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Hannah Anokye-Gyambrah

Inspection · 2024-03-19

Date
2024-03-19
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 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 monitoirng inspection was conducted on March 18, 2024 from 2:30 P.M.-3:45 P.M. There were four children present for a total of eight points, ranging in ages from two years to four years of age, with one caregiver 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, one caregiver record, and two household members records 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

4
Standard 8VAC20-800-100-A
Based on review of children records, the provider failed to ensure that documentation of a physical examination was obtained within 30 days after the first day of attendance.

Evidence:
Child #1's first date of attendance was 01/15/2024. There was no documentation of a physical examination in the file. Child #1 was in attendance on 03/19/2024.
Plan of Correction: The provider emailed the parent requesting a copy of the physical exam.
Standard 8VAC20-800-180-A
Based on a review of the provider's record, the provider failed to ensure an updated tuberculosis screening was completed every two years from the date of the first screening.

Evidence:
1. The tuberculosis documentation in the record of the provider was dated 11/19/2021. A new tuberculosis screening was required by 11/19/2023.
2. The provider verified that they had not obtained an updated tuberculosis screening.
Plan of Correction: The provider made an appointment for a tuberculosis screening while the inspector was on site. The provider emailed the results to the inspector.
Standard 8VAC20-800-60-A
Based on a review of children records, the center failed to ensure that all required information was in the children records.

Evidence:
1. Child #1's file did not contain the name and policy number of the child's medical insurance.
2. The provider verified that the record did not contain the name and policy number of the child's medical insurance.
Plan of Correction: The provider will request the missing information when the parents pick up the child from care on 03/19/2024.
Standard 8VAC20-800-90-A
Based on review of children records, the provider failed to ensure that immunization documentation were in in the children records before the day the first date of attendance.

Evidence:
Child #1's first date of attendance was 01/15/2024. There was no documentation of immunizations in the record. Child #1 was in attendance on 03/19/2024.
Plan of Correction: The provider emailed the parent requesting a copy of immunizations. In the future children will not be able to attend until immunizations are received and in the record.
View original record on Virginia Department of Social Services