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Deborah King

Inspection · 2024-10-29

Date
2024-10-29
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
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
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-800 Personnel
8VAC20-770 Background Checks
8VAC20-800 Household Members
20 Access to minor?s records
8VAC20-800 Physical Health of Caregivers and Household members
22.1 Early Childhood Care and Education
8VAC20-800 Caregiver Training
54.1 Provider must be MAT certified to administer prescription medication.
8VAC20-800 Physical Equipment and Environment
63.2 Child abuse and neglect
8VAC20-800 Care of Children
8VAC20-790 Introduction
8VAC20-800 Preventing the Spread of Disease
8VAC20-790 Administration
8VAC20-800 Medication Administration
8VAC20-790 General Qualifications
8VAC20-800 Emergencies
8VAC20-790 Building or Home Maintenance
8VAC20-800 Nutrition
8VAC20-790 Supervision and Ratio Requirements
8VAC20-800 Transportation
8VAC20-790 Programs
8VAC20-800 Nighttime Care
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-820 THE LICENSE.
8VAC20-790 Special Services
8VAC20-820 THE LICENSING PROCESS.

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 on 10/29/2024 and completed on 10/29/2024. The on-site inspection began at 10:50am and ended at 12:10pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 1 caregiver; the point total was 13. The inspector reviewed 6 children?s records and 1 caregiver record on-site. This inspection included document review, tour of the home, 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.

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 11/13/2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam records available for child #1 (enrolled for over 3 months) and child #2 (enrolled for 7 months).
Plan of Correction: The physicals are now in child's folder.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required for each caregiver and adult household member every two years from the last screening.

An updated TB screening for Caregiver #1 was completed 4 months after being due.
Plan of Correction: Will do every two years.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of 16 clock hours of training annually.

Caregiver #1 obtained 1.5 of the 16 required hours in 2023.
Plan of Correction: Will take more classes
Standard 8VAC20-800-50-A
**Repeat Violation**
The provider shall keep a written record of children in attendance each day.

There was no record of attendance for child #4, who was in care on the date of the inspection.
Plan of Correction: Parents were told to sign children in and out everyday.
Standard 8VAC20-800-60-B
The provider shall maintain a separate record for each child enrolled that contains all of the required information.

The record for child #2, enrolled for seven months, was missing the following required components: the name, address, and phone number of 1 designated person to contact in case of emergency. The record for child #3, enrolled for over 1 year, was missing the following required components: phone number and address for 1 parent, employment information for 1 parent, and work phone number for both parents.
Plan of Correction: Done
Standard 8VAC20-800-730-D
Medication shall be kept in a locked place using a safe locking method that prevents access by children.

A prescription medication for child #6 was observed in the child?s backpack, not in a locked container, making accessible to children.
Plan of Correction: Medication is in locked cabinet
View original record on Virginia Department of Social Services