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Teoshia Johnson

Inspection · 2024-08-01

Date
2024-08-01
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.
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
8VAC20-800 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.
63.2 Child abuse and neglect

Inspector Notes

A monitoring inspection was initiated on August 1, 2024, at approximately 11:58 AM to 1:50 PM. There were eight children present, ranging in age from 16 months to eight years old, with three 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 eight child records and two staff 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.

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.

Violations

4
Standard 22.1-289.035-B-3
Based on record review and interview, the center did not have documentation of central registry findings for two caregivers.

Evidence:
The records for caregiver #1 and caregiver #2 did not contain documentation of a central registry findings. Caregiver #1 and Caregiver #2 were not being supervised at all times by a person who has received a qualifying result on all background checks within the last 5 years.
Plan of Correction: Central Registries will be done before start date
Standard 8VAC20-800-100-A
Based on record review, the provider did not ensure that documentation of a physical examination by or under the direction of a physician was obtained prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
The record for child #4 did not have documentation of a physical examination.
Plan of Correction: All physical exams will be filed before start date.
Standard 8VAC20-800-680-B
Based on observation, caregivers did not ensure to wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.
Evidence:
Caregiver #2 did not wash hands after diapering a child in care.
Plan of Correction: Caregiver will wash hands after each diaper change
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that each child has been adequately immunized before a child may attend the family day home.

Evidence:
The records for child #1, child #2, child #4, and child #8 did not have documentation of immunizations.
Plan of Correction: Provider will make sure all child have documentation before start date