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Edna Squire

Inspection · 2023-12-11

Date
2023-12-11
Complaint Related
No
Licensing Inspector
Kristy Atanackovic
(804) 629-5032
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
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 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced monitoring inspection was conducted on 12/11/2023 from 1:10 pm-2:05 pm. There were 4 children supervised by 2 direct caregivers. The home, 3 caregivers/household member's records, 4 children?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed engaging freely. Areas of non-compliance are identified in the Violation Notice. Please submit your plan of correction within 5 business days for it to be included on the website. Thank you for your cooperation during this inspection.

Violations

7
Standard 8VAC20-800-100-A
Based on record review, the provider did not 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: There was no documentation of a physical examination completed by or under the direction of a physician prior to or within 30 days of child #4's first day of attendance. The start date for child #4 is 9/25/2023.
Plan of Correction: Documentation was in the child's folder during the inspection.
Standard 8VAC20-800-320-A
Based on observation and interview, small electrical appliances were not unplugged when not in use.

Evidence: The home's toaster was not unplugged and was not in use at the time of the inspection.
Plan of Correction: Toaster was unplugged.
Standard 8VAC20-800-320-B
Based on observation and interview, child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

Evidence:
1. A power strip underneath a desk had two outlets not covered.
2. A pwer strip next to an end table had four outlets not covered.
Plan of Correction: overs were replaced on the power strips.
Standard 8VAC20-800-320-G
Based on documentation review and interview, the provider did not ensure that wood-burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.

Evidence:
1. There was no documentation of an annual wood-burning fireplace inspection at the time of the inspection.
2. Cargiver #2 stated they were unsure when the last time they had an inspection.
Plan of Correction: Due to inclement weather, the annual fireplace inspection had to be rescheduled.
Standard 8VAC20-800-530-B
Based on observation and inteview, cribs when being used by infants did not have a tight-fitting bottom cover.

Evidence: The crib in the family room used by child #4 did not have a tight-fitting sheet and did not cover the entire crib mattress.
Plan of Correction: Sheets are washed on the weekend. Sheet adjusters had not been replaced on Monday during the inspection. Sheet adjusters were replaced on sheets.
Standard 8VAC20-800-750-A
Based on observation and interview, the provider did not obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent.

Evidence: There was no documentation of written parent authorization for child #4's topical ointment.
Plan of Correction: Documentation for diaper ointment was placed in child's folder.
Standard 8VAC20-800-830-C
Based on record review and interview, documentation was not maintained of emergency evacuation drills.

Evidence: There was no documentation of emergency evacuation drill for November 2023.
Plan of Correction: Evacuation drill for November was conducted on 11/30/2023. Documentation of the drill was added to the log.
View original record on Virginia Department of Social Services