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Nancy Nell

Inspection · 2021-10-20

Date
2021-10-20
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. A renewal inspection was initiated on 10-19-2021 and concluded on 10-20-2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 9 children present, ranging in ages from 5 months to 4 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 4 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov

Violations

3
Standard 22VAC40-111-120-B
Based on a review of records, staff records do not contain documentation of all required components.
Evidence:
2 of 2 staff records reviewed did not contain documentation of 2 references prior to employment. (Staff #1, 2)
Plan of Correction: References were done; however, not documented as required. Moving forward the model form for caregiver references will be used to document phone references.
Standard 22VAC40-111-180-A
Based on a review of records, one staff record does not contain documentation of a current subsequent TB test/screening result within two years.
Evidence:
The staff record for Staff #2 does not contain an updated TB test/screening result. The document on file is dated 10/1/2019 (expired)
Plan of Correction: The staff person is currently on vacation. They will get an updated test or screening before returning to work.
Standard 63.2-1720.1-B-2
Based on a review of records, one staff record did not contain documentation of the results of a nationwide fingerprint search prior to employment.
Evidence:
Fingerprint results on file are dated 9/27/2021. Date of Hire (DOH) is documented as 9/22/2021. Orientation documentation is dated 9/24/2021. Both are prior to the fingerprint results being on file. (Staff #2).
Plan of Correction: The date of employment and the orientation were documented incorrectly. The forms will be corrected once the staff person returns to work.
View original record on Virginia Department of Social Services