Inspection · 2024-05-20
Date
2024-05-20
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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 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
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 5/20/24 from 10:20am to 12:10pm. At the time of the inspection there was one child in care and the provider. Children were observed during nap time. Records were reviewed for three children and two caregivers. Evacuation drills, emergency supplies, transportation and other required records and postings were also reviewed. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit meeting.
Violations
12Standard 22.1-289.011-F
Based on observation and interview the provider did not ensure that documents related to the terms of the license are posted on the premise of the family day home.
Evidence:
1.The findings of the most recent inspection completed on 12/19/22 were not posted.
2.The provider confirmed that the required inspection documents were not posted in the home.
Evidence:
1.The findings of the most recent inspection completed on 12/19/22 were not posted.
2.The provider confirmed that the required inspection documents were not posted in the home.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Based on record review the provider did not ensure that caregivers have all required background checks.
Evidence:
1.The record for Caregiver #1 and Caregiver #2 did not contain an up to date criminal history check.
a. Caregiver #1 was observed working at the time of the inspection.
2. The provider (Caregiver #1) confirmed that the criminal history checks were expired and not up to date.
Evidence:
1.The record for Caregiver #1 and Caregiver #2 did not contain an up to date criminal history check.
a. Caregiver #1 was observed working at the time of the inspection.
2. The provider (Caregiver #1) confirmed that the criminal history checks were expired and not up to date.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-3
Based on record review the provider did not ensure that caregivers have current cardiopulmonary resuscitation (CPR) certification.
Evidence:
1.The record for Caregiver #1 and Caregiver #2 had no documentation of up to date CPR certifications.
Evidence:
1.The record for Caregiver #1 and Caregiver #2 had no documentation of up to date CPR certifications.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-4
Based on record review the provider did not ensure that caregivers have current first aid certification.
Evidence:
1.The record for Caregiver #1 and Caregiver #2 had no documentation of up to date first aid certifications.
Evidence:
1.The record for Caregiver #1 and Caregiver #2 had no documentation of up to date first aid certifications.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Based on record review the provider did not ensure to obtain a minimum of sixteen clock hours of training annually.
Evidence:
1. For the calendar year of 2023, Caregiver #1 had 12 of 16 of the required annual training hours.
2.For the calendar year of 2023, Caregiver #2 had eight of 16 of the required annual training hours.
Evidence:
1. For the calendar year of 2023, Caregiver #1 had 12 of 16 of the required annual training hours.
2.For the calendar year of 2023, Caregiver #2 had eight of 16 of the required annual training hours.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
Based on observation and interview the provider did not ensure that areas and furnishings of the family day home are maintained in a safe condition.
Evidence:
1.There was a knife block holder containing knives on the kitchen countertop, which was accessible to children.
2.A wooden fence in the outdoor play area had missing and damaged planks and was leaning outward.
a. The provider confirmed that the fence in the outdoor play had been damaged for some time and had spoken with the landlord about the fence.
Evidence:
1.There was a knife block holder containing knives on the kitchen countertop, which was accessible to children.
2.A wooden fence in the outdoor play area had missing and damaged planks and was leaning outward.
a. The provider confirmed that the fence in the outdoor play had been damaged for some time and had spoken with the landlord about the fence.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Based on observation the provider did not ensure that potentially poisonous substances are stored in areas inaccessible to children.
Evidence:
1. There were potentially poisonous substances (bleach, window cleaner, and hand sanitizer) with manufacturer?s labels that read ?Keep Out of Reach of Children.? These substances were accessible to the children in care.
a. In the laundry room area, there were two bottles of bleach on the floor and a window cleaner on a low shelf.
b. There was a bottle of hand sanitizer on a deep freezer, in the dining room.
Evidence:
1. There were potentially poisonous substances (bleach, window cleaner, and hand sanitizer) with manufacturer?s labels that read ?Keep Out of Reach of Children.? These substances were accessible to the children in care.
a. In the laundry room area, there were two bottles of bleach on the floor and a window cleaner on a low shelf.
b. There was a bottle of hand sanitizer on a deep freezer, in the dining room.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on record review the provider did not ensure that each child?s record contain all required information.
Evidence:
1.The record for Child #1 was missing the name, home address and phone number of one parent, a medical insurance policy number, and documentation of an annual update.
2.The record for Child #2 was missing the name, home address and phone number of one parent, the name, address, and phone number of one parent?s place of employment, and a medical insurance policy number.
Evidence:
1.The record for Child #1 was missing the name, home address and phone number of one parent, a medical insurance policy number, and documentation of an annual update.
2.The record for Child #2 was missing the name, home address and phone number of one parent, the name, address, and phone number of one parent?s place of employment, and a medical insurance policy number.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Based on record review the provider did not ensure to annually review emergency contact information required with parents and obtain the parents? signed acknowledgment of the review.
Evidence:
1.The record for Child #1 and Child #2 did not contain an annual review that was signed by a parent in 2023.
Evidence:
1.The record for Child #1 and Child #2 did not contain an annual review that was signed by a parent in 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-790
Based on observation and interview the provider did not ensure that all emergency telephone numbers are posted in a visible area and close to the telephone.
Evidence:
1.There was no evidence of 911 or local police, fire, and emergency medical responders? phone numbers posted near the telephone.
2.The provider confirmed that all required emergency phone numbers were not posted in a visible area that is close to the telephone.
Evidence:
1.There was no evidence of 911 or local police, fire, and emergency medical responders? phone numbers posted near the telephone.
2.The provider confirmed that all required emergency phone numbers were not posted in a visible area that is close to the telephone.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-920
Based on observation and interview the provider did not ensure that the provided menu contained all meals served for the current one-week period.
Evidence:
1.The menu for the week of 5/20/24 through 5/24/24 only displayed meals for Monday. The remaining days of the week were left blank.
2.The provider confirmed that the menu was not filled out to display all meals being served for the current week.
Evidence:
1.The menu for the week of 5/20/24 through 5/24/24 only displayed meals for Monday. The remaining days of the week were left blank.
2.The provider confirmed that the menu was not filled out to display all meals being served for the current week.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-940-A
Based on observation and interview the provider did not ensure that temperatures are maintained at or below 40?F in the refrigerator and at or below 0?F in the freezer.
Evidence:
1.At the time of the inspection, the refrigerator temperature was at 42?F and the freezer temperature was at 12?F.
2. The provider confirmed that the refrigerator and freezer temperatures were not maintained at or below the required temperatures.
Evidence:
1.At the time of the inspection, the refrigerator temperature was at 42?F and the freezer temperature was at 12?F.
2. The provider confirmed that the refrigerator and freezer temperatures were not maintained at or below the required temperatures.
Plan of Correction: Not available online. Contact Inspector for more information.