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Keisha Jones

Inspection · 2023-02-14

Date
2023-02-14
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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 renewal inspection was conducted on 02/14/2023 from approximately 1:25 p.m. ? 4:10 p.m. Caregiver, household members, children?s records and the physical plant were reviewed. There were 11 children present that were between 2 years old and four years old with 2 caregivers 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 5 child records were reviewed. Caregiver and household member records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today, 03/01/2023. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.

Violations

5
Standard 8VAC20-800-200-C
Based on observation and interview, the provider failed document substitute provider orientation that is required by the end of the first week of assuming job responsibilities.
Evidence:
HHM1 (Household Member) was observed providing care and supervision of children during the inspection on 02/14/2023. The provider advised that HHM1 was needed to assist in the care of the eleven children in the family day home as the prior assistant left employment 01/ 27/2023. The provider did not have documentation of the orientation required by VAC20-800-200.C
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Based on file review, the provider failed to ensure that the provider obtained 16 hours of annual training.
Evidence:
The record for P1 contained verification of 11 hours of annual training in 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-510-C
Based on observation, the provider failed to ensure that occupied cots were at least 12 inches from each other.
Evidence:
Licensing inspector observed seven children resting in the classroom at the end of the living room. The rest mats were observed to be less than 12 inches apart.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
Based on a review of children?s records, the provider failed to ensure that five of five children?s
records contained all of the required information.
Evidence:
1. The records for C1, enrolled 12/05/2022, C2, enrolled 12/05/2022, and C3, enrolled 12/13/2022 did not document the parent?s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.6 and 7.
2. The record for C4 did not document: the name, address, and telephone number for two people to contact in case of an emergency if the parent cannot be reached (blank); the names of persons other than the custodial parents who are authorized to pick up the child (blank); the first date of attendance (blank); the parent?s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.6 and 7; and authorization for emergency medical care (blank).
3. The record for C5, enrolled 02/03/2022 did not document: the addresses of the child?s parents; the work phone number of the parent, if applicable; the addresses of the two emergency contacts; the names of persons other than the custodial parents who are authorized to pick up the child (blank); the annual parent confirmation of up-to-date information in the record as required by 8VAC20-800-780.B; and the authorization for emergency medical care (blank).
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-920
Based on observation, the provider failed to ensure that the menu for the current one-week period was posted.
Evidence:
The menu posted in the family day home was not for the current week of 02/13/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services