Inspection · 2022-05-05
Date
2022-05-05
Complaint Related
No
Licensing Inspector
Mahrukh Aziz
(571) 835-4718
(571) 835-4718
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 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
Inspector Notes
An unannounced inspection was conducted in person from 10:05-11:35. There were 12 children present with the Provider and three assistants for a total of 35 points. The entire home was walked though except for a locked room on the third floor. The children were observed playing outside, playing inside, and cleaning up. Records and reports were reviewed. The Provider stated she does not prepare lunch and that the parents bring their food. Please call with questions 703-479-4679
Violations
9Standard 22.1-289.035-A
Based on record review and interview, it was determined that staff member #1 had a clearance from over 5 years ago and the Provider didn't obtain a clearance before it expired.
Evidence:
1. Staff # 1's file had a copy of a filled out Central Registry form with the date April 27, 2022 written at top.
2. The Provider found an old clearance for the staff member that expired in 2021.
Evidence:
1. Staff # 1's file had a copy of a filled out Central Registry form with the date April 27, 2022 written at top.
2. The Provider found an old clearance for the staff member that expired in 2021.
Plan of Correction: I will make sure it is sent out and completed before 5 years has passed since the last clearance.
Standard 22.1-289.035-B-2
Based on interview and observation, it was determined the Provider did not have Staff #5 submit to finger print before having the staff member work and supervise the children.
Evidence:
1. Staff #5 was present during the inspection and the Provider stated staff was present because two staff out sick. Provider stated no paperwork had been completed on this individual.
Evidence:
1. Staff #5 was present during the inspection and the Provider stated staff was present because two staff out sick. Provider stated no paperwork had been completed on this individual.
Plan of Correction: I will not have the person return unless I get all paperwork completed.
Standard 8VAC20-790-390-A
Based on observation, staff member did not was hands between diaper changes.
Plan of Correction: We though since she wears gloves and uses antibacterial lotion after the change, that was okay. We will wash hands after each change.
Standard 8VAC20-800-120-A
Based on observation and interviews, it was determined the Provider does not have a file for a staff that she stated only came in an emergency but was with her a few years ago.
Evidence:
1. Upon arrival, the Provider stated she had assistants present. Upon asking for names from the people, the Provider stated Caregiver #5 was just starting this day to help because assistants #2 and #3 were out today. The Provider and the Caregiver stated clearances were not conducted and that is because the caregiver came last minute to help.
Evidence:
1. Upon arrival, the Provider stated she had assistants present. Upon asking for names from the people, the Provider stated Caregiver #5 was just starting this day to help because assistants #2 and #3 were out today. The Provider and the Caregiver stated clearances were not conducted and that is because the caregiver came last minute to help.
Plan of Correction: I will not have her return unless I obtain a complete file for the person
Standard 8VAC20-800-120-B
Based on record review of staff files maintained, it was determined two staff were missing items.
Evidence:
1. Staff # 4 did not have documentation of Orientation and references.
2. Staff #1's file did not contain the most recent Central Registry Search in the file and file states start date was in 2016.
Evidence:
1. Staff # 4 did not have documentation of Orientation and references.
2. Staff #1's file did not contain the most recent Central Registry Search in the file and file states start date was in 2016.
Plan of Correction: I will complete the files and keep files maintained.
Standard 8VAC20-800-170-A
Based on interview and observation, it was determined the Provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening.
Evidence:
1.Caregiver 5 was present today and Provider said she started today but then stated she came today because the other two assistants are out sick.
Evidence:
1.Caregiver 5 was present today and Provider said she started today but then stated she came today because the other two assistants are out sick.
Plan of Correction: She will not be back unless I decode to obtain paperwork for her and hire her as assistant.
Standard 8VAC20-800-240-A
Based on observation it was determined that part of the space outside is not maintained in safe condition.
Evidence:
1. Upon arrival it was observed that there were two deck posts with signs of deteriorating wood and no longer 4 corners around. There are toys under the deck surface and the inspector observed two children playing under the deck.
Evidence:
1. Upon arrival it was observed that there were two deck posts with signs of deteriorating wood and no longer 4 corners around. There are toys under the deck surface and the inspector observed two children playing under the deck.
Plan of Correction: We will move all toys from under the deck and I have been in contact with getting deck fix. I will keep children from that space in the meantime.
Standard 8VAC20-800-540-B
Based on observation it was determined that the Provider uses an infant walker.
Plan of Correction: I did not realize it could not be used and I removed it during the inspection.
Standard 8VAC20-800-60-B
Based on record review of 5 children's files, it was determined that not all files contained required information.
Evidence:
1. Child #3's file did not contain addresses for either emergency contact and did not contain insurance policy number.
2. Child #4's file did not contain full address for emergency contacts.
3. Child # 2 was missing one of two emergency contacts and insurance policy number.
4. All 5 files didn't contain parent's acknowledgement that the Provider is no longer EMAT certified and cannot administer emergency medication.
Evidence:
1. Child #3's file did not contain addresses for either emergency contact and did not contain insurance policy number.
2. Child #4's file did not contain full address for emergency contacts.
3. Child # 2 was missing one of two emergency contacts and insurance policy number.
4. All 5 files didn't contain parent's acknowledgement that the Provider is no longer EMAT certified and cannot administer emergency medication.
Plan of Correction: We will talk with families about getting items corrected.