Inspection · 2021-09-10
Licensing Inspector
Anansa Archer-Hicks
(703) 537-6757
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
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, document review, an an interview with staff.
A monitoring inspection conducted on 9/10/2021. Staff was contacted by telephone and a virtual inspection was conducted. The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programming, and special care provisions and emergencies. A total of two child records, three staff records and two medications were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Standard 22VAC40-185-160-B
Based on review of documentation, and an interview with staff, it was determined that not all staff had acceptable documentation of a TB test/screening. Evidence: the record for staff #2 had a TB clearance statement that was not signed by a physician, the physician's designee or an official of the local health department.
Plan of Correction: Staff will obtain the proper documentation of a negative TB test/screening.
Standard 22VAC40-185-200-A
Based on review of documentation, and an interview with staff, the facility failed to have a qualified program director regularly on site at least 50% of the facility's hours of operation. Evidence: there is no documentation that any staff on site are director qualified.
Plan of Correction: Staff stated they will ensure a qualified director is on site 50% of the facility's operating hours.
Standard 22VAC40-185-240-D-1
Based on review of documentation, and an interview with staff, the facility has agreed to administer medication but did not have a staff member with current Medication Administration Training (MAT) certification on site. Evidence: The MAT certification for staff #3 expired on 8/26/2021 and there were two emergency medications on site.
Plan of Correction: Staff #3 is scheduled to update MAT certification on 9/18/2021. A staff member with current MAT certification will be moved to this site in the interim.