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Ms Diana Insley

Inspection · 2023-01-12

Date
2023-01-12
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
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 House
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.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced monitoring inspection was conducted on January 12, 2023 from approximately 1:26pm to . 2:55pm there was one staff and 5 children present ( 12 points). Children were observed napping and freely playing. Two children records and 1 caregiver record and 2 household members were reviewed on this date. Licensing Inspector reviewed supervision, activities, equipment, diapering ,nutrition, children and caregiver records, emergency evacuation and shelter-in-place drill documentation, emergency supplies and required postings.

Information gathered during the inspection determined area of non-compliance. Areas of non-complaince is noted on the violation notice.

Violations

8
Standard 22.1-289.036-A
Based on record review, the licensee did not ensure household members and staff have background checks renewed every 5 years.

Evidence: Household member #1 most recent central registry was 11/30/2017 which is more than 5 years old.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain tuburculosis Screening form every two years from the date of first screening .

Evidence : Household #1 most recent TB test was 01/11/2021. Which is more than two years from the date of the last screening.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Based on staff interview, the licensee did not obtain 16 hours of annual training .

Evidence: Staff #1 stated she did not obtain 16 hours of annual training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-430-B
Based on observation and staff interview, the licensee did not ensure pressure mounted gates shall be used as protective barriers at stair opennings.

Evidence:

Staff #1 confirmed the children play on the deck in the back of the home. There was a pressure mounted gate at the top of the deck steps.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-460-C
Based on staff interview , the licensee did not ensure cats and dogs obtained caccination for rabies.

Evidence: Staff #1 stated she did not have documentation of animal #1 and animal #2 rabie shots.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-510-C
Based on observation and staff interview, the licensee did not enure the cots were at least 12 inches from each other.

Evidence:
During nap the cots were not spaced out 12 inch apart confirmed by Staff #1.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
Based on record review and staff interview, the licensee did not ensure the emergency plan was reviewed annually.

Evidence: Staff #1 confirmed that she did not document the emergency plan was reviewed for 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-920
Based on record review, the licensee did not ensure a weekly menu was posted and dated.

Evidence: Staff #1 confirmed she did not have menu for the week.
Plan of Correction: Not available online. Contact Inspector for more information.