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Ms. Sabrina Wilson

Inspection · 2024-10-29

Date
2024-10-29
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed..

Inspector Notes

An unannounced, on-site renewal inspection was completed on 10/29/2024. The on-site inspection began at 10:00 AM and ended at 12:20 PM. The inspector reviewed compliance in the areas listed above. There were 8 children present and 2 caregivers; the point total was 24. The inspector reviewed 5 children?s records and 2 staff records onsite. This inspection included: document review, tour of the facility, interviews.

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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on November 5, 2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years

The most recent central registry check for staff #1 staff # 2 was overdue by a 11 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
REPEAT VIOLATION

A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for Caregiver #2 was not completed and was overdue by eleven months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Poisonous materials shall be stored in an area inaccessible to children.

Poisonous cleaning chemicals were on the floor in the kitchen and the children had access to the chemicals.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-530-B
Cribs when being used by infants shall have a tight-fitting bottom.

Two cribs were in use and the bottom cover was loose.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-680-B
Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine.

Staff # 2 changed a child?s diaper in the infant room and did not wash the child's hands with soap and water.
Three children were served lunch/bottle, and the hands were not washed before eating.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years.

Child #2, 2 years old, last documented immunization was over 18 months ago.
Plan of Correction: Not available online. Contact Inspector for more information.