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Phyllis Singh

Inspection · 2024-08-26

Date
2024-08-26
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 8/26/24. The on-site inspection began at 9:30 am and ended at 10:45 am. The inspector reviewed compliance in the areas listed above.There were 4 children present and 2 caregivers; the point total was 12. The inspector reviewed 4 children?s records and 3 caregiver/household member's records on-site. This inspection included document review, tour of the facility, interviews, and observations.
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.

Violations

8
Standard 22.1-289.036-A
Background checks must be repeated every five years after the original background check.

There was no information located or provided to show the date of the last National Fingerprint check for Person B.
Plan of Correction: Upon locating the background check and if it is more than 5 years old I will redo it.
Standard 22.1-289.036-B-1
Sworn disclosure statements are required by the end of the 30th day for new household members.
Person A has been a household member for 5 months and there was no Sworn Disclosure statement on file.
Plan of Correction: This background check will be completed immediately.
Standard 22.1-289.036-B-2
National fingerprint checks are required by the end of the 30th day for new household members.

Person A has been a household member for 5 months and there was no Fingerprint check.
Plan of Correction: We will immediately send off for this background check.
Standard 8VAC20-800-210-A
Repeat Violation:
Caregivers shall obtain a minimum of 16 clock hours of training annually.

Person B has obtained 11 of the 16 training hours for 2023 and Person C has obtained 4 of the 16 training hours for 2023.
Plan of Correction: We will get the additional training.
Standard 8VAC20-800-520-A
Cribs shall be provided for children from birth through 12 months of age.

Child A, 9 months of age was sleeping on a cot and not in a crib.
Two infants were present but there was only one crib set up in the home.
Plan of Correction: We will put together another crib and we will make sure children through 12 months of age are sleeping in cribs.
Standard 8VAC20-800-60-B
A child's record shall contain certain information.
Child B's record did not contain emergency contact information, insurance and physician information.

Child C's record did not contain insurance policy number nor authorization from the parents to seek emergency care
Plan of Correction: I will review all children's files to make sure all of the information has been obtained.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing certain information.

1. The parents of child A, B and C were not provided in writing check in and out procedures, payment information, a number to leave a message, termination policies, hours and day s of operation. Child A has been enrolled for 7 months and child B has been enrolled for 4 days and child C has been enrolled for 5 months.
Plan of Correction: I will fill the information out and give a copy to the parents and keep a copy in the children's files.
Standard 8VAC20-800-830-B
Shelter-in-place procedures shall be practiced a minimum of twice a year.

There was no documentation of shelter in place drills for 2023.
Plan of Correction: We will make sure to do 2 shelter in place drills a year.