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Lida Weaver

Inspection · 2022-10-06

Date
2022-10-06
Complaint Related
No
Licensing Inspector
Ariel Hayes
(804) 629-7124
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
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 conducted on 10/06/2022. There were a total of 8 children (21 points) observed with 1 caregiver present; after approximately 20 minutes a second caregiver arrived. The children were engaged in the following: nap time. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, medication, emergencies and nutrition. A total of 4 child records and 4 caregiver/household member records 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. Please contact me if you have any questions at ariel.hayes@doe.virginia.gov or 804-629-7124.

Violations

9
Standard 8VAC20-770-60-C-2
Based on a review of staff and household records, background checks were not obtained every 5 years.
Evidence:
Staff #1's Central Registry search results is dated April 2016 and Household #1's last Central Registry search is dated March 2017.
Plan of Correction: I will get it done today.
Standard 8VAC20-800-180-A
The provider did not obtain for each caregiver a current report of Tuberculosis Screening, every two years from the date of the first screening.
Evidence:
Staff #3's Tuberculosis screening/test was dated 1/17/2020.
Plan of Correction: The TB test wore [sic] on each persons folder, I have sent it to the inspector.
Standard 8VAC20-800-460-D
Based on a review of records, the provider did not maintain documentation of the current rabies vaccination.
Evidence:
Current rabies vaccination was not available during the inspection.
Plan of Correction: Rabies vaccination record 2022 was on the file. I'll make sure to move old files for easy access.
Standard 8VAC20-800-570-A
Based on the ages of children and number of staff present, the provider failed to ensure a caregiver did not exceed 16 points.
Evidence:
There was a total of 8 children (21 points) with one Assistant present.
Plan of Correction: I will make sure both assistant [sic] are present before I leave.
Standard 8VAC20-800-760-A-1
The first aid kit did not contain the minimum supplies required.
Evidence:
There were no triangular bandages or a digital thermometer available during the inspection.
Plan of Correction: I have order [sic] a new first aid kit.
Standard 8VAC20-800-770
Based on observation, there was not a battery-operated weather band radio available during the inspection.
Evidence:
A battery-operated weather band radio was not available during the inspection.
Plan of Correction: I order [sic] a new radio.
Standard 8VAC20-800-800-B
The provider did not document in writing each review and update to the emergency plan.
Evidence:
The last dated update on the emergency plan was 9/24/2014.
Plan of Correction: I'll make sure to update emergency plan.
Standard 8VAC20-800-830-C
Based on a review of records and staff interview, documentation was not maintained of emergency evacuation and shelter-in-place drills.
Evidence:
There was not a drill log available during the inspection. The assistant confirmed she was not sure what I was looking for and could not provide the drill log.
Plan of Correction: The emergency evacuation and shelter in place drill wore [sic] together with the daily attendance.
Standard 8VAC20-800-960-E
Based on a review of bottles, they were not labeled with the child's full name and the date.
Evidence:
2 of 3 sets of bottles had no date and 1 of 3 sets of bottles did not have a name on the bottle.
Plan of Correction: I'll make sure to put name and date on bottles.