Inspection · 2024-09-16
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
An unannounced, on-site monitoring inspection was initiated on 9-16-2024 and completed on 9-26-2024. The on-site inspection began at 3:25pm and ended at 5:20pm. The inspector reviewed compliance in the areas listed above. There were 10 children present and 2 caregivers; the point total was 31.
The inspector reviewed 5 children?s records and 2 provider records on 9-26-2024. This inspection included document review, tour of the facility and interviews.
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 10-3-2024. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child 5, who had been in care for more than 90 days.
Plan of Correction: physical examination completed
Standard 8VAC20-800-30-A
The provider did not ensure compliance with the terms of the current license issued by the department were followed. Provider exceeded the capacity limit of 9 children as there were 10 children observed in care and receiving care all day on the day of the inspection.
Plan of Correction: Will compile
Standard 8VAC20-800-40-A
The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. The maximum licensed capacity of the home is 9 and there were 10 children in care during the inspection.
Plan of Correction: The tenth child was 5 month grandson came to visit --will ensure the maximum is 9.
Standard 8VAC20-800-540-A
High chairs shall be used according to the manufacturers instructions and when occupied by a child, a safety strap shall be used and securely fastened. Child 2 age 17 months and Child 10 age 5 months were observed in a highchair and the safety straps were not being used.
Plan of Correction: The 5 month was straped in
Standard 8VAC20-800-60-B
Children's records are required to contain all required information and the following were missing. Child 1 did not have the second parents? home address, phone number and employment name and phone number. Child 3 was missing physician name and phone number. Child 5 was missing the second parents? employment number.
Plan of Correction: Children records completed
Standard 8VAC20-800-690-K
There shall be a toilet chair or an adult-sized toilet with a platform or steps and adapter seat available to a child being toilet trained. There was not an adapter seat available during the inspection.
Plan of Correction: Because of bathroom leak all items had to be removed from bathroom and stored in annexed closet.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for Child 1, 2 and 5 and they were observed in care and have all been in care for more than 3 months.
Plan of Correction: All documents are being worked on will be complete
Standard 8VAC20-800-80-C
The provider shall document in the child?s record the method of verification of the child?s age and identity. Child 5 has been in care for more than 3 months and the provider did not have documentation of verification.
Plan of Correction: all documentation will be completed on 10-8-2024
Standard 8VAC20-800-820
Potentially poisonous substances, materials and supplies such as chemicals shall be stored away from areas inaccessible to children. There were cans of paint accessible to children and stored on the shower floor in the bathroom designated for the children in care.
Plan of Correction: bathroom was under construction
because of water leaked-.
Unopened paint was locked
behind bathroom glass door.
All daycare kids are in diapers
Standard 8VAC20-800-920
When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents. Ther was not a menu available for review.
Plan of Correction: Completed on brightwheel
Standard 8VAC20-800-960-C
High chairs with safety waist and crotch straps fastened according to the manufacturers instructions shall be used for children under 12 months of age who are not held while being fed. Child 4, under 12 months was observed strapped in a car seat drinking a bottle for more than 25 minutes.
Plan of Correction: Will Compile