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Girls For A Change

Inspection · 2021-08-26

Date
2021-08-26
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

An initial inspection was initiated on August 26, 2021 and concluded on August 31, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 0 children present and 2 staff present. 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 2 staff records and 5 board member 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.

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. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations

3
Standard 22VAC40-185-540-E
Based on observation and interview, the center did not ensure the required nonmedical emergency supplies shall be on site.
Evidence: 1. There was not a working battery-operated radio in the center.
2. Administration acknowledged they didn't have one.
Plan of Correction: A battery operated radio has been purchased and placed with our emergency kit on-site.
Standard 22VAC40-191-40-C-1-A
Based on a review of Board Member records, the facility did not have current central registry results and sworn statements of affirmation upon application for licensure or registration as a child welfare agency.
1. The record of Board Member #1 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 5/9/21. The record of Board Member #1 did not contain documentation of a central registry result.
2. The record of Board Member #2 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 4/30/21. The record of Board Member #2 contained documentation of a central registry finding more than 90 days old. The central registry finding was dated 5/6/21.
3. The record of Board Member #3 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 5/2/21. The record of board member #3 contained documentation of a central registry finding more than 90 days old. The central registry finding was dated 5/10/21.
4. The record of Board Member #4 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 4/27/21. The record of board member #4 contained documentation of a central registry finding more than 90 days old. The central registry finding was dated 5/7/21.
5. The record of Board Member #5 contained documentation of a sworn disclosure statement more than 90 days old. It was dated 8/14/19.
Plan of Correction: All listed individuals except one who is out of the country have redone the action items or are in the process of getting the items completed. Proof of this can be found in the attached folder to this email.
Standard 63.2(17)-1721.1-B-2
Based on a review of records, the provider did not ensure every person required to undergo a background check submit to fingerprinting and provide personal descriptive information.
Evidence: 1. The record of Board Member #1 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/6/21.
2. The record of Board Member #2 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/10/21.
3. The record of Board Member #3 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/5/21.
4. The record of Board Member #4 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/5/21.
5. The record of Board Member #5 contained documentation of fingerprint results that were more than 90 days old. The results were dated 5/3/21.
Plan of Correction: All listed individuals except one who is out of the country have redone the action items or are in the process of getting the items completed. Proof of this can be found in the attached folder to this email.
View original record on Virginia Department of Social Services