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Ms. Diane Seward

Inspection · 2021-07-19

Date
2021-07-19
Complaint Related
No
Licensing Inspector
Adrianna Walden
(757) 404-2487
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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

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 renewal inspection was initiated on 7/19/21 and concluded on 7/20/21). The provider was contacted by telephone and a virtual inspection was conducted. There were five children present 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

4
Standard 22VAC40-111-140-B-3
Based on a review of two caregiver records, it was determined the provider did not ensure that there is a caregiver present with a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

Evidence:
Evidence:
1. The record for caregiver #1 contained a CPR certification that expired in December 2020.
2. The record for caregiver #2 contained a CPR certification that expired in December 2020.
3. caregiver #1 confirmed there was no caregiver present with a current certification in CPR>
Plan of Correction: The provider responded: We complete a course for certification in first aid.
Standard 22VAC40-111-140-B-4
Based on a review of two caregiver records, it was determined the provider did not ensure that there is a caregiver present with a current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

Evidence:
1. The record for caregiver #1 contained a first aid certification that expired in December 2020.
2. The record for caregiver #2 contained a first aid certification that expired in December 2020.
3. caregiver #1 confirmed there was no caregiver present with a current certification in first aid.
Plan of Correction: The provider responded: We complete a course for certification in CPR.
Standard 22VAC40-111-180-A
Based on a review of two caregiver records, it was determined the provider did not ensure that the provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence:
1. The record for caregiver #1 contained a TB screening that was dated 12/28/18.
2. The record for caregiver #2 contained a TB screening that was dated 12/28/18.
3. Caregiver #1 confirmed that the TB screenings for caregiver #1 and caregiver #2 were completed more than two years ago.
Plan of Correction: The provider responded: Both caregivers will complete an updated TB screening.
Standard 22VAC40-111-320-G
Based on a review of documentation and interview, it was determined that the provider did not ensure that a fireplace shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

Evidence:
1. The documentation for the last fireplace inspection was dated 12/7/18.
2. Caregiver #1 confirmed that an annual inspection of the fireplace had not been conducted since 12/7/18.
Plan of Correction: The provider responded: I will scheduled an appointment to have the fireplace inspected.
View original record on Virginia Department of Social Services