Inspection · 2024-08-12
Licensing Inspector
Christina Jones
(540) 340-2672
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 8/12/2024 and completed on 8/12/2024. The on-site inspection began at 12:30 pm and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 8 children present and 1 provider. The inspector reviewed 2 children?s records and 3 household member/provider records on-site. This inspection included document review, 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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/23/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-A
Based on review of 3 household member/provider records, the provider failed to obtain updated Sworn Statements every 5 years, as required. Evidence: the record for provider #1 and provider #2 had a sworn statement dated: 6/25/2019.
Plan of Correction: Sworn statements updated.
Standard 8VAC20-800-180-A
(Repeat Violation) Based on review of three provider/household member records, not all providers/household members had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for household member #1 had a TB test/screening dated: 3/1/2021.
Plan of Correction: TB was done, but page did not have name on second page. Other TB documentation was located.
Standard 8VAC20-800-50-A
Based on review of documentation, the provider failed to ensure all children were included on the written record of attendance. Evidence: the attendance record for 8/12/24 listed 7 children; however, 8 children were observed in care.
Plan of Correction: Have my own attendance sheet.
Standard 8VAC20-800-830-B
Based on review of documentation, shelter-in-place procedures were not practiced twice a year, as required. Evidence: the last documented shelter-in-place drill was dated: 8/2/2023.
Plan of Correction: Shelter in place drill conducted 8/13/2024 and documented.
Standard 8VAC20-800-90-A
Based on review of two child records, the provider did not obtain documentation that each child has received immunizations prior to the child's first day of attendance. Evidence: the record for child #1 (date of first attendance: 10/26/2023) did not have documentation of immunizations.
Plan of Correction: Have documents updated and signed exempt form was attached to physical.