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Ms. Mary Bellamy

Inspection · 2022-05-31

Date
2022-05-31
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
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.
8VAC20-820 HEARINGS PROCEDURES.
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

A monitoring inspection was initiated and concluded on 5/31/2022. At the time of the inspector's arrival, there were 7 children present, ranging in ages from infant to 4 years old, with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 3 staff 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.

Violations

3
Standard 8VAC20-800-180-A
Based on a review of records and interview, the licensee did not obtain, for every adult household member, a tuberculosis screening within two years from the date of the most recently documented screening.
Evidence:
Three provider / Assistant / Household Member Records were reviewed.
The record for Household Member #2 contained the most recent Tuberculosis screening results which were dated 1/16/2019.
The licensee confirmed that household member #1 had not had a more recent screening.
Plan of Correction: The licensee stated that she would ensure that household member #2 obtained a Tuberculosis Screening within 10 days and that the results would be filed in household member #2's record upon receipt.
Standard 8VAC20-800-60-B
Based on a review of records and interview, the licensee was unable to demonstrate that all of the required documentation was contained in each enrolled child's record.
Evidence:
Three children's records were reviewed.
The records for child #1 and child #3 did not contain a policy number for the child's medical insurance.
The licensee confirmed that this documentation was not present in the children's records.
Plan of Correction: The licensee stated that she will obtain the hospitalization Plan number for child #1 and child #3 by the end of the week and document it in the children's records.
Standard 8VAC20-800-80-A
Based on a review of records and interview, the Licensee was unable to demonstrate that within 7 days of the child's first day of attendance the parent provided Verification of the age and identity of each enrolled child.
Evidence:
Three children's records were reviewed.
The record for child #1, whose first date of attendance was 9/7/2021, did not contain documentation that the licensee had proof of child #1's age and identity.
The licensee confirmed that this documentation was not in the record.
Plan of Correction: The licensee stated that she would obtain this documentation within 10 days. The licensee stated that Child #1 was previously enrolled and the documentation of seeing proof of identity may be in her old paperwork.