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Lori Johnson

Inspection · 2025-05-29

Date
2025-05-29
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on May 29, 2025. The on-site inspection began at 9:30 am and ended at 11:05 am. The inspector reviewed compliance in the areas listed above. There were 7 children present and 1 caregivers; the point total was 14. The inspector reviewed 5 children?s records and 3 caregiver/household member(s) records on-site. This inspection included a tour of the facility, interviews, observations, and document review.

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 June 11, 2025. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 22.1-289.035-A
(Repeat Violation) The provider is required to have household members undergo a background check every five years. The most recent central registry check for household member #1 was overdue by a year and six months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for household member #1 was not completed and was overdue by six months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
Children's records are required to contain parental home and employment addresses and phone numbers.

The record for Child #4 was missing the addresses for two emergency contacts.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services