Inspection · 2021-07-22
Licensing Inspector
Shawanda Henderson
(540) 216-1434
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 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A renewal inspection was initiated on 7/22/21 and concluded on 7/23/21 with an exit interview. The provider was contacted by telephone and a virtual inspection was conducted. There were six children present, ranging in ages from two to four, with the provider supervising. The inspector reviewed compliance in the areas of administration, personnel, caregiver training, physical environment and equipment, care of children, preventing the spread of disease, and emergencies. A total of two child records and six caregiver/household member 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 further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Standard 22VAC40-111-100-A
Based on a review of two children's records, the provider did not obtain documentation that each child has received a physical examination by or under the direction of a physician prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 4/18/21) did not have documentation of a physical examination.
Plan of Correction: Provider stated she has asked the parent to provide a copy of the most recent physical.
Standard 22VAC40-111-120-B
Based on review of two assistant/substitute provider records, it was determined that not all records contained all required information. Evidence: the record for assistant #1 and substitute provider #1 did not contain verification of age. .
Plan of Correction: Provider stated she will obtain verification of age and add to caregiver's record.
Standard 22VAC40-111-140-B-1
Based on a review of documentation, it was determined that not all substitute providers had high school completion or the equivalent. Evidence: Substitute provider #1, who acted as a substitute provider from approximately 11:30 am - 4:00 pm on 7/19/21, did not have documentation of a high school diploma or equivalent in their file.
Plan of Correction: Provider stated she will obtain verification of high school diploma or equivalent and add to caregiver's record.
Standard 22VAC40-111-140-B-2
Based on a review of documentation, it was determined that not all substitute providers had documentation of three months of programmatic experience. Evidence: Substitute provider #1, who acted as a substitute provider from approximately 11:30 am - 4:00 pm on 7/19/21, did not have documentation of three months of programmatic experience in their file.
Plan of Correction: Provider stated she will obtain verification of 3 months (516 hours) of programmatic experience working with preschool age children and add to caregiver's record.
Standard 22VAC40-111-200-A
Based on review of two caregiver records, and an interview with the provider, it was determined that not all caregivers received orientation training that includes job responsibilities, requirements for parental notification, standards related to their responsibilities, emergency evacuation, relocation, and shelter-in-place procedures, location of emergency numbers, child abuse and neglect, and confidentiality by the end of their first week of assuming job responsibilities. Evidence: the record for assistant #1 (Date of hire: 8/26/20) and substitute provider #1 (date of hire: 9/10/20) did not have documentation of orientation training.
Plan of Correction: Provider stated she has conducted orientation with all caregivers and will add signed documentation of this orientation to caregiver's record.