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Natalia Gonzalez

Inspection · 2021-12-14

Date
2021-12-14
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors

Inspector Notes

A Monitoring inspection was initiated today. 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. The director/provider was contacted by telephone and a virtual inspection was conducted. There were a total of 11 children present with 2 staff. 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 3 child records and all staff records and all household 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. Feel free to contact me if you need any assistance at: lisa.hudson@doe.virginia.gov.

Violations

10
Standard 8VAC20-800-100-A
Based on review of child records, a physical examination was not obtained for one child.
Evidence:
Child #2 began care on 10/02/2020. A physical exam was not on tile.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Based on review of household records, an initial TB screening was not completed.
Evidence:
Household member #1 is over the age of 18 years, a TB screening was not obtained.
Plan of Correction: This household member will obtain a screening.
Standard 8VAC20-800-180-A
Based on review of staff records, subsequent TB screenings were not completed.
Evidence:
1. Staff #1's last TB screening is dated 5/2019.
2. Household #2 did not have a subsequent TB screening on file.
Plan of Correction: A subsequent TB screening will be obtained for this staff and household memeber..
Standard 8VAC20-800-50-A
Based on review of recordkeeping, one record was not maintained.
Evidence:
The provider did not have a written record of attendance.
Plan of Correction: I will maintain a daily record of attendance that includes time of arrival and departure.
Standard 8VAC20-800-60-B
Based on review of child records, one record was incomplete.
Evidence:
Child #2's record did not have a signed liability insurance acknowledgement.
Plan of Correction: Both provider and parent will sign this acknowledgement.
Standard 8VAC20-800-750-A
Based on review of topical ointments, an authorization for one ointment was not obtained.
Evidence:
Child #1 has a topical ointment on site. A parent authorization was not obtained for this ointment.
Plan of Correction: I will have the parent complete an authorization form.
Standard 8VAC20-800-780-B
Based on review of child records, an annual review with parents was not completed.
Evidence:
Child #3's emergency contacts were not reviewed annually. Last documentation was in 1/2020.
Plan of Correction: I will review all emergency contacts with parents and document the review.
Standard 8VAC20-800-80-B
Based on review of child records, verification of proof of identity was not found.
Evidence:
Provider has not obtained a proof of identity for Child #1.
Plan of Correction: I will verify the proof of ID for this child.
Standard 8VAC20-800-830-A
Based on review of the provider's emergency evacuation drills, a monthly drill was not conducted.
Evidence:
The provider failed to conduct an emergency evacuation drill during the month of July.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on review of child records, immunization documentation was not obtained before children began care.
Evidence:
Child #1 began care on 08/12/21. Immunizations were not obtained until 09/07/2021.
Child #2 began care on 10/21/2020. No immunizations were on file.
Plan of Correction: I will require immunizations before any child can start.
View original record on Virginia Department of Social Services