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Ms. Michelle Borst

Inspection · 2021-03-10

Date
2021-03-10
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

Inspector Notes

An unannounced monitoring inspection was conducted on 06/08/2022. There were no children present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, emergencies and nutrition. A total of 4 children?s records, 1 caregiver records, 1 household member and 3 pet records were reviewed. The inspector discussed the following with the provider: immunizations, evening care, diapering, nutrition, and caring for children with special needs. The inspector arrived for the inspection at 11:00 am and departed the family day home at 12:00 pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

4
Standard 22.1-289.036-A
Based on record review, the provider failed to ensure that every adult living in a family day home shall undergo all background checks in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter.

Evidence: The most recent findings from a search of the central registry in the record for Household Member 1 was dated 02/10/2016. There was not an updated search of the central registry completed in 2021.
Plan of Correction: Will email to follow-up.
Standard 8VAC20-800-100-B
Based on record review and discussion, the provider failed to ensure that the required physical examinations are conducted within the timeframes specified by the standards.

Evidence: The physical in the record for Child 2 was dated 06/02/2017; the record for Child 2 has a documented start date of 10/04/2021. Based on the child's age and timeframe requirement, the physical was required to have been conducted within 24 months prior to attendance.
Plan of Correction: Will talk to the parent.
Standard 8VAC20-800-50-A
Based on discussion, the provider failed to ensure that the family day home shall keep a written record of children in attendance each day.

Evidence: The provider stated she did not take a written record of children?s attendance.
Plan of Correction: Will use the model form to take attendance daily.
Standard 8VAC20-800-800-B
Based on document review and discussion, the provider failed to review the emergency plan at least annually.

Evidence: The most recent review of the emergency plan was completed on 03/10/2021. There was not a 2022 review completed.
Plan of Correction: Will review them today.
View original record on Virginia Department of Social Services