Inspection · 2024-07-24
Date
2024-07-24
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
(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
8VAC20-820 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
63.2 Child abuse and neglect
Inspector Notes
An unannounced, on-site renewal inspection was initiated on July 24, 2024 and
completed on July 24, 2024. The on-site inspection began at 12:03 pm and ended at 1:45 pm. The inspector reviewed compliance in the areas listed above. There were eight children present and two caregivers; the point total was 20. The inspector reviewed nine children?s records and four staff records on-site. This inspection included document review, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards.
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 August 20, 2024. A POC submitted after this date will not appear on the public website.
*This inspection report was amended on August 19,2024 and again on August 27, 2024. A copy of the updated notice was provided to the licensee on August 27, 2024.
Violations
11Standard 8VAC20-800-120-B
Repeat
Based on review of four caregiver records, the provider did not obtain all required documentation for one caregivers? record.
Evidence:
The record of caregiver #4, employed 07/22/2024 and identified as the substitute caregiver, did not contain the name, address, and telephone number of a person to be notified in an emergency, documentation of a high school program completion or the equivalent and three months of programmatic experience.
Based on review of four caregiver records, the provider did not obtain all required documentation for one caregivers? record.
Evidence:
The record of caregiver #4, employed 07/22/2024 and identified as the substitute caregiver, did not contain the name, address, and telephone number of a person to be notified in an emergency, documentation of a high school program completion or the equivalent and three months of programmatic experience.
Plan of Correction: per the provider: The substitute provider is my mother and I have all her information. Forgot to write it down. My mother finished school overseas and it's impossible to get her diploma.
Standard 8VAC20-800-120-C
Based on interview and record review, the provider did not maintain documentation of the time of arrivals and departures for substitute providers.
Evidence:
1. Caregiver #4 was identified as the substitute provider by the provider via phone on 07/24/2024.
2. Caregiver #2 stated caregiver #4 had been acting as the substitute provider since 07/22/2024 and would continue through 07/26/2024 while the provider was on vacation.
3. Caregiver #2 stated there was no documentation of caregiver #4?s arrival and or departure.
Evidence:
1. Caregiver #4 was identified as the substitute provider by the provider via phone on 07/24/2024.
2. Caregiver #2 stated caregiver #4 had been acting as the substitute provider since 07/22/2024 and would continue through 07/26/2024 while the provider was on vacation.
3. Caregiver #2 stated there was no documentation of caregiver #4?s arrival and or departure.
Plan of Correction: Per the provider: The time sheet will be filled out.
Standard 8VAC20-800-140-B-3
Based on review of caregiver records and interview, the provider did not ensure substitute
providers had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.
Evidence:
The record of caregiver #4 did not contain documentation of current CPR certification.
Caregiver #4 stated she did not have CPR certification
providers had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.
Evidence:
The record of caregiver #4 did not contain documentation of current CPR certification.
Caregiver #4 stated she did not have CPR certification
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-4
Based on review of caregiver records and interview, the provider did not ensure substitute providers had current certification in first aid.
Evidence:
The record of caregiver #4 did not contain documentation of current first aid certification.
Caregiver #4 stated she did not have first aid certification.
Evidence:
The record of caregiver #4 did not contain documentation of current first aid certification.
Caregiver #4 stated she did not have first aid certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-D
Based on interview, the substitute provider did not record and sign the time of arrivals and departures on each day that the substitute provider worked.
Evidence:
Caregiver #4 stated she did not sign in at arrival or departure for the days of 07/22/2024 and 07/23/2024 and did not sign at arrival today, 7/24/2024.
Evidence:
Caregiver #4 stated she did not sign in at arrival or departure for the days of 07/22/2024 and 07/23/2024 and did not sign at arrival today, 7/24/2024.
Plan of Correction: Per the provider: The time sheet will be filled out.
Standard 8VAC20-800-200-C
Based on record review, the provider did not ensure orientation shall be signed and dated by the provider and substitute provider.
Evidence
The record of caregiver #4 did not contain documentation of orientation.
Evidence
The record of caregiver #4 did not contain documentation of orientation.
Plan of Correction: Per the provider: The substitute is my mom and we forgot to sign the orientation form.
Standard 8VAC20-800-210-A
Based on review of caregivers? records, the provider did not ensure in addition to first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually.
Evidence:
The record of caregiver #1 contained documentation of 8 hours of annual training between the period of May 30, 2023, through May 29, 2024, when 16 hours was required.
Evidence:
The record of caregiver #1 contained documentation of 8 hours of annual training between the period of May 30, 2023, through May 29, 2024, when 16 hours was required.
Plan of Correction: Per the provider: I was taking a class which I didn't finish. I will complete classes ASAP.
Standard 8VAC20-800-240-A
Repeat
Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1. A desk chair in the main childcare area was torn along the seat exposing the interior foam. The foam was accessible to children and posed a risk of chocking.
2. A fish tank in the main childcare area had a build up of mold/ algae. The fish tank did not have a working filtration system and no fish were in the tank.
3. The outside deck, identified as the play area for children in care, had four small slides, a small picnic table and a coffee table that were lined up along the railing. The climbing toys gave access to children to be able to climb up and over the rail of the deck.
4. The deck railing had a splintered piece of wood that was raised above the surface that could snag the skin of a child in care.
Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1. A desk chair in the main childcare area was torn along the seat exposing the interior foam. The foam was accessible to children and posed a risk of chocking.
2. A fish tank in the main childcare area had a build up of mold/ algae. The fish tank did not have a working filtration system and no fish were in the tank.
3. The outside deck, identified as the play area for children in care, had four small slides, a small picnic table and a coffee table that were lined up along the railing. The climbing toys gave access to children to be able to climb up and over the rail of the deck.
4. The deck railing had a splintered piece of wood that was raised above the surface that could snag the skin of a child in care.
Plan of Correction: Per the provider: Chair was moved from daycare. Fish tank is out of reach of children. The equipment outside the deck were moved in the middle.
Pictures were sent to the inspector. Railing was covered and will be removed.
Pictures were sent to the inspector. Railing was covered and will be removed.
Standard 8VAC20-800-680-A
Based on observation, the caregiver did not wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.
Evidence:
Caregiver #2 was observed diapering child #7. After diapering, caregiver #2 cleaned the diaper surface and called the next child to be diapered without washing her hands.
Evidence:
Caregiver #2 was observed diapering child #7. After diapering, caregiver #2 cleaned the diaper surface and called the next child to be diapered without washing her hands.
Plan of Correction: Per the provider: The assistant was nervous while the inspector was there and she forgot, was corrected.
Standard 8VAC20-800-680-B
Based on observation, the caregiver did not ensure children?s hands were washed with liquid soap and warm running water after toileting or diapering.
Evidence:
Caregiver #2 diapered child #7. After diapering, caregiver #2 set child #7 down at the table for snack without washing the child?s hands.
Evidence:
Caregiver #2 diapered child #7. After diapering, caregiver #2 set child #7 down at the table for snack without washing the child?s hands.
Plan of Correction: Per the provider: The assistant forgot to wash the kids hands with soap but used sanitizer.
Standard 8VAC20-800-70-A
Based on review of nine children?s records, the provider did not ensure the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child before the child?s first day of attendance.
Evidence:
1. The record of child #1, child #2, child #3, child #4, child #5, child #6, child #6, child #7, child #8, and child # 9, all had signed information for parents sheets that listed caregiver #5 (terminated) and caregiver #6 (terminated) as the substitute providers. There was no documentation of the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child.
2. On 07/24/2024, caregiver #2 and caregiver #4 were on cite and caring for children instead of the provider.
Evidence:
1. The record of child #1, child #2, child #3, child #4, child #5, child #6, child #6, child #7, child #8, and child # 9, all had signed information for parents sheets that listed caregiver #5 (terminated) and caregiver #6 (terminated) as the substitute providers. There was no documentation of the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child.
2. On 07/24/2024, caregiver #2 and caregiver #4 were on cite and caring for children instead of the provider.
Plan of Correction: Per the provider: It was an oversight was corrected.