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Ms. Qiana Davis

Inspection · 2022-05-05

Date
2022-05-05
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

The licensing inspector conducted an unannounced monitoring inspection on Thursday, May 5th, 2022 from 11:20am to approximately 2:15pm to determine the provider?s compliance with licensing standards. During this inspection, there were 11 children in care in the care of two caregivers. The children were observed in their designated areas in the home, interacting with peers, playing with age appropriate toys, eating and resting. The areas of childcare, kitchen, the indoor and outdoor play areas were inspected. The caregivers were observed having positive interactions with the children. The required postings were reviewed and found to be in compliance. The first aid kit and emergency supplies, daily attendance, and emergency drills were reviewed. Medication is administered when needed and one child?s medication was reviewed. Five children?s records, two caregivers, and two household members? 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.

Violations

6
Standard 22.1-289.036-A
Based on a review of records and interview, the provider did not obtain the required repeat background checks for one adult household member every five years.

Evidence: 1) The most recent central registry search in the record for Household Member #2 was dated 03/28/16. A follow up central registry search was due no later than 03/28/21. 2) During interview, Caregiver #1 reported the request was sent, but the results have not been received to date.
Plan of Correction: Moving forward, required background checks will be repeated every 5 years as required.
Standard 8VAC20-800-170-A
Based on a review of two caregivers' records and interview, the provider did not obtain from one caregiver at the time of hire a current report of tuberculosis (TB) screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form within the required time frames.

Evidence: 1) The TB screening in the record for Caregiver #2, hired on 12/19/21, was completed on 11/10/21. 2) During interview, Caregiver #1 acknowledged the TB screening was dated more than 30 days prior to hire. The form shall have been completed within the last 30 days and be signed by a physician, physicians' designee, or an official of the local health department.
Plan of Correction: Moving forward, caregivers will obtain a negative TB screening that is completed no more than 30 days prior to hire.
Standard 8VAC20-800-180-A
Based on a review of household member records, the provider did not obtain for each adult household member a current report of tuberculosis (TB) screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: 1) The TB screening in the record for Household Member #2 was dated 04/27/22. The previous TB screening on file expired on 03/25/22.
Plan of Correction: Moving forward, TB screenings/tests will be repeated within 2 years.
Standard 8VAC20-800-240-A
Based on observations and interview, the provider did not ensure all areas of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence: 1) The playhouse in the backyard had deteriorating wood with visible cracks and protruding nails. 2) During interview, the provider reported this is where the children play.
Plan of Correction: The playhouse will be removed from the area where the children play.
Standard 8VAC20-800-50-A
Based on a review of records and interview, the provider did not keep a written record of children in attendance each day.

Evidence: 1) During the inspection, the inspector requested to view documentation of children in attendance on 05/05/22, but the written record of children in attendance did not include all children in care. 2) During interview, the provider reported not all children were signed in as they arrived on 05/05/22.
Plan of Correction: Corrected on site. Moving forward, the provider will ensure child are checked in at the time of arrival.
Standard 8VAC20-800-700-C
Based on a review of records and interview, the provider did not notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days and did not dispose of the medication that was not picked up within the required time frame.

Evidence: 1) A medication authorization, for a prescription medication, was observed for Child #5. The provider had written authorization from the child's parent to administer the prescription medication, but the written authorization from the child's physician expired on 03/29/22. The medication was still on site at the time of inspection.

2) During interview, the provider acknowledged the child's guardian was not notified that the authorization was expired and that the medication has not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Plan of Correction: The provider contacted the parent and notified a new authorization was required.
View original record on Virginia Department of Social Services