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Dana Harris

Inspection · 2024-11-04

Date
2024-11-04
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
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
8VAC20-820 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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced , on-site renewal inspection was initiated on 11/04/2024 and completed on 11/04/2024. The on-site inspection began at 9:30 am and ended at 1:10 pm. The inspector reviewed compliance in the areas listed above. There were 8 children present and 3 caregivers; the point total was 23. The inspector reviewed 8 children's records and 5 caregiver/household members records on-site.

The inspection included:
*Document Review
*Tour of the Facility
*Interviews
*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

6
Standard 8VAC20-800-140-D
A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

Caregiver 1, who has functioned as a substitute provider, had not signed into any type of record to indicate days and times worked in the family day home.
Plan of Correction: The provider stated that caregiver 1 will sign in and out on the days and time she works as a substitute provider - going forward.
Standard 8VAC20-800-250-B
Children shall be protected from materials that could be swallowed or present a choking hazard. Toys or objects less than 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three years.

Child 1 was observed with a plastic gray object in his mouth. The object was round and approximately 1/2 inch in diameter and appeared to be a wheel that had fallen off of some type of plastic toy. Child 1 is under the age of 12 months.
Plan of Correction: The provider stated that the child care area will be checked to ensure no toys are present that are a possible choking hazard to children in care.
Standard 8VAC20-800-600-B
Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

Child 2, who was awake, was observed in an infant seat from approximately 9:30 am - 10:34 am when he was placed in a crib for a nap.
At 11:14 am child 2 was removed from the crib and placed in an infant seat until 12:10 pm. Child 2 was awake during this time.
Plan of Correction: The provider stated that caregivers will be reminded that infants are not to spend more than 30 minutes of consecutive time in infant seats.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering.

Caregiver 1 did not wash the hands of child 1 after a diaper change at approximately 9:50 am.
Caregiver 2 did not wash the hands of child 2 after a diaper change at approximately 11:50 am.
Plan of Correction: The provider stated that child 1 and child 2's hands were washed with a disposable wipe after the diaper change. Going forward, children's hands will be washed with soap and running water after each diaper change.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

There was no written documentation to indicate that the emergency plan for the family day home has been reviewed, and updated, annually. Written documentation on file indicates the plan was last reviewed by the provider on 10/14/2023.
Plan of Correction: The provider stated that the emergency plan will be reviewed and updated if needed.
Standard 8VAC20-800-960-E
Bottles shall be refrigerated and labeled with the child's full name and the date, if more than one infant is in care.

Bottles of formula were not dated and labeled for two infants in care.
Plan of Correction: The provider stated that bottles will be checked daily to ensure they are dated and labeled with the child's name.
View original record on Virginia Department of Social Services