Inspection · 2022-05-10
Date
2022-05-10
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(757) 404-0568
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
22.1 Religious Exempt Code; Background Checks Code; Carbon Monoxide
22VAC40-191 Background Checks for Child Welfare Agencies
Inspector Notes
A code compliance inspection was conducted on May 10, 2022. There were twenty-six children present, ranging in ages from infants to preschool age, with six staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of three children?s records and four staff records were reviewed. Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program.
Violations
3Standard 22.1-289.031-A-4
Based on review and interview, facility did not ensure 1 of 4 staff in a supervisory position has documentation of required health information.
Evidence: The record for staff #1 (start date March 28, 2022) did not have documentation of being certified by a physician or physician assistant to be free from any disability which would prevent her from caring for children.
Evidence: The record for staff #1 (start date March 28, 2022) did not have documentation of being certified by a physician or physician assistant to be free from any disability which would prevent her from caring for children.
Plan of Correction: Staff was given the staff health form and it will be completed today.
Standard 22.1-289.035-B-2
Based on review and interview, facility did not ensure 1 of 4 staff have a completed fingerprint criminal history check prior to beginning employment.
Evidence: The record for staff #2 (start date March 17, 2022) did not have a fingerprint criminal history letter of eligibility. Director confirmed it was not completed.
Evidence: The record for staff #2 (start date March 17, 2022) did not have a fingerprint criminal history letter of eligibility. Director confirmed it was not completed.
Plan of Correction: Staff scheduled an appointment with fieldprint to have it completed.
Standard 8VAC20-770-40-D-2
Based on review and interview, facility did not ensure 1 of 4 staff have a completed central registry search within 30 days of employment.
Evidence: The record for staff #3 (start date December 10, 2021) did not have a completed central registry search. Director located a Error Letter from the Central Registry Unit dated January 5, 2022 stating it needed to be corrected and resubmitted. The Central Registry Check had not been resubmitted.
Evidence: The record for staff #3 (start date December 10, 2021) did not have a completed central registry search. Director located a Error Letter from the Central Registry Unit dated January 5, 2022 stating it needed to be corrected and resubmitted. The Central Registry Check had not been resubmitted.
Plan of Correction: Staff will complete the form and have it notarized. Once that is completed, it will be uploaded through provider portal.