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Ms. Belinda Hubble

Inspection · 2022-10-03

Date
2022-10-03
Complaint Related
No
Licensing Inspector
Todd Scott
(276) 608-3749
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.
8VAC20-770 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 on 10/3/2022 and concluded on 10/3/2022. There was one children present with the provider and an assistant present. The point total was three. 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 three child records and one staff record was reviewed. The inspection started at 1:15 pm and concluded at 2:20 pm.

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

5
Standard 8VAC20-800-140-B-3
Based on review of records and interviews the provider failed to ensure that all substitutes have a current certificate in CPR.
Evidence:
Staff #1 listed as a substitute. Staff #1 was not able to locate her current certification in CPR.
Plan of Correction: The provider has scheduled the substitute for training in October.
Standard 8VAC20-800-140-B-4
Based on record reviews and interviews the provider failed to ensure that all substitutes have a current certification in first aid.
Evidence:
Staff #1 is listed as a substitute. Staff #1 was not able to locate her current certification in first aid.
Plan of Correction: The provider has scheduled the substitute for training in October
Standard 8VAC20-800-60-B
Based on record reviews the provider failed to ensure that a child's record contained all the required information.
Evidence:
1. Child #2 (first day 8/22/22) and child #3 (first day8/12/22) are missing information regarding if a child has allergies, chronic physical problems and results of a health examination (physical)
Plan of Correction: The provider will ensure that all required information is added to the children's records.
Standard 8VAC20-800-730-D
Based on observation the provider failed to ensure that all medication is kept in a locked place using a safe locking method that prevents access by children.
Evidence:
Located on a shelf beside the bathtub and in front of the toilet was more than three tubes of over the counter creams (Benadryl, Cortizine, etc). These items are not locked and are accessible to the children.
Plan of Correction: The provider will ensure that all medications, over the counter and prescription are always kept locked.
Standard 8VAC20-820-120-E-2
Based on observation the provide failed to ensure that the findings of the most recent inspection is posted.
Evidence:
The violation notice from the last inspection conducted on 6/23/2022 was not posted.
Plan of Correction: The provider will ensure that all items required to be posted will be posted.