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Patricia Bly

Inspection · 2022-03-24

Date
2022-03-24
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
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

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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a in-person tour of the program A renewal inspection was initiated on 3/21/22 and concluded on 3/24/22. The provider was contacted by telephone to initiate the inspection. There were 4 children present and 2 caregivers. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 caregiver/household member records, along with any requested program records submitted by the facility to determine if required documentation was complete. 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.

Violations

3
Standard 22.1-289.035-B-4
Based on a review of two caregiver records, it was determined that the facility did not ensure that they obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence:
1. The record for caregiver #1 did not contain documentation of a completed search of the central registry finding and sex offender registry check from North Carolina. The sworn statement indicated caregiver #1 had previously lived in North Carolina within the last 5 years.
2. Caregiver #2 reviewed the record, and confirmed that the search of the central registry finding and sex offender registry check from North Carolina has not been received for caregiver #1.
Plan of Correction: The provider responded: Caregiver #1 will complete a search of the central registry finding and sex offender registry check from North Carolina.
Standard 8VAC20-800-210-A
Based on a review of two staff records, it was determined that the Licensee did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence:
1. The records Caregiver #1 and Caregiver #2 were reviewed and did not contain documentation that any of the staff had completed the required 16 hours of annual training.
2. Caregiver #2 confirmed that neither caregiver had not completed the required 16 hours of annual training.
Plan of Correction: The facility responded: We will ensure that all caregivers complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Standard 8VAC20-800-690-E
Based on observation and interviews, it was determined that the provider did not ensure that disposable diapers shall be disposed of in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the storage system during disposal.

Evidence:
1. The Licensing Inspector observed caregiver #1 complete a diaper change, but did not see a foot operated trash can.
2. Caregiver #2 confirmed that there was not a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
Plan of Correction: The provider responded: We will purchase a a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
View original record on Virginia Department of Social Services