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Carmen Stewart Cruz

Inspection · 2021-10-20

Date
2021-10-20
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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
22VAC40-191 Background Checks for Child Welfare Agencies

Inspector Notes

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

A monitoring inspection was initiated on October 20, 2021 and concluded on October 20, 2021. The provider was contacted by telephone and a virtual inspection was conducted. There were three children present, ranging in ages from 22 months to three years, with one caregiver supervising. 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 two child records and two caregiver records were reviewed.

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.

Violations

6
Standard 22VAC40-111-180-A
Based on review of caregiver records, the provider did not obtain for each caregiver and adult household member a current report of tuberculosis screening every two years from the date of the first screening.

Evidence:

1. The most recent documentation of tuberculosis screening for caregiver #1 was dated 12/28/2017, exceeding the requirement to obtain every two years.
2. The most recent documentation of tuberculosis screening for caregiver #2 was dated 08/04/2017, exceeding the requirement to obtain every two years.
Plan of Correction: Per the provider: A tuberculosis screen for caregiver #1 was updated on 10/22/2021. Caregiver #2 will obtain a current tuberculosis screening as soon as possible.
Standard 22VAC40-111-210-A
Based on review of two caregivers records and interview, the provider did not ensure caregivers obtained 16 hours of training annually in areas relevant to their job responsibilities.

Evidence:

1. Caregiver #1 had documentation of 2.5 hours of annual training for the period of 02/11/2020 through 2/10/2021 when 16 hours was required.
2. Caregiver #2 did not have documentation of 16 hours of training for the period of 02/11/2020 through 02/10/2021 when 16 hours was required.
3. The provider stated caregiver #1 and caregiver #2 did not complete the required 16 hours of training.
Plan of Correction: Per the provider: We will complete the annual training.
Standard 22VAC40-111-280
Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to cleaning agents, disinfectants and deodorizers were stored away away from food in areas inaccessible to children.

Evidence:

1. An unlocked child safety latch was observed on a cabinet below the kitchen sink. The provider opened the cabinet where dry food goods were being stored along with cleaning products.
2. The closet used for children's belonging was not locked and had sanitizers / disinfectant spays on a low shelf accessible to children in care.
Plan of Correction: Per the provider, I will remove the sanitizer from the closet and I locked the child safety latch on the cabinet.
Standard 22VAC40-111-290
Based on observation and interview, the provider did not ensure sharp kitchen utensils were inaccessible to children in care.

Evidence:

1. A knife block with knives was observed on the kitchen counter. Children have access to the kitchen and a child was observed at the table in the kitchen at the time of the inspection.
2. The provider acknowledged the knives in the knife block on the kitchen counter.
Plan of Correction: Per the provider: the knives will be moved to an area that is not assessible to the children.
Standard 22VAC40-111-770
Based on observation and interview, the provider did not maintain a working portable battery-operated weather band radio and extra batteries that were available to caregivers at all times.

Evidence:

1. The battery-operated radio did not work.
2. The provider stated she did not have additional batteries for the radio.
Plan of Correction: Per the provider: I will get more batteries and replace them.
Standard 22VAC40-111-800-B
Based on review and interview, the provider did not document in writing each review and update to the emergency plan at least annually as required.

Evidence:

1. The last documented update/ review of the emergency plan was dated 11/11/2018, exceeding the annual requirement.
2. The provider stated the emergency plan had not been reviewed or updated in the past year.
Plan of Correction: Per the provider: I will review the plan and sign the acknowledgment.
View original record on Virginia Department of Social Services