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Le Lam

Inspection · 2024-02-08

Date
2024-02-08
Complaint Related
No
Licensing Inspector
Karen Dickens
(571) 423-6978
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
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced monitoring inspection was conducted on February 8, 2024 between the hours of 9:15 am through 10:30am. There were a total of 10 children (23 points) observed with two caregivers. A total of six children's files and three staff/household member's files were reviewed. The children were engaged in the following: toy play, games, practicing letters, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations

3
Standard 22.1-289.011-F
Based on observation and interview, the provider did not post the current inspection notice in a conspicuous place required by the Superintendent.
Evidence:
1. The current inspection notice was not posted in a conspicuous place.
2. Caregiver #1 confirmed that the current inspection notice was not posted.
Plan of Correction: The current inspection notice was located and posted.
Standard 8VAC20-800-180-A
Based on record review and interview, the provider did not obtain for each caregiver a current Tuberculosis(TB) Screening every two years from the date of the first screening.
Evidence:
1. Caregiver #2's record did not contain a current Tb screening. Documentation of the last Tb screening was dated 09/14/2021.
2. Caregiver #2 confirmed that a current Tb screening was not conducted.
Plan of Correction: The caregiver will make an appointment to obtain a current Tb screening.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain required information.
Evidence:
1. Child #2's record (start date-11/01/2021) did not contain written authorization if a caregiver is to administer prescription or non prescription medication.
Plan of Correction: The provider will have the parent to complete the written authorization for prescription and non prescription medication and document the record.