Inspection · 2022-06-07
Licensing Inspector
Cathy Aylor
(540) 222-6352
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 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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted from 10:15 - 11:30 am with the provider. There was one child in care, age 14 months, for a total of four points. The child was observed napping, waking, having a diaper change and having free play with a variety of age-appropriate toys. One child record, two caregiver records, written attendance, weekly menu and the first aid kit were reviewed. Required information was posted. The last emergency escape drill was conducted: 5/12/22 and the last shelter-in-place drill was conducted: 4/6/22. The provider is not Medication Administration Training (MAT) certified and cannot administer medication to children in care. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@doe.virginia.gov.
Standard 22.1-289.035-B-2
Based on review of two caregiver records, it was determined that not all caregivers had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) did not have an OBI determination letter.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.058
Based on observation, and an interview with the provider, it was determined that the home did not have a carbon monoxide detector as required. Evidence: the provider stated that the home does not have a carbon monoxide detector.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Based on review of documentation and an interview with the provider, not all records contained all required information. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) did not contain the job title, date of hire, name, address and phone number of a person to be notified in an emergency, or documentation that two references as to character and reputation as well as competency were checked before employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Based on review of two caregiver records, the provider did not have documentation of a tuberculosis (TB) test/screening for a caregiver at the time of hire and prior to coming into contact with children. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) had a TB test/screening dated: 2/19/22.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-A
Based on review of documentation, and an interview with the provider, not all caregivers received orientation by the end of their first week of assuming job responsibilities. Evidence: the record for caregiver #2 (date of hire: 1/4/2022) did not contain documentation of orientation training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-730-D
Based on observation, and an interview with the provider, it was determined that not all medication was kept in a locked place, using a safe locking method that prevents access by children. Evidence: three medications were observed inside an open grocery-type bag sitting on the floor.
Plan of Correction: Not available online. Contact Inspector for more information.