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Sandra Reardon

Inspection · 2023-12-04

Date
2023-12-04
Complaint Related
No
Licensing Inspector
Sarah Marbert
(703) 479-4678
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

X 8VAC20-800 Administration
X 8VAC20-800 Personnel
X 8VAC20-800 Household Members
X 8VAC20-800 Physical Health of Caregivers and Household members
X 8VAC20-800 Caregiver Training
X 8VAC20-800 Physical Equipment and Environment
X 8VAC20-800 Care of Children
X 8VAC20-800 Preventing the Spread of Disease
X 8VAC20-800 Medication Administration
X 8VAC20-800 Emergencies
X 8VAC20-800 Nutrition
X 8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
X 8VAC20-770 Background Checks
20 Access to minor?s records
X 22.1 Background Checks Code, Carbon Monoxide
X 54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced monitoring inspection was conducted. The provider was not on-site and two adults caregivers were watching the children. One assistant has very limited English and was unable to communicate effectively with the Inspector. The children were observed transitioning from lunch to rest time, diapering and infant care. Reviewed records for children and caregivers, physical space, emergency preparation and trainings. 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. Please be aware that the plan of correction must be provided within 5 days of receipt of the inspection notes if you want it displayed on the website. Feel free to contact me if you need any assistance.

Ann Dramstad, Children?s Inspector
Office of Child Care Health and Safety Division of School Readiness
703-314-0860
ann.dramstad@doe.virginia.gov

Violations

15
Standard 22.1-289.011-F
Based on observation, the most current inspection notes were not posted.
Evidence:
Posted inspection notes were dated 3/2021. The last inspection was 3/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Based on record review, no fingerprint documentation was available for a caregiver.
Evidence:
Assistant #2 did not have a completed fingerprint check from VA DSS-OBI prior to working/volunteering with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on record review, an assistant did not have a Sworn Disclosure Statement (SDS),
Evidence:
Assistant #2 was missing a completed SDS prior to volunteering at the Family Day Home.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-130
Based on conversation, the assistant was unable to communicate, read, write or speak in English to carry out assigned responsibilities.
Evidence:
1. Assistant #1 was unable to understand and speak in English when asked questions about records for children, ages and location of items needed to complete the inspection.
2. Assistant #2 had to translate into Spanish and English for the Inspector and Assistant #1 to communicate.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-D
Based on staff statement, no substitute provider log is kept to document when the provider is not on-site.
Evidence:
No log was available to verify the times the Provider is off site and Assistant #1 takes the lead.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Based on record review, an assistant did not have a TB screening test prior to coming into contact with children.
Evidence:
Assistant #2 did not have TB documentation.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
Repeat
Based on observation, an area of the home is not maintained in a safe and operable condition.
Evidence:
The gate leading to the upper deck from the patio/entrance to the daycare is broken off its hinges.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-320-B
Repeat
Based on observation, unused outlets were missing protective covers.
Evidence:
3 outlets were missing protective covers in the daycare space.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
Based on staff statement, no written attendance was taken the day of the inspection.
Evidence:
No attendance was available to verify which children were present.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-530-G
Based on observation, a large pillow was in an occupied crib.
Evidence:
The crib had a large stuffed animal pillow and was occupied by a sleeping child.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
Based on record review, not every child had an up to date file available.
Evidence:
No files were available for 4 children during the inspection. The provider was not present and the assistants did not know where to find the information. (child #3,4,6 and 7)
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Repeat Violation
Based on record review, children's records were incomplete
Evidence:
1. Child #2's was missing an annual update and health insurance policy number
2. Child #1 was missing parent work addresses and proof of identity documentation (date and who reviewed the paperwork)
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
Repeat
Based on record review, monthly evacuation drills were not conducted.
Evidence:
The log had no drills documented for the months of April, May, June, July, August, September and October 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Based on record review, updated immunization documentation for children under 2 years of age every 6 months was not maintained in the child's record.
Evidence:
1. Child #1's last update was 1/18/2023
2. Child #5's last update was 6/17/2022
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-960-E
Based on observation, 2 bottles in the refrigerator were not labeled.
Evidence:
The bottles did not have the full name and date.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services