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Ms. Letitia Paige

Inspection · 2024-08-20

Date
2024-08-20
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 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 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 inspection was initiated on completed on 08/20/2024, as a part of the licensure period. The on-site inspection began at and en11:15 am and ended at 12:15 pm inspector reviewed compliance in the areas listed above. There were 8 children present and 3caregiver s; the point total was 20. The inspector reviewed 5 children?s records
and 3 staff records. 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.

Violations

4
Standard 22.1-289.035-B-4
Based on record review and interview it was determined the center did not request a search of the child abuse and neglect registry or equivalent registry from any state in which staff had resided in the preceding five years.
Evidence:
1. Assistant provider #2 (hired 7/25/23) reported on their signed sworn statement that they had lived in Texas within the past five years. There was no documentation of a criminal history, central registry search, and sex offender search from Texas in the record for assistant provider #2.
2. Staff confirmed this documentation was not available during this inspection.
Plan of Correction: Provider will submit search requests for criminal history, central registry, and sex offender searches in Texas.
Standard 8VAC20-800-120-B
Based on record review and interview it was determined the provider did not ensure that the assistant's record contained all of the required information.
Evidence:
1. The record for assistant #2 did not contain documentation of two references being checked prior to hire.
2. Staff confirmed that this documentation was not available during this inspection.
Plan of Correction: Provider will request references for assistant provider #2.
Standard 8VAC20-800-200-A
Based on record review and interview it was determined the provider did not ensure the assistant provider completed orientation by the end of their first week of assuming job responsibilities.
Evidence:
1. The record for assistant provider #2 (hired 7/25/23) did not contain documentation of completing orientation.
2. Assistant #2 present during inspection confirmed they had not completed orientation.
Plan of Correction: Assistant provider will complete orientation training.
Standard 8VAC20-800-530-A
Based on observation and interview it was determined the provider did not ensure that cots when being used for sleeping or napping by children other than infants had linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.
Evidence:
1. The cots being utilized by children during this inspection did not have bottom covers.
2. Provider confirmed that they had not been using bottom covers.
Plan of Correction: Provider will ensure all cots have top and bottom covers.
View original record on Virginia Department of Social Services