Inspection · 2022-08-11
Licensing Inspector
Morgan Bryson
(540) 270-0057
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
An unannounced monitoring inspection was conducted from 10:30 am ? 12:30 pm with the provider. There were four children, ranging from five months to 21 months of age, for a total of 14 points. Two children were observed playing with age-appropriate toys and two children were observed sleeping/resting in cribs. Two children's records and six provider/household member records were reviewed and in compliance. The emergency drill log, daily attendance, annual training and carbon monoxide detector were observed and in compliance. It was reported that there were no medications on site, however the provider has current certification in Medication Administration Training (MAT).
Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Wednesday, 8/24/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Standard 8VAC20-800-240-A
Based on observation, not all furnishings of the family day home were maintained in a safe condition. Evidence: there is peeling and chipped paint on both the brown and yellow cribs.
Plan of Correction: Provider stated she will order new cribs or paint them to come into compliance.
Standard 8VAC20-800-250-A
Based on observation, the provider failed to ensure that hanging/strangulation hazards were out of reach of children under five years of age. Evidence: a 21 month old child was observed sleeping with a pacifier attached to a ribbon. A sound machine placed in a crib had a hanging cord accessible to children under five years of age in and outside of the crib.
Plan of Correction: Will not use pacifiers with cords when children are sleeping.
Standard 8VAC20-800-250-C
Based on observation, the provider failed to ensure items tied across the top of the crib, or toys hung from the sides were removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first. Evidence: a five month old infant was placed to sleep in a crib where there was a mobile hanging from the top and two toys hanging on the side of the crib.
Plan of Correction: Provider removed everything from the crib during the inspection.
Standard 8VAC20-800-320-A
Based on observation and interview, the provider failed to ensure that small electrical appliances were unplugged while not in use. Evidence: there were several appliances sitting on the kitchen counter plugged in, and the appliances were not in use.
Plan of Correction: Will ensure all small appliances are unplugged when not in use.
Standard 8VAC20-800-510-A
Based on observation, and an interview with the provider, not all children were provided an individual crib for resting/napping. Evidence: five cribs were observed and the provider identified the five children each crib was assigned to. There was no crib assigned or available for an 11-month old infant observed in care.
Plan of Correction: All children will be assigned and have a designated crib or cot to sleep on.
Standard 8VAC20-800-530-F
Based on observation, the provider failed to ensure that no soft bedding of any kind was used under or around infants including, but not limited to pillows, quilts and comforters. Evidence: there were multiple blankets in the crib and hanging on the sides of a crib where a five month old infant was placed to sleep. A pillow and two blankets were observed in and hanging on the side of a second crib. A third crib had multiple blankets in the crib.
Plan of Correction: Provider removed everything from the crib during the inspection.