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Ms. Letitia Paige

Inspection · 2022-03-29

Date
2022-03-29
Complaint Related
No
Licensing Inspector
Kimberly Sampson
(757) 354-7307
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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
8VAC20-770 Background Checks for Child Day Programs and Family Day Systems
20 Access to minor?s records
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures

Inspector Notes

An unannounced monitoring inspection was conducted from 10:30 am to 11:15 am. At the time of entrance, 9 children in care with the provider and assistant provider. The record sample size consisted of 2 children's records and the provider's and assistant's records. The children in care were observed engaging with the provider, diapering, hand washing, and learning activities. There have been no injuries since the last inspection and no medications are being administered at this time. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.

Violations

4
Standard 8VAC20-800-100-A
Based on record review and interview it was determined the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for child #2(enrolled 4/6/21) did not contain documentation of a physical exam.
2. Provider confirmed that this documentation was not available during this inspection.
Plan of Correction: Provider will request documentation of a physical exam from the parent.
Standard 8VAC20-800-140-B-3
Based on record review and interview it was determined the provider and assistant provider did not have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
Evidence:
1. The documentation available showed that the provider's certification in CPR expired 6/24/20 and the assistant provider's expired 10/23/21.
2. The provider and assistant provider confirmed they did not have current certification in CPR.
Plan of Correction: Provider and assistant provider will get certified in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
Standard 8VAC20-800-140-B-4
Based on record review and interview it was determined the provider and assistant provider did not have current certification in in first aid.
Evidence:
1. The documentation available showed that the provider's certification in first aid expired 6/24/20 and the assistant provider's expired 10/23/21.
2. The provider and assistant provider confirmed they did not have current certification in first aid.
Plan of Correction: Provider and assistant provider will get certified in first aid.
Standard 8VAC20-800-320-E
Based on observation it was determined the provider did not ensure that portable electric heaters in areas accessible to children had barriers.
Evidence:
There was an electric heater in use in the childcare area with no barrier.
Plan of Correction: Provider will ensure there is a barrier in place if a portable heater is in use.
View original record on Virginia Department of Social Services