Inspection · 2023-11-30
(571) 835-5058
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
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
Inspector Notes
An unannounced monitoring inspection was conducted on 11/30/2023 from 9:20 am to 10:35 am. There were 8 children supervised by 2 direct caregivers. The home, 2 caregivers' records, 4 children?s records, evacuation drills, and policies were inspected. Children were observed engaging freely and eating. Areas of non-compliance are identified in the Violation Notice. Please submit your plan of correction within 5 business days for it to be included on the website. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov.
Violations
9Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician before a child's attendance or within 30 days after the first day of attendance.
Evidence:
1. There was no documentation of a physical examination for Child #1 and Child #2 before their first day of attendance.
2. The start date for Child #1 is 06/05/2023 and for Child #2 is 8/2/2023.
Evidence: The TB test for Caregiver #1 is dated 7/21/2021 and expired on 7/21/2023.
Based on record review and interview, the provider did not obtain all the information required for a child's record.
Evidence:
1. Child #3 is missing the name and policy number of the child's medical insurance.
2. Child #2 is missing the telephone number of the child's physician.
Based on record review, the provider did not provide the family day home policies to parents in writing before the child's first day of attendance.
Evidence:
1. Child #2 is missing the policy for picking up a ill child, notification of communicable disease, policies for the administration of medications, liability insurance, and the home emergency preparedness and response plan.
2. Child #3 is missing the policy for picking up an ill child, notification of communicable disease, and the home's emergency preparedness and response plan.
3. Child #1 is missing the home's emergency preparedness and response plan.
Evidence:
1. There was no documentation of written parent authorization for 4 diaper ointments and 1 sunscreen used for the children in care.
2. 3 of 4 diaper ointments were not labeled with the child's name.
3. 3 of 4 diaper ointments were expired.
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: Child #3's last annual emergency contact review was on 10/05/2022.
Based on record review and interview, proof of identity was not obtained within 7 days.
Evidence:
1. Child #2 and Child #4 do not have signed documentation of viewing the proof of identity for the child.
2. The start date for Child #2 is 8/21/2022 and Child #4 is 01/10/2022.
Based on record review and interview, before a child's first day of attendance, 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.
Evidence:
1. There was no documentation that Child #1 had been adequately immunized before their first day of attendance, as required by Virginia Code ? 32.1-46 A.
2. The start date for Child #1 is 06/05/2023
Evidence: At approximately 9:23 am, Child #5 was observed by the inspector during the inspection not fastened in a high chair that has straps while eating.