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Mrs. Celia Price

Inspection · 2024-09-18

Date
2024-09-18
Complaint Related
No
Licensing Inspector
Cindy Horne
(804) 297-4469
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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 9/18/24. The on-site inspection began at 11:10 a.m. and ended at 1:45 p.m. The inspector reviewed compliance in the areas listed above. There were 13 children present and 3 caregivers; the point total was 29. The inspector reviewed 5 children?s records and 4 staff records on-site. This inspection included document review (emergency drill logs, menu, daily schedule, rabies vaccination), 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on (date). A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.035-A
The Caregivers are required to undergo a background check is required every five years.

Repeat national fingerprint checks were not completed for Caregiver #1, #2, #3, and #4. The fingerprint checks for Caregiver #1, #3, #4 were overdue by more than a year and a half. The fingerprint check for Caregiver #2 was overdue by 15 days.
Plan of Correction: IPOC: See Intensive Plan of Correction.
Standard 8VAC20-800-100-A
(Repeat Violation) 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, Child #2, and Child #4 . Child #1 and Child #4 had been in care for 9 days. Child #2 had been in care for 22 days.
Plan of Correction: IPOC: See Intensive Plan of Correction.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

Updated screenings for Caregiver #1, #2, #3, and #4 were not completed and were more than 6 months overdue.
Plan of Correction: TB screens will be scheduled at the health department.
Standard 8VAC20-800-40-A
The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

The maximum licensed capacity of the home is 12 and there were 13 children in care during the inspection.
Plan of Correction: The schedule was reviewed and initialed by the parent.
Standard 8VAC20-800-460-I
Animal food dishes and water dishes shall be inaccessible to children.

The food and water bowls for the caregiver?s dog were on the floor in the dining room. Children were observed in the dining room during the inspection.
Plan of Correction: The dogs dishes will be moved to the master bathroom.
Standard 8VAC20-800-50-A
Providers must keep a written record of children in attendance each day.

The record of attendance was incomplete on the date of the inspection. The caregiver added the 13th child present to the attendance record during the inspection.
Plan of Correction: IPOC: See Intensive Plan of Correction.
Standard 8VAC20-800-770
A working battery-operated flashlight and extra batteries shall be kept in a designated area and be available to caregivers at all times.

The caregiver could not find a flashlight during the inspection.
Plan of Correction: A flashlight was purchased on 9/18/24.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

The last documented fire drill was over 6 months ago.
Plan of Correction: IPOC: See Intensive Plan of Correction.
Standard 8VAC20-800-90-A
(Repeat Violation) Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for Child #1 who had been in care for 9 days.
Plan of Correction: IPOC: See Intensive Plan of Correction.
View original record on Virginia Department of Social Services