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Sandra Reardon

Inspection · 2024-08-06

Date
2024-08-06
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

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
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT-certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 8/6/2024 and completed on 8/6/2024. The on-site inspection began at 10:07 am and ended at 11:20. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 11. The inspectors reviewed 3 children?s records and 2 caregiver records on-site on 8/6/2024. This inspection included document review, a tour of the home, interviews, and observations.

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

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/13/2023. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.011-F
Based on record review and staff interview, not all required documentation was posted.

Evidence:
1. The findings of the most recent inspection of the home were not posted.
2. Posted inspection notes were dated 12/2023. The last inspection was 5/2024.
Plan of Correction: The updated inspection will be posted today.
Standard 8VAC20-800-100-A
Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child?s attendance or within 30 days after the first day of attendance.

Evidence:
1. There was no physical examination for Child #1, who began attending 9/12/2022.
2. Child #3 has a physical examination, but it is not complete.
Plan of Correction: I will request the information from the parents this week.
Standard 8VAC20-800-180-A
Based on record review and interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for a caregiver every two years.

Evidence: The tuberculosis test result (chest x-ray) for Caregiver #1 is dated 9/4/2019 and expired on 7/21/2021.
Plan of Correction: My assistant will get the test done this week
Standard 8VAC20-800-200-C
Based on record review and interview, caregiver orientation was not documented.

Evidence: There was no documentation to verify that Caregiver #1 had orientation training.
Plan of Correction: The training will be done this month.
Standard 8VAC20-800-210-A
Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Evidence:
1. Caregiver #1 received 2 hours of annual training.
2. There was no documentation to verify that Caregiver #1 received more than 2 hours of annual training.
Plan of Correction: The training will be done this month.
Standard 8VAC20-800-50-A
REPEAT VIOLATION

Based on record review and interview, the family day home did not keep a written record of children in attendance each day.

Evidence:
1. No attendance was available to verify which children were present.
2. Attendance was last documented on 06/6/2024.
Plan of Correction: Attendance will be complete daily each morning.
Standard 8VAC20-800-780-B
Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent?s signed acknowledgment of the review.

Evidence:
1. Child #1's last annual emergency contact review was on 9/6/2022.
2. Child #3's last annual emergency contact review was on 2/21/2023.
Plan of Correction: I will request the information from the parents this week.
Standard 8VAC20-800-830-B
Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year.

Evidence: The provider stated they have not completed a shelter-in-place drill at this time.
Plan of Correction: Shelters will be conducted this month.
Standard 8VAC20-800-830-C
Based on record review and interview, the emergency evacuation procedures were not documented.

Evidence: The provider stated that the June and July 2024 evacuation procedures were practiced but not documented.
Plan of Correction: The evacuation will be dated every month.
Standard 8VAC20-800-90-A
Based on record review and interview, the provider did not obtain documentation that a child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attending.

Evidence:
1. There was no documentation to verify that Child #2 had been adequately immunized before their first day of attendance.
2. The start date for Child #2 is 8/5/2024.
Plan of Correction: I will ask the parents for the complete immunized record
Standard 8VAC20-800-920
Based on record review and interview, the menu was not dated for the current week.

Evidence: The family day home menu that was posted was dated 11/2021.
Plan of Correction: The menu will be dated every week.
View original record on Virginia Department of Social Services