Inspection · 2024-08-19
(571) 423-6392
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
8VAC20-820 THE LICENSE
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 monitoring inspection was initiated on August 19, 2024, and completed on August 19, 2024. The on-site inspection began at 11:00am and ended at 12:40pm. The inspector reviewed compliance in the areas listed above. There were 11 children present and 3 caregivers; the point total was 27. The inspector reviewed 5 children's records and 4 staff records on-site. 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. Please complete the plan of correction {POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 26, 2024. A POC submitted after this date will not appear on the public website.
Violations
2Evidence:
1. The records for Child #1 (last annual review: 05/21/2023 , Child #2 (last annual review: 07/03/2023) , Child #3 (last annual review: 04/14/2023) and Child #5 (last annual review: 06/01/2023) did not contain documentation of the parent's signature acknowledging that emergency contact information was reviewed annually.
2. Caregiver #1 acknowledged that there was no documentation of the parent's signature acknowledging that emergency contact information was reviewed annually in the record for Child #1, Child #2, Child #3 and Child #5.
1. The records for Child #1(age: 16 months, last immunization record on file: 06/17/2023), Child #2 (age: 15 months, last immunization record on file: 07/13/2023), Child #3 (age: 22 months, last immunization record on file: 04/14/2023 ), Child #4 (age: 23 months last immunization record on file: 01/12/2024), and Child #5 (age: 2 1/2 years last immunization record on file: 05/17/2023) did not contain documentation of additional immunizations every six months while under the age of two years.
2. Caregiver #1 acknowledged that the record for Child #1, Child #2, Child #3, Child #4 and Child #5, did not contain the required additional immunizations.