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Mrs. Joan Green

Inspection · 2024-08-20

Date
2024-08-20
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 08/20/2024 and completed on 08/20/2024. The on-site inspection began at 10:20 A.M. and ended at 12:45 P.M. The inspector reviewed compliance in the areas listed above. There were nine children present and three staff. The inspector reviewed eight children?s records and three staff records on 08/20/2024. This inspection included document review, tour of the home, 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 (date). A POC submitted after this date will not appear on the public website.
If you have any questions, please reach out to the licensing inspector.

Violations

7
Standard 22.1-289.035-B-3
Based on staff record review, staff did not have up to date Central Registry checks in employee files.

Evidence: 1. Staff #1, with a hire date of 2002, did not have documentation of an updated Central Registry check. The last documented background check was dated in 2016. 2. Staff #3, with a hire date of 09/19/2016, did not have documentation of an updated Central Registry check. The last documented background check was dated in 2016. 3. Director acknowledged
there were no updated checks.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Based on child record review, the provider failed to obtain documentation of a physical examination for child in care.

Evidence: 1. Child #3, start date 6/27/2024, did not have a copy of a physical in their file. 2. Provider stated they had asked parent for information but was only given immunization records.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Based on staff record review, the provider did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment.

Evidence: Staff #2 with a hire date of 01/02/2023 did not have documentation of any reference checks.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-250-A
Based on a home tour, the provider failed to ensure that areas of the home shall be maintained in a safe condition.

Evidence: 1. Approximately 7 dangling charging cords were observed in the dining room area. 2. These cords were accessible to the children in care who were observed in the dining room area during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Based on child record review, no annual update was completed for children in care.

Evidence: 1. Child #1 had an annual update dated 7/14/2023. 2. Child #4, with a start date of 9/6/2022, did not have a dated annual update. 3. Child #5, with a start date of 8/1/2023 did not have a dated annual update. 4. Child #6, with a start date of 8/1/2023 did not have a dated annual update. 5. Child #7, with a start date of 12/27/2022, did not have a dated annual update.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
Based on record review, an annual review of the emergency preparedness plan was not conducted.

Evidence: The emergency preparedness plan that was posted was not updated annually. The
last documented date of review was dated 2017.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Based on record review, the provider failed to obtain documentation of additional immunizations for children in care.

Evidence: 1. Child #5 (age 13 months) did not have updated immunization records every six months. Immunization form was dated 10/05/2023. 2. Child #6 (age 13 months) did not have updated immunization records every six months. Immunization form was dated 10/05/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services