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Ms. Denise Green

Inspection · 2024-10-29

Date
2024-10-29
Complaint Related
No
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 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 Early Childhood Care and Education
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 10/29/24. The on-site inspection began at 12:50 pm and ended at 2:15 pm. The inspector reviewed compliance in the areas listed above. There were 2 children present and 1 caregiver; the point total was 5. The inspector reviewed 3 children?s records and 1 caregiver/household member(s) record on-site.

This inspection included document review, tour of the facility, 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

3
Standard 8VAC20-800-210-A
Repeat violation:
Caregivers shall obtain a minimum of sixteen clock hours of training annually.

Caregiver #1 had 14 of the 16 training hours for 2023.
Plan of Correction: I will obtain the additional hours.
Standard 8VAC20-800-700-A
Prescription medications shall be given to a child only with written authorization from the parent.
There was no parental authorization for an emergency medication for child #1.
Plan of Correction: I will get the medication authorization.
Standard 8VAC20-800-710
The family day home may administered prescription medication to a child provided that the caregiver adminster only medication dispensed from a pharmacy and maintained in the original, labeled container.
1. A prescribed medication for child #1 was not in the original pharmacy container nor did it have a prescription label attached.
Plan of Correction: I will discuss with the parent for the need for the original prescription box.
View original record on Virginia Department of Social Services