2021.
Standard 22VAC40-111-770
Based on observation and provider statement, the battery operated radio and flashlight were not available.
Evidence:
Both the flashlight and radio were not working during the inspection. The provider did not follow up with an email that the items were available the day of the inspection.
Plan of Correction: Flashlight from iPhone was not accepted. So a new flashlight was bought. New batteries were installed into the radio.
Standard 22VAC40-111-830-A
Based on observation and provider statement, the emergency drills were not conducted monthly.
Evidence:
The provider stated that no evacuation drills were conducted the months of October, November, December, January and February. No drills have been recorded on the log since September 2020.
Plan of Correction: Due to COVID and the presence of just a few kids, drills were not conducted. Drills will be conducted every month.
Standard 22VAC40-191-40-D-5-a
Based on provider statement, a Central Registry Check was not requested within 30 days of a household member (HHM) turning 14 years of age.
Evidence:
A HHM turned 14 years of age 10/2020 and no Central Registry search results have been obtained.
Plan of Correction: The Central Registry Check was sent on 3/28/2021.
View original record on Virginia Department of Social Services