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Misty Carbonara

Inspection · 2024-08-14

Date
2024-08-14
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
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 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on August 14, 2024, as a part of licensure period. The on-site inspection began at 10:00am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 11 children present, 3 caregivers and 1 provider. The inspector reviewed 5 children?s records, 1 provider record, 3 caregivers records and 3 household members records on-site. 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 8/28/2024. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-800-100-A
Based on records review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child?s attendance or within 30 days after the first day of attendance.
Evidence:
Child #4 (start date 8/16/2021) did not have documentation of a physical examination in the file.
Plan of Correction: Reach out to the parent to get the physical exam today.
Standard 8VAC20-800-460-D
Based on records review and interview, the provider did not obtain documentation of the current rabies vaccination.
Evidence:
Pet #2 did not have current rabies vaccination.
Plan of Correction: Rabies expired 8/3/2024. A vet 08/30/2024 appointment is scheduled. The rabies record will be updated on the same day.
Standard 8VAC20-800-60-B
Based on record review and interview, the provider did not have the required information for each enrolled child.
Evidence:
Child #4 did not have results of a health examination as required.
Plan of Correction: Reach out to the parent to get the physical exam today.
View original record on Virginia Department of Social Services