Inspection · 2024-11-12
Licensing Inspector
Michele Patchett
(757) 439-6816
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
8VAC20-800 Nighttime Care
8VAC20-770 Background Checks
20 Access to minor?s records
8VAC20-820 THE LICENSE.
63.2 Child abuse and neglect
54.1 Provider must be MAT certified to administer prescription medication.
Inspector Notes
An unannounced, on-site renewal inspection was initiated on November 12, 2024 and completed on November 12, 2024 , as a part of licensure period. The on-site inspection began at 12:20pm and ended at 2:22pm. The inspector reviewed compliance in the areas listed above. There were six children present and 2 caregivers; the point total was 13. The inspector reviewed 5 children?s records and 6 caregiver/household member(s) records on-site.
This inspection included document review, tour of the facility, interviews, and observations.
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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/19/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.
The most recent inspection report was not posted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no physical exam record available for Child #3, who had been in care for over 91 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-A
Providers must maintain a record for each caregiver.
There was no reference for Staff #1 and Staff #2. Staff #1 has been caring for children for over 12 months.Staff #2 has been caring for children for over 5 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Staff # 2, who has been caring for children for over five months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-C
The provider must orient assistants and subsitutes by the end of their first week of assuming job responsibilities and have documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant.
Staff #2 provided care for children for five months without having documentation of the orientation signed and dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Each child enrolled record should contain all of the required information.
The record for Child #1, enrolled for 15 months, was missing one emergency contact address.
The record for Child #3, enrolled for three years and 4 months did not have written authorization for emergency medical care should an emergency occur and the parent cannot be
located immediately unless the parent presents a written objection to provision of medical treatment on religious or other ground.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided required information in writing.' The parents of Child #2 were not provided in writing the following required information provisions of the family day home?s emergency preparedness and response plan. Child had been in care for 16 months .
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-770
A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.
The caregiver's weather band radio was not operable during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.
There was no documentation of immunizations for child #3, who was in care during the inspection and had been in care for 91 days.
Plan of Correction: Not available online. Contact Inspector for more information.