Inspection · 2024-09-05
(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 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Emergencies
8VAC20-800 Nutrition
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, on-site monitoring inspection was initiated and completed on 09/05/2024, as a part of the licensure period. The on-site inspection began at 8:00 am and ended at 9:26 am. The inspector reviewed compliance in the areas listed above. There were 11children present and 3 staff. The inspector reviewed 9 children?s records, two household records and 2 staff records on-site. This inspection included; document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Violations
5Based on observation, documents required by the Superintendent were not posted.
Evidence:
1. The most recent inspection was conducted on 4/3/24. The inspection paperwork posted was dated 9/19/23.
2. The most recently issued licensed was not posted. The posted license expired 5/16/24.
Evidence:
1. The negative results on file for Adult A is dated 8/21/22 (expired).
2. the negative results on file for Adult B is dated 8/20/22 (expired).
Evidence:
At LI arrival, no attendance was available for the 5 children present.
The attendance sheet presented for review later was not accurate, as a child was listed that was not present.
Systemic Deficiency
Based on a review of records, child records did not contain all required information.
Evidence:
9 records were reviewed.
1. 1 record did not contain documentation of the first date of attendance. (Child #9)
2. 2 records did not contain Proof of birth documentation that was signed by the [person viewing the document. (Children #6, 9)
3. 2 records did not contain documentation of health insurance name and policy number. (Children # 4,5)
Systemic Deficiency
Based on a review of records, child records did not contain written acknowledgment of all policies and procedures.
Evidence:
1. No medication policy is marked on the decision to administer medication form and the form is not signed by the parent. (Child 3)
2. The Decision to administer medication policy form is not signed by the parent. (Children # 2,9)