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Laura Marshall-Norris

Inspection · 2023-03-28

Date
2023-03-28
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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 monitoring inspection was conducted on March 28, 2023. There were 4 children (10 points) present with one caregiver. The home, children's records, caregiver records, household member records, first aid kit, menu's, evacuation drills and attendance logs were reviewed. There were no medications on site. The children were observed watching a video and playing with play-doh. Areas of non-compliance were cited on the violation notice. If you have any questions, please contact your licensing inspector at tanya.johnson@doe.virginia.gov or call 571.423.6392.

Violations

5
Standard 8VAC20-790-180-A
Based on a review of household member records, the provider failed to obtain for each household member a current Report of Tuberculosis Screening fore in accordance with the requirements in 8VA20-800-170.

Evidence:
Household Member #1's TB screening expired 06/29/2022.
Household Member #2's TB screening expired 05/24/2020.
Household Member #3's record did not have documentation of a TB screening or test.
Plan of Correction: I will have household members obtain current TB test or screening and will put results in the files.
Standard 8VAC20-800-100-A
Based on a review of children's records, the provider failed to obtain documentation of physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
Child #1's record does not include documentation of a physical exam by the 30th day of attendance. Child's first day of attendance was 01/11/2023.
Plan of Correction: I will ask the parents for the child's physical and put it in the child's file.
Standard 8VAC20-800-280
Based on observation, the provider failed to ensure that potentially poisonous substances such as, but limited to cleaning agents, disinfectants, deodorizers shall be sorted in areas inaccessible to children.

Evidence:
Lysol was stored by the entrance to the home on a cabinet that was accessible to children.
Plan of Correction: The Lysol was removed and placed in an inaccessible place during the inspection.
Standard 8VAC20-800-60-B
Based on a review of children's records, the provider failed to obtain all required documentation for each child enrolled.

Evidence:
Child #1's record did not contain documentation of the names of persons other than the custodial parents who are authorized to pick up the child.
Child #5's record did not contain documentation of the address of two designated person to contact in case of an emergency if the parent cannot be reached.
Plan of Correction: I will get the information from parents and put in the children's files.
Standard 8VAC20-800-830-A
Based on a review of evacuation logs, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly with all caregivers and the children in care during all shifts that children are in care.

Evidence:
The last practice evacuation was 08/26/2022.
Plan of Correction: I will ensure to complete fire drills each month and document that for the log.
View original record on Virginia Department of Social Services