Inspection · 2024-04-29

Based on observation and interview, the provider did not post in a conspicuous place on the licensed premises the last inspection summary and violation report as required by the Superintendent.

Evidence: The most recent inspection from September 27, 2024, was not posted in a conspicuous place.

Repeat
Based on record review and provider interviews, the provider did not ensure that each adult living in such family day home shall undergo a background check every five years thereafter.

Evidence: Household member #2 most recent CPS check is dated 4-22-2016 and there is not documentation available for review of an update after 5 years.

Based on record review and interviews, the provider did not ensure to obtain from each adult household member prior to coming into contact with children a current report of Tuberculosis Screening (TB) form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

Evidence: The provider confirmed household member #2 began living in the home in April 2023 and there was no documentation of a TB screening available for review.

Based on record review and interviews, the provider did not ensure a lockdown procedure was practiced at least annually.

Evidence: The provider confirmed there was not documentation of an annual lockdown drill conducted.

Based on record reviews and provider interviews, the provider did not each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physicians designee, or an official of a local health department.

Evidence: The record for Child #1 did not include a physical or an immunization record that included a signature from a physician or their designee

Based on record reviews and provider interviews, the provider did not ensue 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: Provider #1 had only 9.5 hours of annual training documented and Caregiver #2 had only 7.5 hours of annual training documented. They did not meet the required sixteen hours annual training.

Based on observation and interview, the provider did not ensure that wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

Evidence: The provider has a wood burning fireplace and there was no documentation that it had been inspected.

Based on observation and interview, the provider did not ensure cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

Evidence: Child #5 was observed sleeping on a mat and did not have a top cover.

Repeat
Based on record review and provider interviews, the provider did not ensue to maintain an up-to-date record at the family day home for each enrolled child with all the required information.

Evidence: The provider confirmed the following was missing from the children?s records as listed below;
1.The record for Child #2 did not include the telephone number and work location of one of the custodial parents listed.
2. The record for Child #3 did not include the employment telephone number of one of the custodial parents listed.

Based on record review and interviews, the provider did not ensure all the required telephone numbers shall be posted in a visible area close to the telephone.

Evidence: The provider verified the phone number for a responsible person for emergency backup care and regional poison control center were not posted by the phone.