Inspection · 2023-08-15
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 renewal inspection was conducted from 9:45 - 11:45 am with the provider and her two assistants. There were 11 children, ranging from six months to four years of age, for a total of 34 points. Children were observed eating snack, playing with age-appropriate toys and singing/dancing to an age-appropriate video. Five child records and six provider/household member records were reviewed. The emergency drill log, daily attendance, menu, required posted information and annual training were reviewed. 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 Monday, 8/28/23. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Standard 8VAC20-800-320-A
Based on observation and interview, the provider failed to ensure that small electrical appliances were unplugged while not in use. Evidence: there was a Keurig coffee maker sitting on the kitchen counter plugged in and the provider stated that it was not in use.
Plan of Correction: Keurig was unplugged during the inspection.
Standard 8VAC20-800-460-C
Based on review of documentation, and an interview with the provider, not all pets were vaccinated as required. Evidence: The last documented rabies shot for the cat, ?Tiger,? was dated: 3/31/20.
Plan of Correction: "Tiger" received a rabies vaccination on 8/23.
Standard 8VAC20-800-530-B
Based on observation, not all cribs in use had tight fitting sheets. Evidence: four cribs had loose sheets. One of the four cribs was being used by an infant in care, according to the provider. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.
Plan of Correction: Provider stated she will get tight fitting sheets.
Standard 8VAC20-800-540-A
Based on observation, not all infant seats and high chairs/feeding tables were used according to the manufacturer's instructions when occupied by a child, using a safety strap that is securely fastened. Evidence: two children were observed seated in a low high chair/feeding table and were not strapped in. One infant was placed in a bouncy chair and was not strapped in.
Plan of Correction: Going forward will ensure that all children are securely fastened into seats.
Standard 8VAC20-800-60-A
Based on review of six child records, not all records contained all required information. Evidence: the records for child #2, child #3 and child #4 were missing written authorization for emergency medical care. The record for child #2 was missing proof of the child's age and identity.
Plan of Correction: Asked parents for missing information.
Standard 8VAC20-800-680-A
Based on observation, it was determined that not all caregivers washed their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: A caregiver was observed feeding an infant a bottle and the caregiver did not wash their hands beforehand.
Plan of Correction: Going forward all caregivers will wash their hands before serving children meals and snacks and bottles.
Standard 8VAC20-800-680-B
Based on observation, it was determined that not all caregivers washed the children's hands with liquid soap and warm running water before eating. Evidence: A caregiver was observed feeding an infant a bottle and the caregiver did not wash the infant's hands beforehand.
Plan of Correction: Going forward caregivers will wash all children's hands before meals and snacks and bottles.
Standard 8VAC20-800-750-A
Based on observation, and a review of documentation, the provider did not ensure all topical skin product requirements were met. Evidence: There were five diaper ointments that were not labeled with the child's name and the written parent authorization forms did not have complete information as required.
Plan of Correction: Going forward, all topical skin products will be labeled, and complete authorization forms will be obtained.
Standard 8VAC20-800-880
Based on observation, the provider did not ensure that the provided snack followed the most recent age-appropriate requirements of the USDA. Evidence: the children were given apples and juice for their morning snack. A snack is required to have foods from two different food groups.
Plan of Correction: Going forward will ensure that all snacks and meals are provided according to USDA requirements.
Standard 8VAC20-800-960-B
Based on observation, the provider failed to ensure that infants who cannot hold their own bottles are picked up and held for bottle feeding. Evidence: A caregiver was observed holding a bottle to feed a six-month old infant who was seated in an infant bouncy chair.
Plan of Correction: Going forward, all babies will be held when fed.