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Janet Ward

Inspection · 2024-05-22

Date
2024-05-22
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
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
8VAC20-820 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

Inspector Notes

A renewal inspection was conducted on May 22, 2024, from 11:36am to 12:40pm. There were seven children present and two staff. Records were reviewed for five children and two staff records, along with any requested program records submitted by the provider to determine if required documentation was complete. Children were observed during naptime. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit interview.

Violations

5
Standard 8VAC20-800-270-A
Based on observation and interview, the provider did not ensure that firearms of every type and purpose shall be stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition.
Evidence:
1. The firearm in the household was locked together with the ammunition.
2. Staff #1 confirmed that the firearm was locked and stored together.
Plan of Correction: Gun was unloaded and locked in gun case. Locked ammunition in separate cabinet.
Standard 8VAC20-800-60-B
Based on record review and interview, the provider did not ensure that children?s records contain information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.
Evidence:
1. The record for Child #1 did not contain an allergy action plan for the physician diagnosed food allergy.
2. Staff #1 confirmed there was no documented allergy action plan in the record for child #1.
Plan of Correction: Gave parent action plan to have signed by physician.
Standard 8VAC20-800-730-A
Based on observation and interview, the provider did not ensure that medications for children in care shall be stored separately from medications for household members and caregivers.
Evidence:
1. The medication for child #1 was stored in a cabinet in the kitchen with the household member?s and caregiver?s medications.
2. Staff #1 confirmed that the medication for child #1 was stored with the household member?s and caregiver?s medication.
Plan of Correction: Lock box purchased and medicine stored.
Standard 8VAC20-800-940-B
Based on observation and interview, the provider did not ensure that the provider shall have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.
Evidence:
1. The provider did not have a thermometer available to monitor the refrigerator and freezer temperatures.
2. Staff # 1 confirmed that there was no thermometer available.
Plan of Correction: Purchased thermometers for freezer and refrigerator.
Standard 8VAC20-800-960-E
Based on observation and interview, the provider did not ensure that bottles shall be refrigerated and labeled with the child's full name and the date, if more than one infant is in care.
Evidence:
1. Approximately eight bottles of milk and water were stored in the refrigerator and did not contain labels with names or dates.
2. Staff #1 confirmed the bottles were not labeled with a date and the children?s name.
Plan of Correction: No infants bottles it was toddlers cups with water in them but all cups are labeled and dated.