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Adela Luning

Inspection · 2023-02-16

Date
2023-02-16
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
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
VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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 renewal inspection was conducted on February 16, 2023 between the hours of 9:30am and 11:45am. There were 12 children present, with 3 caregivers supervising within the supervision guidelines. (for a total of 33 points). The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, children and caregiver files, special care and emergencies, evacuation drill logs and nutrition. 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.

Contact sheila.nelson@doe.virginia.gov or call 804-629-7489 if you have any questions regarding this inspection. Thank you for your cooperation during this inspection.

Sheila Nelson
License Inspector
Virginia Department of Education
Office of Child Care Health and Safety
Division of Early Childhood Care and Education

Violations

9
Standard 22.1-289.035-B-2
Based on record review and interview, the provider did not obtain a criminal history check prior to the 1st day of employment.
Evidence:
1. The record for caregiver #3 was not available for review.
2. The caregiver #3 acknowledged the criminal history check was not completed.
3. The provider acknowledged the criminal history check was not completed.
Plan of Correction: I was aware of the requirements but because my approved substitutes cancelled at the last minutes, I contacted a long time friend to fill in to assist my other caregivers in my absence for the day. I will not use anyone in the future who doesn't have a complete file.
Standard 8VAC20-770-60-B
Based on record review and interview, a sworn statement was not completed prior to 1st day of employment.
Evidence:
1. The record for caregiver #3 was not available for review.
2. The provider acknowledged the sworn statement was not completed.
3. Caregiver #3 acknowledged the sworn statement was not completed.
Plan of Correction: I am aware of the requirements but I contacted my long time friend to fill in for me to assist my other caregivers because my substitute cancelled at the last minute. I will not use anyone in the future who doesn't have a complete file.
Standard 8VAC20-800-120-A
Based on record review and interview, the provider did not maintain a record for each caregiver.
Evidence:
1. A record for Caregiver #3 was not available to review.
2. The provider acknowledged there was not a record for Caregiver #3.
Plan of Correction: I was aware of the requirements, but my substitutes cancelled at the last minute. I contacted a long friend to assist my other caregivers in my absence. I will not use anyone in the future who doesn't have a complete file.
Standard 8VAC20-800-170-A
Based on record review and interview, the provider did not obtain from each caregiver at the time of hire an initial Tuberculosis (TB) screening prior to coming into contact with children.
Evidence:
1. Caregiver #3 did not have documentation of a TB screening.
2. Caregiver #3 acknowledged there was no TB record.
3. The provider acknowledged there was no record.
Plan of Correction: I was aware of the requirements, but my substitutes cancelled at the last minute. I contacted a long friend to assist my other caregivers in my absence. I will not use anyone in the future who doesn't have a complete file.

Substitute caregiver left the area where the children were playing.
Standard 8VAC20-800-230-A
Based on observation, the provider did not maintain a written documentation of each caregiver?s applicable education and programmatic experience.
Evidence: There was no record of education and programmatic experience for caregiver #3 to review.
Plan of Correction: I was aware of the requirements, but my substitutes cancelled at the last minute. I contacted a long friend to assist my other caregivers in my absence. I will not use anyone in the future who doesn't have a complete file.
Standard 8VAC20-800-280
Based on observation, potentially poisonous materials were not stored away from food in areas inaccessible to children.
Evidence: The kitchen area has an unlocked cabinet under the sink with cleaning products inside that are accessible to children.
2. There was 5 cans of vegetables and a container of oatmeal stored beside the cleaning products (Windex, glue, and a gallon of open hand sanitizer).
Plan of Correction: I will remind my caregivers to keep the cleansers in accessible to children and away from food products.

Violation was corrected during the inspection.
Standard 8VAC20-800-680-B
Based on observation, the caregivers did not ensure the children?s hands were washed with liquid soap and warm running water after toileting or diapering.
Evidence: Child #7 hands were not washed after diapering.
Plan of Correction: I will practice with the caregivers on proper handwashing.
Standard 8VAC20-800-690-D
Based on observation and interview, the diapering surface was not cleaned and sanitized after each use.
Evidence:
1. The diapering surface was not cleaned with soap and water after diapering a child.
2. Caregiver #4 acknowledged not using soap and water to clean the diapering surface but used only a bleach solution to sanitize after each use.
3. The provider acknowledged using only a bleach and water solution to clean the diapering surface.
Plan of Correction: I will ensure the diaper surface is cleaned with soap and water before the surface is sanitized. I will provide soap and water bottles at the diapering area.
Standard 8VAC20-800-750-A
Based on record review, when using topical skin products, the provider failed to obtain a written parent authorization noting any known adverse reactions annually.
Evidence: There was no written parent authorization for a homemade diaper ointment for child #7 on file.
Plan of Correction: I will have parent sign the authorization tomorrow.
View original record on Virginia Department of Social Services