Inspection · 2024-07-25
Licensing Inspector
Kara Vaughan
(703) 537-6241
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
8VAC20-820 THE LICENSE
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 renewal inspection was initiated on 7/25/2024 and completed on 7/25/2024. The on-site inspection began at 10:00 am and ended at 11:00 am. The inspector reviewed compliance in the areas listed above. There were 11 children present and 3 caregivers; the point total was 43. The inspector reviewed 6 children?s records and 5 staff records on-site. This inspection document review, tour of the facility, 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 8/1/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-A
All caregivers shall undergo required background check prior to employment and every five years thereafter. Caregiver 5's record contains a central registry check conducted on 6/12/2019.
Plan of Correction: We have already requested updated background checks.
Standard 22.1-289.035-B-1
The provider shall obtain a sworn statement or affirmation from caregivers disclosing whether they ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire. Caregiver 3's record does not contain a sworn disclosure statement.
Plan of Correction: Appeal Caregiver no longer works which is why her documents are not updated. She was not present on the date of inspection and hasn't been since termination date.
Standard 22.1-289.035-B-2
The provider is required to obtain the results of a national criminal record check for all caregivers prior to employment. Caregiver 2's criminal record check results were obtained 25 days after the documented hire date.
Plan of Correction: Appeal, I put date of interview not hire date on document.
Standard 22.1-289.035-B-4
The provider is required to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Caregiver 2 self reported living in Maryland within the preceding five years. No background checks from Maryland were requested and results were not obtained.
Plan of Correction: Will request background check for [required state].
Standard 8VAC20-800-100-A
The provider shall 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. Child 5's record did not contain documentation of a physical examination.
Plan of Correction: Child's documents have been recieved.
Standard 8VAC20-800-170-A
The provider shall obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Caregiver 2's Tuberculosis screening was conducted 22 days after the documented hire date.
Plan of Correction: Appeal, I put date of interview not hire date on document. Caregivers TB test was done before date of hire.
Standard 8VAC20-800-210-A
In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver 3 obtained 9 clock hours of training in 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-530-B
SYSTEMIC DEFICIENCY
REPEAT VIOLATION
Cribs used by infants shall have a tight fitting bottom cover. One crib observed, had a loose fitting sheet.
Plan of Correction: I will make sure sheets are fitted and reach out to parents.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing information about the provider's policies and procedures. Child 3 and Child 5's record did not contain documentation that the parents were informed of the provider's medication policy.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The emergency plan was last updated on 1/27/2023.
Plan of Correction: Emergency plan has been reviewed.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Child 5's record did not contain documentation of immunizations.
Plan of Correction: Child's documents have been received.