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Ms. Edith Monroe

Inspection · 2024-07-30

Date
2024-07-30
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
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
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 7/30/24. The on-site inspection began at 11:20am and ended at 12:35pm. The inspector reviewed compliance in the areas listed above. There were 5 children present and 1 caregiver; the point total was 13. The inspector reviewed 5 children?s records and 2 caregiver/household member records. This inspection included document review, a tour of the facility, interviews and observation. 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.

Violations

1
Standard 22.1-289.036-A
Based on record review and interview, the provider did not ensure that all caregivers and household members obtain the results of a fingerprint based background check, a search of the central registry and a completed sworn statement every five years as required.

Evidence:
1. The most recent fingerprint based background check for caregiver 1 is dated 1/2/19. Caregiver 1 was due for an updated fingerprint based background check in January 2024.
2. The most recent fingerprint based background check for household member 1 is dated 1/2/19. Household member 1 was due for an updated fingerprint based background check in January 2024.
3. The most recent central registry search result for caregiver 1 is dated 12/3/18. An updated central registry search for caregiver 1 was due in December 2023.
4. The most recent central registry search result for household member 1 is dated 12/3/18. An updated central registry search for household member 1 was due in December 2023.
5. The most recent sworn statement for caregiver 1 is dated 9/27/18. An updated sworn statement for caregiver 1 was due in September 2023.
6. The most recent sworn statement for household member 1 is dated 11/27/18. An updated sworn statement for household member 1 was due in November 2023.
7. The provider confirmed that the fingerprint based background check, the search of the central registry and the sworn statements for caregiver 1 and household member 1 were expired.
Plan of Correction: The provider responded with the following: All expired background checks will be completed as soon as possible. Once received, results will be forwarded to the licensing inspector. Going forward, the provider will ensure all background checks are completed within the required timeframes.
View original record on Virginia Department of Social Services