Inspection · 2024-10-22
Licensing Inspector
Christina Jones
(540) 340-2672
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
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 10/22/2024. The on-site inspection began at 7:20am and ended at 8:25am. The inspector reviewed compliance in the areas listed above. There were 13 children present and 3 staff. The inspector reviewed 4 children?s records and 3 staff records on-site.
This inspection included document review, tour of the facility, 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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/22/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
The center shall post the findings of the most recent inspection in a conspicuous place on the licensed premises.
The most recent licensing inspection of the facility was not posted.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-780-245-J
Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor that is MAT certified.
From approximately 7:20am to 7:36am there was a child on site with emergency medication and there was not a staff member onsite that was MAT certified.
Plan of Correction: Program will make sure there is at least 1 staff onsite with MAT certification whenever a child has an emergency medication. Program will work on getting more staff MAT trained.
Standard 8VAC20-780-40-M
The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.
The allergy list was not dated or kept confidential; the list was facing upward on the desk in the office.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-780-510-E
The center must ensure they follow the policy for administration of medication that requires written authorization to be given from the child?s physician and parent for a long-term medication.
For Child #2 there was no written authorization with parent and doctor signature for the long-term medication on-site.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-I
The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided: The center has obtained written authorization from a parent or guardian.
The medication authorization on file for Child #1 did not give the program permission to administer the medication on-site.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-8
The center must have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Child #3 did not have an allergy care plan for their diagnosed food allergy from their physician.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
There were 13 children present but only 9 were marked present on the written attendance record.
Plan of Correction: Not available online. Contact Inspector for more information.