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Archana Ghimire

Inspection · 2022-02-16

Date
2022-02-16
Complaint Related
No
Licensing Inspector
Whitney Mcgrath
(571) 835-4717
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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
22.1 Background Checks Code; carbon monoxide detectors
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures

Inspector Notes

This on-site renewal inspection was concluded on 02/16/2022, between 11 am through 1 pm. The Provider was contacted by telephone to send specific documentation; serving as a virtual component of the inspection. There were 12 children present, ranging from infant to preschool age (36 points), with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 12 children records, 2 household records, and 3 staff records were reviewed.

Information gathered during the inspection determined that there were (5) non-compliances with applicable standards. These violations were documented on the Violation Notice issued to the program.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations

5
Standard 8VAC20-800-100-A
Based on review, 2 of 12 children files indicated that documentation of a physical examination was not available.

Evidence -
1. On the date of inspection (02/16/2022), documentation of a physical examination was not available for review for Child #5 (start date - 01/04/2022).
2. Documentation of a physical examination was not available for review for Child #7 (start date - 11/10/2021.
3. Both Child #5 and Child #6 were in attendance on the date of inspection.
Plan of Correction: The parents will be contacted in order to get these physicals.
Standard 8VAC20-800-210-A
Based on review, 1 of 3 staff files indicated that a total of 16 hours of annual training was not achieved.

Evidence -
1. On the date of inspection (02/16/2022), Staff #2 had documented 3.5 hours of annual training.
2. Training documentation was reviewed and contain in the file of Staff #2.
Plan of Correction: 16 hours will be completed during the next annual training year.
Standard 8VAC20-800-570-A
Based on observation, the Provider did not ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver were needed.

Evidence -
1. On the date of inspection (02/16/2022), a total of 10 children (36 points) with 2 caregivers were observed.
2. The Provider stated that an assistant was out sick for the day.
Plan of Correction: The home will meet the 16 points (or under) for each caregiver.
Standard 8VAC20-800-60-B
Based on review, 2 of 12 children files indicated that not all required information was documented within each child's file.

Evidence -
1. On the date of inspection (02/16/2022), the doctor's information was not available for Child #2, and Child #3.
2. For both children "N/A" was inserted.
Plan of Correction: I will talk to the parents to obtain this information.
Standard 8VAC20-800-90-A
Based on review, 2 of 12 children files indicated that an immunization page was not available.

Evidence -
1. On the date of inspection (02/16/2022), an immunization page was not available for review for Child #5 (start date - 01/04/2022).
2. An immunization page was not available for review for Child #6 (start date - 02/07/2022.
3. Both Child #5 and Child #6 were in attendance on the date of inspection.
Plan of Correction: The parents will be contacted in order to get these immunizations.
View original record on Virginia Department of Social Services