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Mary Carter

Inspection · 2024-08-01

Date
2024-08-01
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site renewal inspection was initiated on August 1, 2024 and completed on August 1, 2024. The on-site inspection began at 2:50 PM and ended at 4:05 PM. The inspector reviewed compliance in the areas listed above. There was one child present and two caregivers; the point total was 2. The inspector reviewed four children?s records and two caregiver records on-site. This inspection included document review, tour of the facility, interviews, and observations.

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

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on September 10, 2024. A POC submitted after this date will not appear on the public website.

Violations

1
Standard 8VAC20-800-210-A
REPEAT VIOLATION
Based on record review and interview, the provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually.

Evidence:
1. The record for caregiver #1 had 14.5 of the 16 clock hours of training annually.
2. The record for caregiver #2 had 12 of the 16 clock hours of training annually.
3. The provider acknowledged that the required hours had not been completed for caregiver #1 and caregiver #2.
Plan of Correction: Not available online. Contact Inspector for more information.