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Michelle Ross

Inspection · 2024-07-23

Date
2024-07-23
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
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.
Yes

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
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication

Inspector Notes

An unannounced, subsidy health and safety inspection was initiated and completed on July 23, 2024, The on-site inspection began at 8:40am and ended at 10:25am. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 staff. The inspector reviewed 3 children?s records and 1 staff records 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.

Violations

8
Standard 8VAC20-790-180-B
Based on records review and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
The vendor confirmed, during the interview, that the attendance has not been taken for some time.
Plan of Correction: Wash me and the children's hands.
Standard 8VAC20-790-190-A
Based on interview and records review, the
vendor did not maintain, written or electronic information for each enrolled and it was not made available upon request.
Evidence:
The vendor confirmed, during the inspection that they did not have available or maintained required information for Child #3 (start date 7/23/2024).
Plan of Correction: Updated documents.
Standard 8VAC20-790-190-B
Based on records review and interview, the vendor did not obtain immunization records on or before the child?s first day of attendance.
Evidence:
The vendor confirmed, during the interview, Child #3 (start date 7/23/2024) did not have immunization records before the first day of attendance.
Plan of Correction: Got the child's mother to get the records from doctor.
Standard 8VAC20-790-200-5
Based on interview and records review, the vendor did not obtain documentation that training required by 8VAC20-790-250 has not been completed.
Evidence:
The vendor provided documentation of 6 hours of required trainings.
Plan of Correction: Found training documents.
Standard 8VAC20-790-270-A
Based on observation, the caregiver failed to ensure potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, petroleum distillates were stored in areas inaccessible to children.
Evidence:
1. The cabinet in the bathroom, over the toilet, was unlocked, contained shampoo, foaming hand soap, conditioning spray, hydrogen peroxide, tea tree oil, eye drops, acetone, insect repellent, hydrocortisone cream, and was accessible to children.
2. There was a Vaseline jar, antibacterial soap, and hand gel located on the sink and accessible to children.
3. The pantry closet located in the kitchen was unlocked, contained Magnetic wall belt WD-40, glade spray air freshener, insect repellent, Febreze, black soap, and deodorant
Plan of Correction: Moved substances to inaccessible areas with locks.
Standard 8VAC20-790-380-D
Based on observation and interview, the caregiver did not ensure that when any surface has been contaminated with body fluids, it shall be cleaned and sanitized.
Evidence:
The caregiver did not clean and sanitize the contaminated surface after Child #3 urinated on the floor. The caregiver placed a paper towel on the urine and left it for some time before discarding the soiled paper towel.
Plan of Correction: Will no longer leave on the floor, will disinfect immediately.
Standard 8VAC20-790-390-A-3
Based on observation and interview, the caregiver failed to wash their hands with soap and running water before and after helping a child use the toilet, changing a diaper, and after contact with body fluids.
Evidence:
1. The caregiver changed the soiled clothing of Child #3. The caregiver confirmed during the inspection that they did not wash child #3?s hands and their own hands after changing the soiled child.
2. The caregiver cleaned urine from the floor and did not wash hands after.
Plan of Correction: Wash me and the children's hands.
Standard 8VAC20-790-430-A-1
Based on record review and interview, the caregiver did not document a monthly practice evacuation drill.
Evidence:
The caregiver confirmed, during the interview, there is no documentation for June 2024 fire drill. The last fire drill was conducted in May 2024.
Plan of Correction: Conducted fire drill.
View original record on Virginia Department of Social Services