Inspection · 2021-10-04
Licensing Inspector
Christine Mahan
(757) 404-0568
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.
Yes
Areas Reviewed
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES
Inspector Notes
A subsidy inspection was initiated on October 4, 2021 and concluded on October 5, 2021. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards were reviewed during this supplemental inspection.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
Standard 22VAC40-665-500-F
Based on review, the vendor did not maintain a current written allergy list with all children's allergies, sensitivities, and dietary restrictions documented.
Evidence: The Director confirmed that the allergy list did not contain all of the allergies noted on child #1's physical examination.
Plan of Correction: The allergy list will be updated today.
Standard 22VAC40-665-520-B-11
Based on record review, the vendor did not ensure to have a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence: The Director confirmed that there was not an allergy plan for Child #1 who had diagnosed food allergies listed on the child's physical examination.
Plan of Correction: The parent has been notified of the need for this document and we expect to receive it by the end of the week.
Standard 22VAC40-665-580-H
Based on record review, in one of three staff records reviewed, the vendor did not ensure that staff who work directly with children shall annually complete the department's health and safety update course.
Evidence: The vendor confirmed that the most recent health and safety update training for Staff #1 was completed in 2018.
Plan of Correction: From now on, I will have all staff, including the program director to do the training every year.