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Susan Gallier

Inspection · 2024-09-12

Date
2024-09-12
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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
8VAC20-820 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

An unannounced on-site monitoring inspection was initiated and completed on September 12, 2024. The on-site inspection began at 9:45am and ended at 11:20am. The inspector reviewed compliance in the areas listed above. There were 9 children present and 3 caregivers; the point total was 29. The inspector reviewed 7 children's records, 1 household member's record and 4 caregivers' records on-site. This inspection included document review, tour of the home, 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

5
Standard 8VAC20-800-180-A
Based on record review, the provider failed to obtain for each caregiver a current Report of Tuberculosis (TB) every two years from the date of the first screening.
Evidence: The record for Caregiver #2 did not have a current TB screening. The TB screening on file for Caregiver #2 was dated 01/26/22.
Plan of Correction: The caregiver is going to try to get a screening today but will definitely have it by 9/20/24.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances, materials, and supplies, but not limited to cleaning agents, and disinfectants are accessible to children.
Evidence: There were four (4) spray bottles filled with cleaning products and disinfectant that were accessible to children. Two bottles were in the eating area and two bottles were on a low shelf near the changing table.
Plan of Correction: We will be more careful to return the bottles of cleaners and disinfectants to an inaccessible area for storage.
Violation was corrected during the inspection.
Standard 8VAC20-800-60-B
Based on record review, a child's record did not contain proof of the child's age and identity.
Evidence: The record for Child #2 did not have documentation of proof of the child's age and identity.
Plan of Correction: The parent will be contacted today and asked to bring in proof of ID for their child.
Standard 8VAC20-800-780-B
Based on record review, annually, the provider did not review with the parent the emergency contact information as required to ensure the information is correct and obtain the parent's signed acknowledgment of the review.
Evidence:
1. The last documentation of an annual review of the emergency contact information for Child #1 was 9/1/23.
2. The last documentation of an annual review of the emergency contact information for Child #2 was dated 9/1/23.
3. The last documentation of an annual review of the emergency contact information for Child #5 was dated 9/1/23
4. The last documentation of an annual review of the emergency contact information for Child #6 was dated 7/10/23.
5. The last documentation of an annual review of the emergency contact information for Child #7 was dated 9/1/23.
Plan of Correction: We will get the parents to review the emergency contact information and sign and date the review.
Standard 8VAC20-800-830-A
Based on record review and interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.
Evidence:
1. The emergency evacuation procedures were not practiced in July and August 2024. The last documentation was dated 6-13-24.
2. The provider acknowledged that the July and August evacuation was not practiced.
Plan of Correction: It was a difficult couple of months, but going forward, we will be sure to practice the emergency evacuation procedures.
View original record on Virginia Department of Social Services