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Tammy Williams Wells

Inspection · 2023-04-13

Date
2023-04-13
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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.
Yes

Areas Reviewed

8VAC20-850 PROVIDER REGISTRATION AND GENERAL PROCEDURES
8VAC20-850 HEALTH AND SAFETY CHECKLIST
20 Access to minor?s records
22.1 Background Checks Code; storage of firearms
63.2 Child abuse and neglect
8VAC20-770 Background Checks
8VAC20-790 Introduction
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

Inspector Notes

An announced initial subsidy health and safety inspection was conducted on Thursday, April 13, 2023 from approximately 12:00am to 1:43pm, to review compliance with the requirements for the subsidy program. There were no children in care during the inspection. A walk-through of the home was conducted with the provider. Administrative records, emergency supplies and equipment and areas of the home where children are present were inspected. One caregiver/ household member record was reviewed during this inspection. The provider stated that transportation is provided at this time and medication is not administered. Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the provider.
If you have any questions regarding the inspection, please contact the licensing inspector at (804) 929-3771.

Violations

5
Standard 8VAC20-790-200-2-a
Based on record review, the vendor did not ensure all caregiver records contained documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
The vendor's record did not have documentation of fingerprint based national criminal history search results.
Plan of Correction: I will obtain fingerprint results within two weeks.
Standard 8VAC20-790-210-A
Based on record review, the vendor did not ensure that each caregiver must be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children.
Evidence:
The vendor's record did not contain documentation of a tuberculosis screening which was completed within the last 30 days. The vendor's tuberculosis screening was dated 9/17/2022.
Plan of Correction: I will get TB results by the 20th.
Standard 8VAC20-790-400-H
Based on observation, the vendor did not ensure to keep medication in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There was unlocked medication located on the kitchen counter and in an unlocked cabinet in the bathroom.
Plan of Correction: I will lock up all medication by Saturday.
Standard 8VAC20-790-410-A
Based on observation, the vendor did not ensure to have all the required first aid kit components and non-emergency supplies.
Evidence:
1. The vendor?s first aid kit did not contain the following components; scissors, tweezers, tape, first aid manual, ice pack and triangular bandages.
2. The vendor did not have a working battery operated flashlight in the home.
Plan of Correction: I will get the remaining first aid kit supplies by Saturday.
Standard 8VAC20-790-420-A
Based on record review, the vendor did not ensure to have a written emergency preparedness plan that addresses, caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown, and shelter-in-place procedures and the most likely to occur emergency scenarios, including fire, severe storms, flooding, tornadoes, loss of utilities, earthquakes, intruders, violence on or near the premises, chemical spills, and facility damage or other situations that may require evacuation, lockdown, or shelter-in-place.
Evidence:
The vendor did not have a written emergency preparedness plan.
Plan of Correction: I will have it done by next Wednesday.