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Donna Conway

Inspection · 2022-02-24

Date
2022-02-24
Complaint Related
No
Licensing Inspector
Kelly Adriazola
(804) 840-8245
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

22VAC40-111 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.
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and a virtual tour of the program.

A monitoring inspection was initiated on February 18, 2022 and concluded on February 25, 2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 5 children present, ranging in ages from 22 months to 4, with the provider and 1 assistant. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and the records for the provider and 1 assistant.

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

Please contact the licensing inspector at 540-430-9256 if you have any questions.

Violations

3
Standard 8VAC20-770-40-D-4-a
Based on documentation, the provider did not obtain an out of state background check for one staff.

Evidence:
1. One staff record was reviewed.
2. Staff #1 did not have documentation of obtaining an out of state central registry search.
3. The provider confirmed an out of state central registry check had not been obtained.
Plan of Correction: The out of state central registry check was immediately completed. Documentation was sent to the licensing inspectionr.
Standard 8VAC20-800-140-B-4
Based on documentation review, the provider did not have current CPR/First Aid certification.

1. The record for the provider and one assistant was reviewed.
2. There was no documentation of current CPR/First aid for the provider and assistant.
3. The provider confirmed they had not obtained current CPR/First Aid certifcation.
Plan of Correction: It has been difficult to find a CPR/First Aid course to take in my area. CPR/First Aid will be taken as soon as possible. Documentation will be sent to the licensing inspector.
Standard 8VAC20-800-170-A
Based on record review, the provider failed to obtain a TB screening/test for one assistant before coming into contact with children.

Evidence:

1. One assistant record was reviewed.
2. There was no documentation of obtaining a TB/Screening prior to coming into contact with children.
3. The provider confirmed a TB had not been obtained for the assistant.
Plan of Correction: My assistant will obtain a TB screening or test as soon as possible. Documentation will be sent to the licensing inspector.
View original record on Virginia Department of Social Services