Virginia
Sign in
Back
Virginia Commonwealth University Health System Authority -N Deck

Inspection · 2021-06-11

Date
2021-06-11
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A monitoring inspection was initiated on June 11, 2021 and concluded on June 14, 2021. The director was contacted by telephone to initiate the inspection. There were 97 children present and 30 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed five children?s records and nine staff records submitted by the facility to ensure documentation was complete.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations

2
Standard 22VAC40-185-510-N
Based on review of medication authorization forms and interview, the facility did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

Evidence:

1. The medication authorization for child #6, expired 11/22/2019. The medication was on site. The administrator stated the medication had not been administered.
2. The medication authorization for child #7, expired 10/01/2020. The medication was on site. The administrator stated the medication had not been administered.
Plan of Correction: Per the administrator: The parents were notified that the authorizations needed to be renewed. The medication is an emergency medication and was not returned/ disposed of due to concerns of not having it in an emergency situation. The parents are being notified that without an updated medication authorization, enrollment will be suspended until the renewed authorization forms are received.
Standard 22VAC40-185-550-M
Based on review of seven written injury reports, the facility did not ensure six of the injury reports included all required documentation.

Evidence:

1. Injury report #1 did not contain documentation of the time the parent was notified of the injury.
2. Injury report #3, did not contain documentation of the time and method of when and how the parent was notified of the injury.
3. Injury report #4, did not contain documentation of the time the parent was notified of the injury.
4. Injury report #5, did not contain documentation of the date, time and method of when and how the parent was notified of the injury.
5. Injury report #6, did not contain documentation of the time and method of when and how the parent was notified of the injury.
6. Injury report #7, did not contain documentation of the date and time of when the parent was notified of the injury.
Plan of Correction: Per the administrator: Going forward I will review with staff the requirement to complete each form with the actually time and method parent as notified of the injury.
View original record on Virginia Department of Social Services