Inspection · 2024-08-19
Licensing Inspector
Christina Jones
(540) 340-2672
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 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site monitoring inspection was conducted on 8/19/2024. The on-site inspection began at 11:15 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were 7 children present and 2 providers. The inspector reviewed 4 children?s records and 3 provider/household member records on-site on 8/19/2024. This inspection included document review, a tour of the facility, 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 9/4/2024. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-800-100-A
Based on review of 4 child records, the provider did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within 30 days after the first day of attendance. Evidence: the record for child #2 (date of first attendance: 4/29/2024) did not have documentation of a physical.
Plan of Correction: Child #2 has a physical examination record.
Standard 8VAC20-800-170-A
Based on review of 3 provider/household member records, not all providers had a tuberculosis (TB) test/screening at the time of hire and prior to coming into contact with children. Evidence: the record for provider #2, who was observed supervising children, did not have documentation of a TB test/screening.
Plan of Correction: Provider #2 has
Standard 8VAC20-800-250-A
Based on observation, the provider failed to ensure that strangulation hazards were kept out of reach of children under five years of age. Evidence: One infant was observed sleeping with a pacifier attached to a ribbon, presenting a strangulation hazard.
Plan of Correction: Child does not use pacifier anymore. Removed.
Standard 8VAC20-800-280
Based on observation, the provider failed to ensure that poisonous substances were stored in areas inaccessible to children. Evidence: A bottle of bleach water was observed sitting on the bathroom counter, accessible to the children in care.
Plan of Correction: It was removed. (It was a mistake)
Standard 8VAC20-800-530-B
Based on observation, a crib in use by a napping infant contained a top cover. Evidence: an infant was observed sleeping in a crib in a locked room covered with a blanket.
Plan of Correction: Removed/stopped using the blanket.
Standard 8VAC20-800-560-A
Based on observation and interview, the provider failed to provide direct care and supervision of each child at all times. Evidence:
1. An 8 month old infant was observed sleeping in a crib in a locked room.
2. The sleeping infant was not in sight/hearing of caregivers, and the provider had no direct access when they had difficulty opening the locked door because it was ?oily.?
3. Caregivers did not conduct in-person observations at least once every 15 minutes. Caregivers stated they monitor every 30 minutes, however, the LI observed that there were no in-person observations for approximately 40 minutes until the LI requested that they do so.
Plan of Correction: Child is checked on after 15 minutes while napping.
Standard 8VAC20-800-830-A
(Repeat Violation) Based on review of documentation, not all emergency evacuation procedures were practiced, as required. Evidence: there were no drills documented between 6/9/2023 and March 2024, and there was no documented drill in July 2024.
Plan of Correction: Repeated violation. Drills were documented.
Standard 8VAC20-800-830-B
Based on review of documentation, not all shelter-in-place procedures were practiced, as required. Evidence: the last documented shelter-in-place drill was dated: 6/14/2023.
Plan of Correction: Shelter-in-place were documented.
Standard 8VAC20-800-90-A
Based on review of 4 child records, the provider did not obtain documentation that each child has been adequately immunized prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 4/29/2024) did not have documentation of immunizations.
Plan of Correction: Child #2 has immunization record in folder.