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Ruwani Ranatunga

Inspection · 2024-08-08

Date
2024-08-08
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
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
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks
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 and completed on 8/08/2024, as a part of the licensure period. The on-site inspection began at 9:30am and ended at 12pm. The inspector reviewed compliance in the areas listed above. There were 10 children present and 4 caregivers; the point total was 31. The inspector reviewed 5 children?s records, 4 caregiver records, and 2 household member records on-site. This inspection included document review, tour of the home, interviews, and observations.
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.

Violations

4
Standard 22.1-289.036-B-3
Based on record review, the family day home did not obtain a copy of the results of a search of the central registry for 1 of 2 household members.

Evidence:
1. The record for Household Member #1 did not contain documentation of the result of a search of the central registry.
Plan of Correction: The request has been sent by the provider. The provider will notify the department once the results are received.
Standard 8VAC20-800-60-A
Based on record review, 1 of 5 children's records reviewed did not contain all required documentation.

Evidence:
1. The record for Child #5 did not contain documentation of the name, address and telephone number for one of two designated persons to contact in case of an emergency if the parent cannot be reached
Plan of Correction: Provider will request the information from the parent.
Standard 8VAC20-800-750-A
Based on observation and record review, topical skin products did not meet all requirements.

Evidence:
1. The authorization to administer topical skin products for Child #1 expired on 5/23/2024
2. The authorization to administer topical skin products for Child #2 expired on 5/25/2024
3. The authorization to administer topical skin products for Child #3 expired on 5/1/2024
4. A topical skin product was observed labeled with Child #5's name. The record for Child #5 did not contain authorization to administer the topical skin product provided.
Plan of Correction: The provider will obtain updated authorizations for the topical products.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain for 1 of 5 children reviewed, documentation that the child has been adequately immunized.

Evidence:
1. Child #4 began attending the family day home on 6/24/2024
2. The immunizations in the record for Child #4 were dated 8/2/2024
Plan of Correction: Provider will obtain documentation of immunizations prior to a child's first day.