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Ms. Shonna Lawrence

Inspection · 2023-04-20

Date
2023-04-20
Complaint Related
No
Licensing Inspector
Shanae Vaughn
(276) 608-4267
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
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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 monitoring inspection was conducted on 4/20/2023. There were 4 children in care, ages 3 months ? 3 years, totaling 11 points and 2 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 2 children?s records and 3 pet records were reviewed. The children were observed during craft time. The inspector arrived for the inspection at 9:55am and departed at 11:27am.

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

Violations

4
Standard 8VAC20-800-100-A
Based on review of two children?s records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

Evidence: Child 2 started on 2/1/2023 and on the day of the inspection did not have the required physical record documented.
Plan of Correction: Provider will obtain physical record from parent.
Standard 8VAC20-800-320-A
Based on observation, the provider failed to ensure that small electrical appliances shall be unplugged unless being used by the caregiver or with children under close supervision.

Evidence:
1. The licensing inspector observed a coffeemaker on the kitchen counter by the sink that was plugged into an outlet and was not in use.
2. The licensing inspector observed a microwave on the kitchen counter to the right of the coffeemaker that was plugged into an outlet and was not in use.
Plan of Correction: Provider will unplug small appliances when not in use.
Standard 8VAC20-800-800-B
Based on observation and discussion, the provider failed to review the emergency plan at least annually and update the plan as needed.

Evidence: The emergency plan was dated 10/18/2021 and on the day of the inspection did not have an annual update documented.
Plan of Correction: Provider will review and update emergency plan.
Standard 8VAC20-800-90-A
Based on review of two children?s records, the provider failed to obtain documentation that the child has been adequately immunized.

Evidence: Child 2 started on 2/1/2023 and on the day of the inspection did not have the required immunization record documented.
Plan of Correction: Provider will obtain immunization record from parent.
View original record on Virginia Department of Social Services