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Triple R Ranch

Inspection · 2024-07-30

Date
2024-07-30
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, monitoring inspection was initiated and completed on 07/30/2024, as a part of the licensure period. The on-site inspection began at 10:10 AM and ended at 11:30 AM. The inspector reviewed compliance in the areas listed above. There were 27 children present and 4 staff. The inspector reviewed 2 children?s records and 2 staff records.
This inspection included:
? document review (Injury logs, medication administration logs, authorization forms),
? tour of the facility,
? interviews,
? observations

Information gathered during the inspection determined non-compliance with applicable standards or law, and a violation is 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 today, which will be the close of business on August 6, 2024. A POC submitted after this date will not appear on the public website.

Violations

1
Standard 8VAC20-780-550-P
Based upon review of records of children's injuries, the facility has not ensured that each record includes a staff and parent signature or two staff signatures.
Evidence:
The record of children's injuries reviewed was entered into the computer program and did not include any signatures.
Plan of Correction: The facility responded with the following:
Use model form including staff signatures