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Monica Lancaster

Inspection · 2024-11-18

Date
2024-11-18
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
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 Background Checks Code, Carbon Monoxide
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.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 11/18/2024. The inspection began at 12:00 PM and ended at 1:15 PM. The inspector reviewed compliance in the areas listed above. There were 4 children present, totaling 11 points, and 1 staff. The inspector reviewed 4 children?s records and 2 staff/household records on site. This inspection included:
- document review,
- tour of the facility,
- interview, and
- observation

Information gathered during the inspection determined non-compliance with applicable standards or law, and a violation is 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 November 26, 2024. A POC submitted after this date will not appear on the public website.
Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.
Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.
The department's inspection findings are subject to

Violations

1
Standard 22.1-289.035-A
All employees and household members over the age of 18 years in a Family Day Home shall undergo background checks to include a Criminal Record Checks and completion of sworn statement or affirmation documents every five years.

Repeat completion of sworn disclosure statements were due for staff 1, six months ago and household member 2, two months ago.. Repeat criminal record checks for staff 1 and household member 2 were due to be obtained 3 months ago.
Plan of Correction: The provider responded with the following:
Sworn statements on file as of 11/21/24
Background checks have been ordered as of 11/21/24