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Sara Burke

Inspection · 2024-08-27

Date
2024-08-27
Complaint Related
No
Licensing Inspector
Alyssa Simons
(571) 423-6392
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
8VAC20-770 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

An unannounced, on-site monitoring inspection was initiated on August 23, 2024 and completed on August 23, 2024. The on-site inspection began at 3:45pm and ended at 5:00pm. The inspector reviewed compliance in the areas listed above. There were 9 children present and 1 caregiver the point total was 9. The inspector reviewed 5 children's records and 1 staff record on-site. This inspection included document review, tour of the facility, interviews and observation. 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 today, which will be the close of business on August 30, 2024. A POC submitted after this date will not appear on the public website.

Violations

1
Standard 8VAC20-800-180-A
Based on record review and interview, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening.
Evidence:
1. Caregiver #1's record contained a tuberculosis screening form that was dated 06/09/2022.
2. Caregiver #1 acknowledged that their record contained a tuberculosis screening form that was dated 06/09/2022 and that their was no additional tuberculosis documents available for review.
Plan of Correction: A new TB screening was completed on 08/27/2024.