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Holly King

Inspection · 2023-07-31

Date
2023-07-31
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
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 EMERGENCIES
8VAC20-800 NUTRITION
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
54.1 PROVIDER MUST BE MAT CERTIFIED TO ADMINISTER PRESCRIPTION MEDICATION
63.2 CHILD ABUSE AND NEGLECT

Inspector Notes

An unannounced monitoring inspection was conducted on 07/31/2023. There were 9 children, ages 7 months- 10 years, totaling 21 points and 2 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 5 children?s records, 3 caregiver records, 1 household member records and 1 pet record were reviewed. The children were observed in free choice play, having a morning snack and in music and movement. The inspector discussed the following with the provider: infant play spaces and subsidy. The inspector arrived for the inspection at 9:55 am and departed at 11:30 am.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

5
Standard 8VAC20-800-180-A
Based on record review, the provider failed to obtain for each caregiver and adult household member a current tuberculosis screening every two years from the date of the first screening.

Evidence:
1. The most recent tuberculosis screening for Caregiver 1 was dated 06/01/2021. There was not a follow-up screening obtained before 06/01/2023.
2. The most recent tuberculosis screening for Household Member 1 was dated 05/30/2021. There was not a follow-up screening obtained before 05/30/2023.
Plan of Correction: Will call around and get appointments to get them updated.
Standard 8VAC20-800-680-A
Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

Evidence: Caregiver 2 was observed during two diaper changes. Caregiver 2 did not wash their hands after changing each of the diapers.
Plan of Correction: Will retrain caregivers.
Standard 8VAC20-800-680-B
Based on observation, the provider failed to ensure that children?s hands are washed with liquid soap and warm running water before eating and after toileting or diapering.

Evidence: Caregiver 2 was observed during two diaper changes. The two children that were observed during diapering did not wash their hands after diapering.
Plan of Correction: Will retrain caregivers.
Standard 8VAC20-800-690-D
Based on observation, the provider failed to ensure that the diapering surface is cleaned and sanitized after each use.

Evidence: Caregiver 2 was observed changing two diapers. Caregiver 2 did not sanitize the diapering surface after each use.
Plan of Correction: Will retrain caregivers.
Standard 8VAC20-800-90-C
Based on record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: The record for Child 5, determined to be 2 years old, contained a documented start date of 02/28/2022. The most recent immunization record for Child 5 was the initial immunization record dated 02/24/2022. Additional immunization records were not obtained between 02/24/2022 and the child?s 2nd birthday.
Plan of Correction: Will get an updated copy.
View original record on Virginia Department of Social Services