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Enma Rivas

Inspection · 2021-08-06

Date
2021-08-06
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

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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Inspector Notes

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.

A renewal inspection was initiated and concluded on August 6, 2021. The provider was contacted by telephone and a virtual inspection was conducted. There were four children(10pts) present, ranging in ages from 8 months to 3 years old, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of two child records and 2 staff 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.
If there are any questions, please contact karen.dickens@doe.virginia.gov.

Violations

2
Standard 22VAC40-111-180-A
Based on record review and interview, the provider did not obtain for each caregiver and household member a current Report of Tuberculosis Screening Form every two years from the date screening.

Evidence:
1. Caregiver #1's, Caregiver #2's, and Household Members #1's record did not contain documentation of a current Tuberculosis Screening. Caregiver #1's last screening was dated 07/25/2018. Caregiver #2's last screening was dated 07/10/2019, Household Member #1's last screening was dated 07/10/2019.
2. Caregiver #1 stated that Tuberculosis(TB) screenings were expired and appointments have been made to get TB screenings completed.
Plan of Correction: Appointments have been secured for screenings and will be completed. Once screenings have been completed, the provider will send the licensing inspector a copy of the results.
Standard 22VAC40-111-800-B
Based on record review and interview, the provider did not review and document in writing the annual review of the emergency plan.
Evidence:
1. The provider did not document in writing the annual review of the emergency plan. The last date for documentation of the annual review was 01/11/2019.
2. The provider confirmed that the information for the emergency plan is the same, but written documentation was not completed since 01/11/2019.
Plan of Correction: The provider will review and document in writing that the emergency plan has been reviewed for the year 2021.
View original record on Virginia Department of Social Services