Inspection · 2022-03-28
Date
2022-03-28
Complaint Related
No
Licensing Inspector
Mark Davis
(804) 629-7103
(804) 629-7103
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 Physical Health of Caregivers and Household Members
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
Inspector Notes
An unannounced monitoring inspection was conducted on 03/28/2022 between the hours of approximately 9:15 am to 10:45 am. There were 10 children present, ranging in ages from 7 months to 4 years old, with an assistant supervising. The provider was not present in the family day home at the time of inspection.
The entire physical space of the family day home was reviewed. The inspector also reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. There were no medications on site today. A total of 10 child 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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.
Violations
15Standard 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:
1) The record for Child #2 did not contain the results of a physical examination. The record contained a CoVA School Entrance Health form but it was blank.
Evidence:
1) The record for Child #2 did not contain the results of a physical examination. The record contained a CoVA School Entrance Health form but it was blank.
Plan of Correction: It was blank because the doctor printed out the immunizations.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away in areas inaccessible to children.
Evidence:
a] On the date of inspection, drawers under the sink in the bathroom of the care area contained 4 containers of hair products (curl activator, leave in conditioner). The cabinet doors and drawers did not have locks or child-proof locking mechanisms on them. The door to the bathroom was unlocked. b] On a shelf of the bookcase near the kitchen entrance, there was a container of face cream (retinol advanced cream). c] In the kitchen cabinet under the sink, a bottle of dishwashing soap, and a bottle of counter cleaner were observed. The cabinet door did not have a lock or child-proof locking mechanism on it. The door to the kitchen was wide open.
Evidence:
a] On the date of inspection, drawers under the sink in the bathroom of the care area contained 4 containers of hair products (curl activator, leave in conditioner). The cabinet doors and drawers did not have locks or child-proof locking mechanisms on them. The door to the bathroom was unlocked. b] On a shelf of the bookcase near the kitchen entrance, there was a container of face cream (retinol advanced cream). c] In the kitchen cabinet under the sink, a bottle of dishwashing soap, and a bottle of counter cleaner were observed. The cabinet door did not have a lock or child-proof locking mechanism on it. The door to the kitchen was wide open.
Plan of Correction: Under the sink is the only place to keep it and kitchen door has child safety lock on it. Crem and lotion had been removed.
Standard 8VAC20-800-320-B
Based on observation, not all electrical outlets had child-resistant protective covers installed.
Evidence:
1) On the date of inspection, the following outlets were observed not having child-resistant protective covers installed: next to the coat rack near the entrance, to the left of the big tv, and in the infant room there were 3 outlets uncovered (near the zebra, next to one of the cribs, inside one of the cubbies near the rug).
Evidence:
1) On the date of inspection, the following outlets were observed not having child-resistant protective covers installed: next to the coat rack near the entrance, to the left of the big tv, and in the infant room there were 3 outlets uncovered (near the zebra, next to one of the cribs, inside one of the cubbies near the rug).
Plan of Correction: All had been covered. Sometimes we use for vacuum and we covered them.
Standard 8VAC20-800-50-A
Based on documentation review and interview with staff, a written record of children in attendance each day was not kept.
Evidence:
1) On the date of inspection, a written record of attendance for the day was not available for review. 2) Staff #1 could not locate the attendance record for the day upon request. Attendance records for the following dates were provided: 02/28 to 03/04, 03/07 to 03/11 and 03/13 to 03/17.
Evidence:
1) On the date of inspection, a written record of attendance for the day was not available for review. 2) Staff #1 could not locate the attendance record for the day upon request. Attendance records for the following dates were provided: 02/28 to 03/04, 03/07 to 03/11 and 03/13 to 03/17.
Plan of Correction: Discussed with the provider. Provider shall keep an accurate daily attendance record.
Standard 8VAC20-800-520-F
Based on observation, caregivers did not ensure that crib sides were always be up and the fastenings secured when a child is in the crib, except when the caregiver is giving the child immediate attention.
Evidence:
1) On the date of inspection, Staff #1 was observed in the infant's room attending to children on the rug area. Child #5 (dob 08/11/2021) was observed inside the crib. The access side of the crib was down.
Evidence:
1) On the date of inspection, Staff #1 was observed in the infant's room attending to children on the rug area. Child #5 (dob 08/11/2021) was observed inside the crib. The access side of the crib was down.
Plan of Correction: We will make sure the sides of the cribs are closed when the children are in which we usually do when they are sleeping.
Standard 8VAC20-800-570-A
Based on observation and interview, the provider did not ensure that a caregiver does not exceed caring for 16 points at any one moment.
Evidence:
1) On the date of inspection, Staff #1 was caring for a total of 19 points (10 children). Staff #1 stated that the provider was out of the fdh that day.
Evidence:
1) On the date of inspection, Staff #1 was caring for a total of 19 points (10 children). Staff #1 stated that the provider was out of the fdh that day.
Plan of Correction: I had an emergency which my substitute couldn't come due to her not feeling well. I hope nothing like that comes up again but I'll make sure there's somebody there with the assistant.
Standard 8VAC20-800-60-A
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #1 did not contain the telephone number of each custodial parent's place of employment; the record for Child #2 did not contain the policy number of the child's medical insurance; the record for Child #3 did not contain the address of each custodial parent's place of employment, telephone number of one custodial parent's place of employment, and the policy number of the child's medical insurance; the record for Child #4 did not contain telephone number of one custodial parent's place of employment and the policy number of the child's medical insurance; thee record for Child #6 did not contain address of two designated persons to contact in case of an emergency if the parent cannot be reached.
Evidence:
1) The record for Child #1 did not contain the telephone number of each custodial parent's place of employment; the record for Child #2 did not contain the policy number of the child's medical insurance; the record for Child #3 did not contain the address of each custodial parent's place of employment, telephone number of one custodial parent's place of employment, and the policy number of the child's medical insurance; the record for Child #4 did not contain telephone number of one custodial parent's place of employment and the policy number of the child's medical insurance; thee record for Child #6 did not contain address of two designated persons to contact in case of an emergency if the parent cannot be reached.
Plan of Correction: files had been corrected.
Standard 8VAC20-800-690-D
Based on observation, the diapering area was not nonabsorbent and washable.
Evidence:
1) On the date of inspection, it was observed that the changing mat in the diapering area was covered by a cloth cover, making it not-nonabsorbent and not washable.
Evidence:
1) On the date of inspection, it was observed that the changing mat in the diapering area was covered by a cloth cover, making it not-nonabsorbent and not washable.
Plan of Correction: Cloth cover had been removed and was put there because of the change in weather.
Standard 8VAC20-800-70-A
Based on record review, parents were not provided in writing of all required information before the child's first day of attendance.
Evidence:
a] The record for Child #1 (start 08/24/2020) contained a signed copy of the "Information for parents" form, however it was blank, no information of the fdh was provided in it. b] The information in the record for Child #2 (start 06/08/2020) was incomplete since only the first page of the "Information for parents" form was found in the record. The second page which includes more information on the fdh and the signed acknowledgment from the parent was missing. c] The record for Child #2 contained a signed copy of the "Provisions of the Emergency Plan" form, however it was blank, no information of the fdh was provided in it.d] The records for Child #5 (start 11/08/2021) contained a copy of the "Liability Insurance Declaration" form, however, it was ot signed by the parents.
Evidence:
a] The record for Child #1 (start 08/24/2020) contained a signed copy of the "Information for parents" form, however it was blank, no information of the fdh was provided in it. b] The information in the record for Child #2 (start 06/08/2020) was incomplete since only the first page of the "Information for parents" form was found in the record. The second page which includes more information on the fdh and the signed acknowledgment from the parent was missing. c] The record for Child #2 contained a signed copy of the "Provisions of the Emergency Plan" form, however it was blank, no information of the fdh was provided in it.d] The records for Child #5 (start 11/08/2021) contained a copy of the "Liability Insurance Declaration" form, however, it was ot signed by the parents.
Plan of Correction: Child #2 file was complete with the exception of having extra copy of the parents information in there which had been removed.
Standard 8VAC20-800-780-B
Based on record review, the provider did not review with the parent, annually, the emergency contact information, to ensure the information is correct and obtain the parent's signed acknowledgment of the review.
Evidence:
1) The most recent review of the emergency information in the record for Child #1 was dated 08/20/2020, for Child #2 was dated 06/05/2020, for Child #4 was dated 03/10/2019, for Child #7 was dated 07/28/2019, for Child #8 was dated10/12/18, for Child #9 was dated 04/08/2019, for Child #10 was dated 06/04/2019.
Evidence:
1) The most recent review of the emergency information in the record for Child #1 was dated 08/20/2020, for Child #2 was dated 06/05/2020, for Child #4 was dated 03/10/2019, for Child #7 was dated 07/28/2019, for Child #8 was dated10/12/18, for Child #9 was dated 04/08/2019, for Child #10 was dated 06/04/2019.
Plan of Correction: All files had been corrected.
Standard 8VAC20-800-800-A
Based on documentation provided electronically, it was determined that family day home's written emergency preparedness and response plan (EPP) did not include provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.
Evidence:
1) The EPP submitted for review did not list an additional person to act as a back up care. The person listed is the provider.
Evidence:
1) The EPP submitted for review did not list an additional person to act as a back up care. The person listed is the provider.
Plan of Correction: File had been corrected.
Standard 8VAC20-800-830-B
Based on documentation review, shelter-in-place procedures were not practiced a minimum of twice per year.
Evidence:
1) On the date of inspection, the emergency drills log was not available for review. Upon request, the emergency drills log was submitted electronically. Shelter-in-place drills were not documented for the year 2021.
Evidence:
1) On the date of inspection, the emergency drills log was not available for review. Upon request, the emergency drills log was submitted electronically. Shelter-in-place drills were not documented for the year 2021.
Plan of Correction: File had been corrected.
Standard 8VAC20-800-90-C
Based on record review, the provider did not obtain additional immunizations once every six months for children under the age of two years.
Evidence:
1) The most recent immunization report in the record for Child #4 (dob 12/17/2018) was dated 02/19/2019.
Evidence:
1) The most recent immunization report in the record for Child #4 (dob 12/17/2018) was dated 02/19/2019.
Plan of Correction: File has been corrected.
Standard 8VAC20-800-920
Based on documentation review, the menu for the current one-week period was not dated.
Evidence:
1) On the date of inspection, the menu for the current one-week period was not dated.
Evidence:
1) On the date of inspection, the menu for the current one-week period was not dated.
Plan of Correction: Has been corrected.
Standard 8VAC20-820-120-E-1
Based on review of required posted documents and interview with staff, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program.
Evidence:
1) On the date of inspection, the most recently issued license was not posted. The posted license was dated September 2020/September 2021. 2) Staff #1 could not locate the current license.
Evidence:
1) On the date of inspection, the most recently issued license was not posted. The posted license was dated September 2020/September 2021. 2) Staff #1 could not locate the current license.
Plan of Correction: Current license had been posted.