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Jena Wilson

Inspection · 2024-03-25

Date
2024-03-25
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 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 March 25, 2024 from 11:55 A.M.-1:15 P.M. There were two children present for a total of four points, with two caregiver's 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 five child records and two caregiver's 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 contact the Licensing Inspector at 540-430-9257.

Violations

7
Standard 8VAC20-800-100-A
Based on a review of children records, the provider failed to obtain documentation of physical examination within 30 days after the first day of attendance.

Evidence:
Child #3's first date of attendance was 01/23/2024. There was no documentation in the record of physical examination.
Plan of Correction: The provider will contact the parents and request the physical examination.
Standard 8VAC20-800-210-A
Based on a review of caregiver records, the provider failed to ensure that all caregivers shall obtain a maximum of sixteen clock of hours of training annually.

Evidence:
Caregiver #1 only had 13 hours of training between March 2023-March 2024.
Plan of Correction: Moving forward the provider will ensure that all caregivers obtain 16 hours of training annually.
Standard 8VAC20-800-320-B
Based on observation, the provider failed to ensure that all unused electrical outlets were covered with protective covers.

Evidence:
1. In the kitchen next to the stove there was an electrical outlet without a protective cover.
2. In the bathroom that the children use there was an electrical outlet on the wall next to the sink that did not have a protective cover.
3. In the playroom there was an electrical outlet without a protective cover.
4. All areas were accessible to children.
Plan of Correction: The provider will purchase additional protective covers and place in the outlets.
Standard 8VAC20-800-460-D
Based on review of pet vaccinations, the provider failed to ensure that a current rabies vaccination had been completed.

Evidence:
1. The rabies vaccination on file stated that it expired in January 2024.
2. The provider verified that a new rabies vaccination had not been completed.
Plan of Correction: The provider will contact the vets office and get an appointment to get an updated vaccination for her dog.
Standard 8VAC20-800-60-B
Based on a review of children records, the provider failed to ensure all required information was in the record.

Evidence:
1. Child #1's record did not contain the policy number of the child's medical insurance.
2. Child #3's record did not contain the name and policy number of the child's medical insurance.
3. The provider verified that the records did not contain the required information.
Plan of Correction: The provider will request the information from the parents and add to the record.
Standard 8VAC20-800-90-A
Based on review of children records, the center failed to ensure that immunizations were obtained before a child's first date of attendance.

Evidence:
Child #3's first date of attendance was 01/23/2024. The immunizations in the record were dated 01/29/2024.
Plan of Correction: In the future for new enrollees immunizations will be on file before the first day of attendance.
Standard 8VAC20-800-90-C
Based on review of children records, the center failed to obtain additional documentation of immunizations every six months for children under the age of two years.

Evidence:
1. Child #2,'s, (age 17 months), did not contain updated immunizations. The last immunizations in the record were dated 01/23/2023. Updated immunizations are required every six months.
2. The provider verified that updated immunizations had not been obtained.
Plan of Correction: The provider will contact the parent and request updated immunizations.
View original record on Virginia Department of Social Services