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Nora Nimely

Inspection · 2023-10-04

Date
2023-10-04
Complaint Related
No
Licensing Inspector
Arlene Agustin
(804) 629-7519
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
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 inspection was conducted on October 4, 2023, from 10:40am to approximately 12pm. There were four children present totaling 10 points and the provider. The Inspector reviewed four children?s records and provider?s record. The Inspectors observed staff and children?s interactions throughout the inspection. Children were observed during outdoor play, handwashing, story time, and free play. There is no transportation provided by the home and no medications administered. Information gathered during the inspection determined non-compliance with applicable standards or law and a violation was documented. The violation is listed on the violation notice issued to the center and were reviewed with the provider at the exit interview.

Violations

1
Standard 8VAC20-800-180-A
Based on record reviewed and interview, it was determined that the provider did not ensure that each caregiver and adult household member have aa current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Evidence:
1. The provider, Staff #1, had an expired report of tuberculosis screening dated 3/04/2021.
2. Staff #1 confirmed that the tuberculosis screening was expired.
Plan of Correction: The provider responded with the following: The provider will ensure to have an up-to-date tuberculosis screening and place it in the record. The plan is to complete this on Monday, October 9th.