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Mrs. Mildred Grant

Inspection · 2023-02-01

Date
2023-02-01
Complaint Related
No
Licensing Inspector
Arlene Agustin
(804) 629-7519
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
8VAC20-820 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

An unannounced monitoring inspection was conducted on February 1, 2023. The inspectors arrived at 9:20am and departed at approximately 10:30am. Present in the home were six children, totaling 16 points, and two providers. The youngest child in care was 10 months old. Children were observed during circle time, free play, and individual instruction. First Aid kits and emergency preparedness documents were observed. A sample size of five children's records were reviewed and two staff records. It was reported that no medication has been administered to children in care and no children's injuries were reported. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the two providers at the exit interview.

Violations

2
Standard 8VAC20-800-100-A
Based on record review and interview, it was determined that the family day home did not ensure that documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance is in the record.
Evidence:
1. Child #1 (date of enrollment 9/06/22) did not have documentation of a physical in their record.
2. Child #2 (date of enrollment 12/05/22) did not have documentation of a physical in their record.
3. Staff #1 and Staff #2 confirmed that Child #1 and Child #2 did not have documentation of a physical examination in their record.
Plan of Correction: The provider responded with the following: Staff will obtain documentation of Child #1 and Child #2?s physical examination and place it in their record.
Standard 8VAC20-800-240-A
Based on observation and interview, it was determined that the family day home did not ensure that areas and furnishings of the family day home, inside and outside, be maintained in a safe, and operable condition.
Evidence:
1. There are two plastic toys bins that are cracked and broken which poses a pinching and injury hazard to children in care.
2. Staff #1 and Staff #2 confirmed the two cracked and broken toy bins.
Plan of Correction: The provider responded with the following: Staff #1 is in the process of replacing all the toys bins and will replace the two broken toy bins to ensure safety of the children.