Inspection Date: Sept. 24, 2018
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
Today an unannounced monitoring inspection was conducted starting at 2:10pm and ended at 3:45pm. There were 31 children present today with 2 staff. Children were observed arriving from school, eating snack, taking bathroom breaks, and having quiet reading/homework time. Two medications with authorizations were reviewed. Medication Administration Training (MAT) and First Aid/CPR certifications were checked today. Staff records are reviewed annually in the administrative office. Please email me at firstname.lastname@example.org with any questions or clarification needed.
Standard #: 22VAC40-185-60-A-7 Description: Based on record review and interview, the program does not have proper authorization to take action in the event of an allergic reaction. Evidence: 1. Child #2 and Child #3 are both diagnosed with food allergies and have parents instructions to have emergency medication administered in the event of an accidental ingestion of an allergen, however there is no medication on site available for either child. 2. Child #4 has a diagnosed health condition and has doctor's instructions to receive emergency medication in the event of an emergency. There is no medication available on site for this child. Plan of Correction: Child #2's parent is working on getting us medication. I will have Child #3's parent either bring the medicine or update the registration form. I will talk to Child #4's physical to see if this medicine is needed.
Standard #: 22VAC40-185-240-D-1 Description: Based on a review of medication and interview, the program has agreed to administer a prescribed medication to one child without a staff member on site that has satisfactorily completed a training program that qualifies them to administer the medication. Evidence: Child #4 has an emergency medication on site to be administered in case of an accidental ingestion of an allergen. There are no staff members on site that have been trained to administer this particular medication. Plan of Correction: I didn't know. I will try to get it done tonight.
Standard #: 22VAC40-185-510-A Description: Based on a review of medication and authorizations, the program did not obtain a written permission to administer medication for one child who has medication kept on site. Evidence: Child #4 currently has medication on site for a diagnosed food allergy. The program has not obtained written authorization to administer the medication from the child's parents. Plan of Correction: I can have the parents fill out the short term form that will last for 10 days and if the medicine needs to be here longer it will get filled out by the doctor.
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The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.