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Triple R Ranch

Inspection · 2024-07-18

Date
2024-07-18
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

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on July 18, 2024, as a part of the licensure period. The on-site inspection began at 11:11 AM and ended at 1:50 PM. The inspector reviewed compliance in the areas listed above. There were 19 children present and 4 staff. The inspector reviewed 3 children?s records and 10 staff records on site. This inspection included .
?document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms),
?tour of the facility,
?interviews, and
?observations

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are 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 July 19, 2024, which will be the close of business on July 25, 2024. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 22.1-289.035-B-4
Based upon review of staff records, the facility has not ensured that a search of the child abuse and neglect registry is obtained from any state in which the staff person has resided in the past five years.
Evidence:
The record provided for staff 4 indicated that staff 4 resided in South Carolina within the past five years. Results of a central registry search from South Carolina have not been received.
Plan of Correction: The facility responded with the following:
Contacted agency in SC. Used correct form and emailed on 7/22. Waiting results.
Standard 8VAC20-780-240-B
Based upon review of staff records, the facility has not ensured that staff complete orientation training no later than seven days of the date of assuming job responsibilities.
Evidence:
The records provided for staff 4 and staff 7 indicated a hire dates of 6/13/2024. There was no documentation that either staff 4 or staff 7 received the required orientation training.
Plan of Correction: The facility responded with the following:
Use model form to document training.
Standard 8VAC20-780-240-I
Based upon review of staff records, the facility has not ensured that documentation of orientation training includes all required information.
Evidence:
The documentation of orientation training in staff files did not include a listing of all required topics, the entity or individual providing the training and the training delivery method.
Plan of Correction: The facility responded with the following:
Use model form to document training
View original record on Virginia Department of Social Services