Inspection · 2023-10-30
(703) 479-4678
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 Nighttime Care
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 today. There were 6 children (23 points) with 2 caregivers present. Provider stated she was not a Subsidy provider, therefore no Subsidy inspection was conducted today.
Children were resting quietly, and playing outdoors during the inspection.
Emergency evacuation drills, shelter-in-place drills, first aid supplies, emergency supplies, fridge/freezer temperatures, cot spacing and top and bottom covers were all in compliance today.
Violations were reviewed with the provider. See Violation Notice for non-compliances cited today.
Please note the while MAT certification training may recommend that emergency medications not be stored locked, the standards require it.
If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present today from 1:20 PM - 2:35PM.
Please submit your plan of correction within 5 business days in order for it to be included on the website
Violations
11Based on a review of records, one staff member did not have documentation of a completed nationwide fingerprint search, prior to employment.
Evidence:
Staff A did not have any fingerprint results on file (Date of Hire: (DOH) 10/23/23).
Evidence:
Staff A's record did not contain documentation of a completed SDS. (DOH: 10/23/23).
Evidence:
Staff A's record was incomplete. Missing information includes:
*Documentation of two references prior to employment.
*Emergency contact information.
Evidence:
Staff A's record did not contain documentation of orientation training. (DOH:10/23/23)
Based on a review of records, one child record was incomplete.
Evidence:
3 child records were reviewed.
*1 of 3 did not contain information for a second emergency contact. (Child 3)
*1 of 3 did not contain updated allergy information. (Child 4)
Evidence:
3 of 3 child records reviewed contained a decision to administer medication policy stating medications would not be administered. There are medications present that the provider would administer if needed. The provider obtained Medication Administration Training (MAT)certification and must update the policy with parents.
Evidence:
*3 of 3 medications did not have an effective date for the authorization completed. (Auvi-Q, Benadryl, Epi-pen). (Children #3, 4)
*1 of 3 authorizations did not list the provider as having authority to administer the medication. (Epi-pen) (Child 3)
*1 of 3 did not have a doctor's signature for a long term, as needed medication. (Benadryl) (Child 4)
Evidence:
*One medication was not in the original box with the prescription label attached (Auvi-Q). (Child #4)
Evidence:
At LI arrival, (approximately 1:20PM), medications were observed in plastic bags, tacked on the wall above the washing machine.
Based on a review of the emergency preparedness plan, the plan was not updated as needed.
Evidence:
The emergency plan needed to be updated to reflect a current relocation destination, once the old destination was no longer available.
Evidence:
Staff A's record doe not contain documentation of training in the emergency preparedness plan. (DOH: 10/23/23).