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Ms. Mercedes Martell

Inspection · 2021-12-09

Date
2021-12-09
Complaint Related
No
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documentation review, interview, and a virtual tour of the program.

A monitoring inspection was initiated on 12/9/21 and concluded on 12/14/21. The provider was contacted by telephone and a virtual inspection was conducted. There were 11 children present, ranging in age from six-months to four-years-old, with two staff supervising. The inspector reviewed compliance in the areas of administration, staffing and supervision, programming, special care and emergencies, and nutrition. A total of three child records and two caregiver records 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 program.

If you have questions regarding this inspection you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Violations

2
Standard 22.1-289.035-A
Based on record review and interview with the provider, the provider did not ensure that the results of a central registry check were obtained every five years for a caregiver. Evidence: The most recent central registry check on record for Caregiver #1 was dated 7/14/16.
Plan of Correction: I was confused about which background check was replaced by the fingerprints. I will submit a new central registry check right away.
Standard 8VAC20-800-180-A
Based on record review and interview, the provider did not obtain a current tuberculosis (TB) screening every two years for each caregiver. Evidence: The most recent TB screening on record for Caregiver #1 was dated 5/25/18. The most recent TB screening on record for Caregiver #2 was dated 6/14/18.
Plan of Correction: I have been attempting to make appointments with the Health Department but due to COVID I have not been able. I will call again to see if they can get us in sooner and if not, will look into other options for getting screened.