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Sherry Brown

Inspection · 2024-08-16

Date
2024-08-16
Complaint Related
No
Licensing Inspector
Diana DeSilva
(571) 596-3656
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

VAC20-800 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
8VAC20-770 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, on-site renewal inspection was initiated on 08/16/2024 and completed on 08/16/2024 as a part of the current licensure period. The on-site inspection began at 10:25am and ended at 11:53am. The inspector reviewed compliance in the areas listed above. There
were 4 children present and 1 caregiver; the point total was 9. The inspector reviewed 4 children?s records and 2 staff records on-site. This inspection included document review and a tour of the family day home. 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
08/26/2024. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.011-F
REPEAT VIOLATION
Based on observation, the license and other documents required by the Superintendent
were not posted in a conspicuous place on the licensed premises.

Evidence:
The most recently issued license and finding of the most recent inspection were
not posted on the premises.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-3
REPEAT VIOLATION

Based on record review, the provider did not obtain central registry findings within 30 days of employment for all caregivers.

Evidence:
There is no documentation the provider submitted a central registry finding for caregiver #2 who's first day of employment was 06/27/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
REPEAT VIOLATION

Based on record review, the provider did not obtain a copy of the results of a criminal history record check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

Evidence:
1. Caregiver #2's first day of employment was 6/27/2024 and has lived outside of Virginia within the past five years.
2. Caregiver #2 does not have documentation of the results of a criminal history record check and the child abuse and neglect registry from any state outside of the commonwealth of Virginia.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.058
REPEAT VIOLATION

Based on observation, the family day home was not equipped with a carbon monoxide detector.

Evidence:
1.A carbon monoxide detector was not installed at the time of inspection.
2. Provider showed a detector purchased. It was in the unopened box in a Ziplock bag.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
1. Child #1's first day of attendance was in February 2023.
2. Child #1 did not have documentation of a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-D
Based on record review, the provider did not maintain the required background checks.

Evidence:
The provider did not maintain the documentation of a central registry background check results for Caregiver #1.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-150-A
Based on record review and interview, the provider did not have documentation to verify assistants are 16 years of age or older.

Evidence:
Caregiver #2 did not have documentation for age verification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-430-B
Based on observation, the required gates were not installed at stair openings.

Evidence:
The stairs to the second level and third level of the family day home are not blocked off with the required gates at the top or bottom of the stairs, making them accessible to the children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
REPEAT VIOLATION

Based on record review of emergency procedures, the provider did not review the
emergency plan at least annually and update the plan as needed. The provider did not
document in writing each review and update to the emergency plan.

Evidence:
The emergency plan was last reviewed and updated on 01/10/23.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
Based on record review, the emergency evacuation procedures were not practiced
monthly with all caregivers and children in care.

Evidence:
Emergency evacuation drills for fire were not practiced in the months of May and July.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that a child has been adequately immunized prior to attending the family day home.

Evidence:
1. Child #1's first day of attendance was in February 2023.
2. Child #1 did not have documentation of an immunization record.
Plan of Correction: Not available online. Contact Inspector for more information.