Inspection · 2023-06-26
Date
2023-06-26
Complaint Related
No
Licensing Inspector
Nicole Jeffress
(804) 773-1847
(804) 773-1847
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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
Inspector Notes
A subsidy health and safety (SHSI) inspection was completed on 6/26/2023. A licensing inspection was also conducted on this date. Both inspections combined cover subsidy and safety regulations. Only subsidy requirements that are not covered in licensing standards were reviewed during this supplemental inspection.
Information gathered during the inspection determined violations with applicable standards or law. Violations are identified on the violation notice.
Violations
5Standard 8VAC20-790-180-B
Based on observation and interview the provider did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
When asked to view the current attendance record for the children present, the provider stated that she had not documented attendance.
Evidence:
When asked to view the current attendance record for the children present, the provider stated that she had not documented attendance.
Plan of Correction: The provider will begin documenting the daily attendance of each child, showing their time of arrival and departure, as it occurs, starting tomorrow.
Standard 8VAC20-790-250-F
Based on a review of records and interview, the Licensee was not able to demonstrate that she annually attended at least 16 hours of training, to include the department's health and safety update course.
Evidence:
Two provider / Household member records were reviewed.
The record for Provider #1 did not contain and documentation of training obtained for the past year.
The provider confirmed that she did not have any training documentation available.
Evidence:
Two provider / Household member records were reviewed.
The record for Provider #1 did not contain and documentation of training obtained for the past year.
The provider confirmed that she did not have any training documentation available.
Plan of Correction: The provider stated that she will begin taking training now to ensure that she acquires the mandatory 16 hours of training, to include the departments annual Health and Safety update training for the current year.
Standard 8VAC20-790-430-A-1
Based on a review of documentation and interview, the provider was unable to demonstrate that she practices evacuation procedures with the children in attendance at least monthly.
Evidence:
When asked to review the documentation of evacuation drills, the provider stated that she had not conducted these drill in several months and did not have easy access to show the inspector documentation of when they had last been conducted during the inspection.
Evidence:
When asked to review the documentation of evacuation drills, the provider stated that she had not conducted these drill in several months and did not have easy access to show the inspector documentation of when they had last been conducted during the inspection.
Plan of Correction: The provider will begin documenting the evacuation drills each month before the end of June.
Standard 8VAC20-790-430-A-2
Based on a review of documentation and interview, the provider was unable to demonstrate that she practices shelter-in-place procedures with the children in attendance at least 2 times per year.
Evidence:
When asked to review the documentation of shelter in place drills, the provider stated that she had not conducted these drills in the past year.
Evidence:
When asked to review the documentation of shelter in place drills, the provider stated that she had not conducted these drills in the past year.
Plan of Correction: The provider will practice and document the Shelter-In-Place drills a minimum of two times annually before the end of December 2023.
Standard 8VAC20-790-430-A-3
Based on a review of documentation and interview, the provider was unable to demonstrate that she practices Lock-Down procedures with the children in attendance at least once per year.
Evidence:
When asked to review the documentation of Lock-Down drills, the provider stated that she had not conducted this drill in the past year.
Evidence:
When asked to review the documentation of Lock-Down drills, the provider stated that she had not conducted this drill in the past year.
Plan of Correction: The provider will practice and document the Lock Down Drill at least once each year before the end of December 2023.