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Cynthia Garrett

Inspection · 2023-12-11

Date
2023-12-11
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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
8VAC20-820 THE LICENSE.
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.

Inspector Notes

A mandated monitoring inspection was conducted on December 11, 2023 from 11:30 A.M.-1:30 P.M. There were six children present for a total of 18 points, ranging in ages from five months to four years of age, with two 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 and two caregiver 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.

If you have any questions or concerns contact the Licensing Inspector at 540-430-9257.

Violations

4
Standard 8VAC20-800-100-A
Based on review of children records, the provider failed to obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
1. Child #4's date of enrollment was 11/01/2023. There was not documentation in the record of a physical examination.
2. The provider verified that there was not a documentation of a physical exam in the record.
Plan of Correction: The provider will follow-up with the parent to obtain the physical examination.
Standard 8VAC20-800-280
Based on observation, the provider failed to ensure that hazardous materials were inaccessible to children.

Evidence:
1. In the sleeping area on a shelf next to the diaper changing table there was a can of Microban Sanitizing Spray, and a container of Clorox Wipes.
2. In the bathroom there was a bottle of Mrs. Meyers Toilet Bowl Cleaner on the floor next to the toilet.
3. Manufacturer label stated "keep out of the reach of children" and "caution".
Plan of Correction: All areas that children use will be checked daily each morning to ensure that there are not hazardous materials accessible to children.
Standard 8VAC20-800-60-A
Based on a review of children records, the provider failed to obtain all required information for children records.

Evidence:
1. Child #1 and #4's file did not contain the date of enrollment.
2. Child #2's file did not contain the name and policy number of the child's medical insurance
3. Child #4's file did not contain a complete address for the designated persons to contact in case of an emergency if the parent cannot be reached.
Plan of Correction: The provider will contact all parents to get the missing information and will audit additional files to ensure all information is complete.
Standard 8VAC20-800-750-B
Based on observation, the provider failed to ensure that diapering ointment shall be inaccessible to children.

Evidence:
In the room with cubbies and diaper changing table there was a tube of Desitin Ointment on the floor next to the cubbies. Children have access to this room and area at all times.
Plan of Correction: The diaper ointment most likely fell out of a diaper bag. The provider will check diaper bags and pull out any diaper ointments so they are not accessible to children.
View original record on Virginia Department of Social Services