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Hannah Anokye-Gyambrah

Inspection · 2023-03-06

Date
2023-03-06
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

A mandated monitoring inspection was conducted on March 6, 2023 from 9:55 A.M.-1:00 P.M. There were eleven children present, ranging in ages from 10 months to five years of age, for a total of 25 points with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and two caregivers were reviewed.

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.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations

5
Standard 8VAC20-800-100-A
Based on review of children records, the provider failed to obtain a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
1. Child #1's date of enrollment was 09/22/2022. There was not documentation of a physical in the child's file.
2. Caregiver #1 verified that there was not documentation of a physical in the child's file.
Plan of Correction: The provider will contact the parent and request the physical examination.
Standard 8VAC20-800-180-A
Based on a review of caregiver records, the provider failed to obtain an updated Tuberculosis screening at least two years from the date of the first screening.

Evidence:
1. Caregiver #2's tuberculosis test on file was dated 01/07/2021.
2. Caregiver #1 verified that an updated tuberculosis screening had not been completed.
Plan of Correction: An appointment was immediately made and caregiver #2 obtained an updated tuberculosis screening.
Standard 8VAC20-800-680-B
Based on observation, the provider failed to ensure that children washed their hand before morning snack.

Evidence:
After the children put on their shoes and socks to get ready to go outside to play they sat down on the floor. The provider handed the children their morning snack and water cups. The children did not wash their hands before morning snack.
Plan of Correction: The provider will ensure that before eating snack and meals the children will wash their hands with warm water and soap.
Standard 8VAC20-800-780-B
Based on a review of children records, the provider failed to annually review with the parent the emergency contact information to ensure the information is correct.

Evidence:
1. Child #2's emergency contact information was last reviewed and dated 02/17/2022.
2. Child #4's emergency contact information was last reviewed and dated 02/17/2022.
3. Child #5's emergency contact information was last reviewed and dated 11/02/2021.
Plan of Correction: At pick-up the caregiver had the parents review the information and date when it was reviewed. The provider will audit all files to ensure all updates are obtained.
Standard 8VAC20-820-120-E-2
Based on interview and observation of posted information, the center failed to post the finding of the most recent inspection of the facility.

Evidence:
1. The inspection report and violation notice from the August 23, 2022 inspection was not posted.
2. Caregiver #1 verified that the acknowledgment form was posted, but not the inspection report and violation notice.
Plan of Correction: The provider requested the Licensing Inspector to resend the report and it was immediately posted.
View original record on Virginia Department of Social Services