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Cynthia Garrett

Inspection · 2024-12-03

Date
2024-12-03
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
VAC20-800 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.
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on December 3, 2024 and completed on December 3, 2024. The on-site inspection began at 11:45 a.m. and ended at 1:35 p.m. The inspector reviewed compliance in the areas listed above. There were eight children present and three caregivers; the point total was eighteen. The inspector reviewed three children?s records and three caregiver/household member(s) records on-site. All other children's records were reviewed for updates. No updates needed at this time. This inspection included record 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

5
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
There is no sworn statement for staff #3, who is currently working and has been employed for three months.
Plan of Correction: Staff #3 completed the sworn statement on 12/4/24.
Standard 8VAC20-800-210-A
In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Staff #2 completed 13 hours of annual training.
Plan of Correction: The licensee will ensure all staff complete sixteen hours of annual training each year.
Standard 8VAC20-800-230-A
The provider shall maintain written documentation of each caregiver's applicable education and programmatic experience, applicable first aid and CPR certification, orientation, annual training, and applicable medication administration training.
The record for staff 3 did not contain the documentation of completing first aid certification. The licensee and staff 3 state the certification was completed.
Plan of Correction: A copy of the correct certificate will be obtained and added to staff 3's file.
Standard 8VAC20-800-60-B
A child's record shall contain the following information: The policy number of the child's medical insurance.
Child #1 and child #2's record did not have a medical insurance policy number.
Plan of Correction: The insurance policy number will be obtained and added to the file. In the future the caregiver will ensure all paperwork is complete.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each use.
The caregiver did not clean and sanitize the diapering surface after each diapering.
Plan of Correction: The diapering surface will be cleaned and sanitized after each use.
View original record on Virginia Department of Social Services