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Ms. Edith Monroe

Inspection · 2025-04-04

Date
2025-04-04
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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 4/4/25. The on-site inspection began at 11:30am and ended at 12:55pm. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 caregiver; the point total was 7. The inspector reviewed 3 children's records and 2 caregiver/household member records on-site. This inspection included document review, a tour of the home, 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.

Violations

5
Standard 22.1-289.036-A
Repeat Violation
All caregivers and household members must obtain the results of a search of the central registry every five years.

The most recent central registry checks for caregiver 1 and household member 1 are both overdue by a year and four months.
Plan of Correction: The provider responded with the following: Updated central registry checks were requested in August 2024; however, the results were not recieved and follow-ups with OBI were not completed. The provider has contacted OBI and new requests will be completed. Results will be forwarded to the licensing inspector once received.
Standard 22.1-289.057-A
The program is required to submit to the Virginia Department of Health (VDH) and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH.
Plan of Correction: The provider responded with the following: The provider will submit a plan to test the home's water to VDH and will work to ensure testing is completed in a timely manner. Results of the testing will be submitted to VDH once received.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for caregiver 1 and household member 1 were not completed and were both overdue by one month.
Plan of Correction: The provider responded with the following: Caregiver 1 and household member 1 will obtain updated TB screenings this weekend. Going forward, the provider will ensure that updated TB screenings are obtained within the required timeframes.
Standard 8VAC20-800-60-B
Each child's record shall contain the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached.

The record for child 1 was missing the addresses for both emergency contacts.
Plan of Correction: The provider responded with the following: The parent will be contacted to obtain the addresses for the child's emergency contacts.
Standard 8VAC20-800-830-B
Shelter-in-place procedures shall be practiced a minimun of twice per year.

There was no documentation of shelter-in-place procedures being practiced in 2024.
Plan of Correction: The provider responded with the following: The provider will ensure shelter-in-place procedures are practiced at least twice a year and documented in the drill log.
View original record on Virginia Department of Social Services