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Pamela Brown

Inspection · 2024-07-24

Date
2024-07-24
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
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

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site focused inspection was initiated and completed on July 24, 2024, as a part of licensure period. The on-site inspection began at 2:15pm and ended at 3:15pm. The inspector reviewed compliance in the areas listed above. There were nine children
present including two resident children and two caregivers the point total was 18. The inspector reviewed seven children?s records and one staff record. This inspection
included (include all that apply from the list below).
? document review (i.e. Injury logs, policies and procedures, emergency drill logs,
? tour of the facility,
? interviews,
? observations (this would include observations of photos, recordings, etc.), and

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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on
August 1, 2024. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-800-200-A
Based on record review and interview the provided failed to orient the assistant by the end of their first week of assuming job responsibilities.
Evidence:
1 - The record for the caregiver did not include documentation that orientation was completed by the end of their first week of assuming job responsibilities.
2 - The provider stated that she had not completed orientation with the caregiver.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
Based on observation and interview the provider failed to ensure that areas are maintained in safe condition.
Evidence:
1 - There is a top loading freezer in the kitchen where children were observed eating snack, that does not have a child proof latch to prevent children from gaining access.
2 - The provider confirmed that there was not a child proof latch on the top loading freezer.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Based on observation the provider failed to ensure that potentially poisonous substances are stored in areas inaccessible to children.
Evidence:
1 - The bathroom used by children in care, there were unlocked chemicals stored in a cabinet under the sink.
2 - Children were observed going into the bathroom during the inspection.
3 - The provider confirmed that the cabinet under the sink was unlocked.
Plan of Correction: Not available online. Contact Inspector for more information.