Inspection · 2021-12-09
(804) 381-8487
Areas Reviewed
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program.
A renewal inspection was initiated on December 9, 2021 and concluded on December 9, 2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 8 children present, ranging in ages from 15 months to 5 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records, 2 caregiver records and 2 household member records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
Violations
4Evidence: 1. The record of caregiver #1 did not contain results of an out-of-state sex offender check. Caregiver #1 identified living in another state in the past 5 years on the caregiver's sworn disclosure statement dated 06/10/20. 2. The record of household member #1 did not contain results of an out-of-state sex offender check. Household member #1 identified living in another state in the past 5 years on the household member's sworn disclosure statement dated 6/10/20. 3. The provider acknowledged the out-of-state sex offender checks were not completed.
Evidence: 1. The record of household member #2 (DOB 11/9/06) contained documentation of central registry results dated 4/15/21.
Evidence: 1. The record of caregiver #2 (DOH 11/3/21) did not contain documentation that two or more references as to character and reputation, as well as, competency were checked before employment. 2. The provider acknowledged that the references were not obtained.
Evidence: 1. There was no documentation of a fire drill in September 2020. 2. The provider stated she conducted a shelter-in-place that month and didn't know she had to do a fire drill if she did a shelter-in-place.