Inspection · 2021-09-01
Licensing Inspector
Morgan Bryson
(540) 270-0057
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
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and an interview conducted with the provider.
A monitoring inspection was initiated and concluded on 09/01/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were six children present, ranging in ages from five months to four years, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of three child records and three staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Standard 22VAC40-111-100-A
Based on review of three children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: The records for Child B (start date: 06/07/2021), Child C (start date: 06/01/2021), and Child D (start date: 06/02/2021) did not have documentation of a physical on file.
Plan of Correction: The provider will request documentation of the most recent physical from the parents of child B, C, and D.
Standard 22VAC40-111-180-A
Based on review of two records it was determined that not all TB (Tuberculosis) screenings were repeated every two years. Evidence: The most recent TB screening on file for the provider is dated 06/10/2019.
Plan of Correction: The provider will obtain a new TB screening
Standard 22VAC40-111-30-A
Based on interview with the provider it was determined that the provider did not always remain in compliance with the terms of the license. Evidence: The provider is currently licensed to care for children age 1 month - 3 years, 11 months. Through discussion the LI was made aware that the provider is caring for child A: age 4 years, 2 months. (DOB: 06/07/2021)
Plan of Correction: The provider will request to modify the age range on the license.
Standard 22VAC40-111-700-A
Based on review of one medication it was determined that not all medication was accompanied by a written parent authorization. Evidence: An emergency medication on site for Child A was not accompanied by a written parent authorization.
Plan of Correction: The provider has requested a written authorization from the parent.