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Nancy Nell

Inspection · 2023-05-03

Date
2023-05-03
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

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
8VAC20-770 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

Inspector Notes

An unannounced monitoring inspection was conducted today. There were 12 children (33 points) with 3 caregivers present.
Children were observed washing hands, toileting, playing with a variety of toys and games and eating.
Emergency evacuation drills, first aid supplies, emergency supplies, menu, bathroom supplies, rabies vaccination and the refrigerator temperature were all in compliance.
4 caregiver and 4 child records were reviewed. See Violation Notice for non-compliances cited.
If you have questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present today from 10:23AM - 11:30 AM.

Violations

3
Standard 8VAC20-800-120-B
Based on a review of records, assistants' records do not contain all required information.
Evidence:
*2 of 2 assistant records reviewed did not contain documentation of :
Name, address, verification of age, date of employment and an emergency contact. (Staff A,B)
*1 of 2 assistant records reviewed did not contain documentation of 2 references. (Staff A)
Plan of Correction: Staff A & B documentation was updated.
Standard 8VAC20-800-60-A
Based on a review of records, child records have not been kept up-to-date.
Evidence:
1 of 4 records reviewed was not up-to-date. The record was signed by the parent 4/4/21, the form in use states it is to be updated annually. (Child 2).
1 of 4 records reviewed was dated 12/14/21; however, the child's date of birth is 06/10/22 (Child 1).
Plan of Correction: Parent signed and dated for 2nd year review. Date of parent signature has a date of 12/14/22. Parent made the correction and initialed the change.
Standard 8VAC20-800-940-A
Based on observation, the temperature was not maintained at or below 0 degrees F in the freezer.
Evidence:
The freezer temperature was observed to be 8 degrees on the freezer thermometer.
Plan of Correction: Made the appropriate adjustments.