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Ms. Phyllis Noel

Inspection · 2023-05-03

Date
2023-05-03
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
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 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 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse

Inspector Notes

The inspection was initiated and concluded on May 3, 2023. There were 9 children totaling 31 points, with 2 providers supervising. The inspector reviewed compliance in the areas of administration, personnel, physical health of caregivers, caregiver training, physical equipment/ environment, care of children, preventing spread of disease, emergencies and nutrition. A total of 5 child records,1 provider
record, 1 assistant record and 2 household member 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 contact Christine Mahan, Licensing Inspector with any questions 757-404-0568.

Violations

5
Standard 22.1-289.058
Based on observation and provider interviews, the provider did not have that a building that was built before 2015 and that serves preschool-age children shall be equipped with at least one carbon monoxide detector.
Evidence: The provider confirmed there was not carbon monoxide detector.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-40-D-4-a
Based on record review and provider interviews, the provider did not ensure that a person living in the home of a licensed family day home provider had a sworn statement or affirmation when the person age 18 years or older begins residing in the home. A search of central registry and criminal history record check, as requested by the individual must be done within 30 days of a person 18 years of age or older beginning to reside in the home.
Evidence: Household member #4's sworn statement was dated 4-23-23 and was completed when they began residing in the home on 4-13-2023.
Plan of Correction: As discussed it should all be completed in 3 weeks
Standard 8VAC20-800-100-A
Based on record review and provider interviews, the provider did not ensue to obtain 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.
Evidence: The provider confirmed the health examination for Child #2 and Child #4 were missing. Child #2's first date of attendance was 3-13-2023 and Child #4's was 1-3-2023.
Plan of Correction: One parent provided physicals 5-4-23. the other parent is waiting
Standard 8VAC20-800-180-A
Based on record review and provider interviews, the provider did not ensue to obtain from each provider and adult household member a current report of Tuberculosis Screening form, in accordance with the requirements, every two years from the date of the first screening. department.
Evidence: The following providers and household members did not have updated TB screenings as required.
1.Household member #3 TB screening was dated 8-27-16.
2.Provider #1 TB screening was dated 3-24-21
3. Provider #2 TB screening was dated 3-24-21
Plan of Correction: All 3 expired 3-24-23
Standard 8VAC20-800-210-A
Based on record reviews and provider interviews, the provider did not ensue that caregivers had obtained in addition to completion of first aid training and CPR training, a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence: The training hours documented and available for review for provider #1 was 13 and for provider #2 was 10.5 of the required 16 hours of annual training.
Plan of Correction: Once workshops become available w will complete hours