Inspection · 2021-06-08
(804) 588-2367
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
63.2 Licensure and 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 8, 2021 and concluded on June 9, 2021. The provider was contacted by telephone to initiate the inspection. There were 0 children present and 1 staff. The Inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 2 children?s records and 1 caregiver record and 2 household member records submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
Violations
5Evidence:
1. Child #1's record did not contain documentation of a physical examination. Date of enrollment for Child #1 was 10/28/19.
2. The provider verified that there was no documentation of a physical for Child #1.
Evidence:
1. The provider's last documented tuberculosis screening was 01/16/2018. An update should have been completed in January 2020.
2. The provider acknowledged the tuberculosis screening was expired.
3. A report of TB screening for household members #1 and #2 were not in the record.
4. During interview, the provider reported the TB screening for household member #1 was not completed and the screening for household member #2 couldn't be located.
Evidence:
1. The record of Child #1 contained documentation of exemption for immunizations dated 01/21/2020. The first day of attendance for Child #1 was 10/28/2019.
2. The provider verified the first day of enrollment for Child #1 and the date the exemption was received.
Evidence: 1. The record of household member #2 did not contain documentation of a Sworn Statement or affirmation.
2. The provider acknowledged she didn't know where the Sworn Statement was located.
Evidence:
1. Based on a review of record of household member #1 there was no documentation of fingerprints.
2. The provider acknowledged fingerprints weren't obtained and stated "she just turned 18."
3. The date of birth for household member #1 is 03/07/03.