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Ms. Letitia Paige

Inspection · 2022-08-01

Date
2022-08-01
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

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 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
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 monitoring inspection was conducted from 1:45 pm to 2:50 pm. At the time of entrance, 9 children totaling 22 points were in care with the provider and assistant provider. The record sample size consisted of 3 children's records and the provider's record and the assistant's record. The children in care were observed engaging with the provider, participating in nap, departure, and free play. 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

2
Standard 8VAC20-800-180-A
Based on record review and interview it was determined the provider did not obtain an updated Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Evidence:
1. The TB screening documentation available for the provider and assistant provider was dated 12/15/19 and 9/23/19 respectively.
2. The provider confirmed updated TB screening forms were not available during this inspection.
Plan of Correction: Provider and assistant provider will get updated TB screenings.
Standard 8VAC20-800-830-A
Based on record review and interview it was determined the provider did not ensure emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care.
Evidence:
1. The emergency evacuation drill log did not contain documentation for July 2022.
2. Provider confirmed an emergency evacuation drill was not practiced in July.
Plan of Correction: Provider will ensure evacuation drills are practiced monthly.