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Reeta Devkota

Inspection · 2024-10-30

Date
2024-10-30
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
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.
8VAC20-790 Special Services
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on10/30/2024, as a part of the licensure period. The on-site inspection began at 12pm and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were11 children present and 2 caregivers; the point total was 22points. The inspector reviewed 4 children?s records and 3 caregiver records and 1 household member record 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 22.1-289.035-B-3
For staff hired before July 1, 2024, Providers must obtain the results of a Central Registry search for an employee within 30 days of service.
The Central Registry search results for Staff #2 were not obtained for 74 days.
Plan of Correction: The results are on file. There was an error in the original request for the background check.
Standard 8VAC20-800-210-A
Caregivers are required to obtain 16 clock hours of training annually.
Caregiver #3 did not obtain any training in 2023.
Plan of Correction: This staff will begin obtaining the 16 hours of training in November.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided required information in writing.

The parents of Child # 4 who has been in care for 6 month has not been provided the policies for medication administration.
Plan of Correction: I will complete the policy and have the parents acknowledge.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually.
The emergency plan was last reviewed 14 months ago.
Plan of Correction: The plan will be reviewed today and annually.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for Child #1 for approximately 2 months and for Child #4 for one month.
Plan of Correction: No child will start care without immunizations documentation.