Inspection · 2024-07-09
Licensing Inspector
Laura Brindle
(540) 905-2062
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
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-770 Background Checks
22.1 Background Checks Code
Inspector Notes
An unannounced monitoring inspection was conducted on 7/9/2024 from 9:30am to 11:30am with program staff. There were 45 children in care at the start of the inspection, 49 by the end, supervised by six staff. The children were observed participating in ?Zones?, washing their hands, and eating lunch. Five child records and six staff records were reviewed. The program has seven staff with current certification in CPR and First Aid, as well as trained in Daily Health Observation. A sample of 10 medications and authorization forms were reviewed, and the program has six staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, allergy list, and emergency drill log were reviewed. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.
Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 7/17/24. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.
Standard 22.1-289.035-B-2
Based on review of six staff records, the program did not obtain the results of a national, fingerprint-based criminal history record check for one staff prior to employment. Evidence: The fingerprints on record for Staff #6, with an employment date of 5/15/23, were dated 5/31/23.
Plan of Correction: Staff member did not work until prints returned on 6/30/23. First day was work, orientation updated.
Standard 8VAC20-780-160-A
Based on review of six staff records, the program did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: The TB test on record for Staff #6, with an employment date of 5/15/23, was dated 6/13/23.
Plan of Correction: Staff member did not work until first day of work; orientation was dated incorrectly, orientation updated.
Standard 8VAC20-780-160-C
Based on review of six staff records, the program did not ensure that staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening on record for Staff #2 was dated 4/13/22.
Plan of Correction: Staff member obtained new TB test.
Standard 8VAC20-780-510-P
Based on review of medication and medication authorizations, the program did not ensure that when an authorization for medication expired, the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization. Evidence: The long-term medication authorization form for Child F contained documentation that the parent?s authorization expired on 3/7/24 and the doctor?s authorization expired on 6/13/24.
Plan of Correction: Parents were given 10 day medication form; until new one is filled out within the timeframe.