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Le Lam

Inspection · 2024-07-29

Date
2024-07-29
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, on-site renewal inspection was initiated and completed on July 29, 2024, as a part of licensure period. The on-site inspection began at 9:30am and ended at 11:00am. The inspector reviewed compliance in the areas listed above. There were 10 children present and two caregivers; the point total was 21. The inspector reviewed six children?s records and two staff records on site. This inspection included document review, tour of the facility, 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.

Violations

3
Standard 8VAC20-800-500-E
Based on observation, and interview, sandboxes were not covered when not in use.
Evidence:
1. The sandbox located in the back yard did not have a cover.
2. Caregiver #1 confirmed that the sandbox did not have a cover.
Plan of Correction: The provider will get a cover a cover for the sandbox.
Standard 8VAC20-800-510-A
Based on observation and interview, children were not provided with an individual cot for resting or napping.
Evidence:
1. The children were not provided with an individual cot for resting or napping. The cots were provided, but not labeled for individual use.
2. Caregiver #1 confirmed that the cots were not labeled for individual use.
Plan of Correction: The provider will label each cot for each child.
Standard 8VAC20-800-60-B
Repeat Violation

Based on record review, children's records did not contain required information.
Evidence:
1. Child #1's record (Start date-07/22/2024) did not have signed acknowledgement of the receipt of the policies for the administration of medications.
2. Caregiver #1 stated that the parents received the information regarding the policies for the administration of medications, but did not return.
Plan of Correction: The provider will get the parents to sign the for the policies of administration of medication and document the record.