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Zoe Kapogiannis

Inspection · 2024-02-15

Date
2024-02-15
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
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 House
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 renewal inspection was conducted today, February 15, 2024. The inspectors were on site from approximately 9:00 am until 11:30 am. There were ten children present with two caregivers supervising for a value of 25 points. Children were observed playing with puzzles, toys, and dancing to music. Later lunch was observed along with diapering and handwashing. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A full house walk through was also conducted.

A total of seven child records, three caregiver records and three household member records were reviewed. The inspectors interacted with the provider and children in care.
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.

If you have any questions regarding this inspection, please contact the licensing inspector.

Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov

Violations

8
Standard 8VAC20-800-140-B-1
Based on review of three caregiver records, the provider did not obtain documentation of a high school program completion or equivalent evidence of having met the requirements for admission to an accredited college or university for providers and substitute providers.

Evidence:

1. The record of caregiver #3, employed 06/01/2023 and identified as a substitute provider did not contain documentation of education.
2. The provider stated she did not have documentation of education for the substitute provider.
Plan of Correction: Per the provider: I will ask the caregiver to provide a copy of her high school diploma,
Standard 8VAC20-800-170-A
Based on review of three caregiver?s records, the provider did not obtain a current report of tuberculosis screening for one caregiver at the time of hire and prior to coming into contact with children.

Evidence:

The record of caregiver #3, employed 06/01/2023, contained documentation of a tuberculosis screening dated 06/02/2023 exceeding the date of employment.
Plan of Correction: Per the provider: I will make sure i have the TB test completed before I hire anyone.
Standard 8VAC20-800-180-A
Based on review of three household member?s records, the provider did not obtain for each caregiver and adult household member, a current report of tuberculosis screening every two years from the date of the first screening.

Evidence:

The record of household member #1 contained documentation of a tuberculosis screening dated 02/13/2022 exceeding two years
Plan of Correction: Per the provider: My husband will get the TB updated.
Standard 8VAC20-800-240-A
Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence:

1. There was an abundance of boxes, plastic wrapped packages of diapers, wipes, and other items around and under the two cribs located in the living room of the home. One crib was filled with patio furniture cushions. The items presented a tripping hazard, possible choking hazard and created a situation where heavy items could be pulled down by a child in care. There was no clear path through the living room.
2. In the main room used for childcare, peeling paint was observed around the windows and near the fireplace.
3. The highchair tray and seat had a layer of dirt and was being used by a child in care.
4. The provider acknowledged that the areas used by children were not clean and the peeling paint.
Plan of Correction: Per the provider: I will clean out the living room area where the cribs are. My husband will repair the areas with the peeling paint.
Standard 8VAC20-800-560-A
Based on observation, the provider did not ensure direct care and supervision of each child in care to include monitoring a sleeping infant in one of the following ways: placing an infant for sleep in a location where the infant is within sight and hearing of a caregiver; by in-person observation of each sleeping infant at least once every 15 minutes; or by using a baby monitor.

Evidence:

1. The provider was observed putting child #3, 8 months in age, in the crib located in the living room for nap at approximately 10:30 am. The living room is not within sight and hearing of the main room used for childcare.
2. The provider did not check on the infant in-person until 11:04 am, exceeding 15 minutes.
3. The provider stated she did not have a baby monitor
Plan of Correction: Per the provider: We will check on the infant every 15 minutes and I will look into getting a baby monitor.
Standard 8VAC20-800-60-A
Based on review of children?s records, attendance record and interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

Evidence:

1. On February 15, 2024, the inspector observed ten children in care. The attendance sheet confirmed ten children were signed into care on February 15, 2024.
2. Seven children?s records were reviewed, the provider stated she did not have the records for three of the children in attendance (child #4, child #5, and child #6) and that the parent was bringing the information at pick-up.
3. Attendance records showed the first day of attendance for child #4, child #5, and child #6 was February 7, 2024.
Plan of Correction: Per the provider: The parent is suppose to bring all the paperwork today but I will make sure I have by tomorrow. For now on I will not let children attend without the paperwork.
Standard 8VAC20-800-800-B
Based on review of documentation, the provider did not ensure the emergency plan was reviewed at least annually and updated as needed. The provider shall document in writing each review and update to the emergency plan.

Evidence:

The most recent review of the emergency plan was documented on 12/13/2022, exceeding the annual requirement.
Plan of Correction: Per the provider: I will review the emergency plan with my assistant and substitute provider and document the date on the plan.
Standard 8VAC20-800-90-A
Based on review of children?s records, attendance record and interview, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home.

Evidence:

1. Child #4, child #5 and child #6, all in attendance on 02/15/2024 did not have documentation of immunizations.
2. Attendance sheets indicated the first day of attendance for child #4, child #5, and child #6 was 02/07/2024.
3. The provider stated she did not have immunizations records for child #4, child #5, and child #6.
Plan of Correction: Per the provider: The parent is brining all the paperwork in. I will make sure children do not start until I have their immunization records.
View original record on Virginia Department of Social Services