Inspection · 2023-03-24
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
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.
8VAC20-790 Subsidy Regulations.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted today with the staff. The inspection took place from7:10 to 8:20 am. Six children were present with 3 staff. Medication for two children were reviewed as well as six children and four staff files.
The Licensing Inspector was able to observe breakfast being served, which consisted of cereal, french toast, milk/orange juice. The areas of non compliance is outlined on the violation notice.
Standard 8VAC20-780-245-J
Based on a review of recordkeeping, observation and interview, it was determined that there was no documentation on site to show that a staff was present with Medication Administration Training. There were two children present with emergency medication on site.
Plan of Correction: The documentation was brought to the center during the inspection.
Standard 8VAC20-780-40-M
Based on observation and interview, it was determined that the posted allergy/sensitivity/dietary restriction list was not dated and incomplete.
Evidence:
The posted allergy list was not dated and child A has an allergy to dust, however this allergy was not listed.
Plan of Correction: We will update the allergy list.
Standard 8VAC20-780-510-E
Based on a review of medications for two children and interviews with staff , it was determined that one child had a long term medication on site however there was no physician authorization nor did the parent sign an authorization to renew every 10 days.
Evidence:
Authorization for the long term Inhaler for child A was signed by the parent on 2/13/23 and that authorization had not been renewed every 10 days nor was there a physician authorization for this medication.
Plan of Correction: We will have the parent sign the authorization every 10 days until we can get the physician long term authorization.
Standard 8VAC20-780-60-A-8
Based on a review of recordkeeping and interview, it was determined that there was no written allergy care plan on file for child B's diagnosed food allergies of peanuts, kiwi and pineapple.
Plan of Correction: We will obtain the allergy care plan.
Standard 8VAC20-820-120-E-2
Based on observation, it was determined that the most recent findings were not posted.
Evidence:
The most recent inspection findings were dated 10/18/22. This inspection was not posted at the center.
Plan of Correction: We will keep the most recent findings posted.