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Mary Carter

Inspection · 2024-01-30

Date
2024-01-30
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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
8VAC20-770 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 on January 30, 2024. The inspector was on site from approximately 1:55 PM until 3:15 PM. There was one child present (two points) with one assistant and one caregiver supervising. The child was napping during the inspection. The inspector reviewed compliance in the areas of administration, physical plant, personal, caregiver training, medication, care of children, physical equipment and environment, emergencies, background checks. A total of two child records, one caregiver record and one assistant record were reviewed.

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.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304
heather.dapper@doe.virginia.gov

Violations

11
Standard 22.1-289.035-A
Based on the review of the assistant record and interview, the provider failed to obtain repeat background checks every five years for one staff as required.

Evidence:
1. The record for assistant #1 contained fingerprint based criminal history record information check dated 01/30/19. The fingerprint based criminal history record information check was required to be completed prior to 01/30/24.
2. The provider stated she did not have the updated fingerprint based criminal history record information check.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-A
Based on the review of the provider record and interview, the provider failed to obtain repeat background checks every five years as required.

Evidence:
1.The record for provider #1 contained fingerprint based criminal history record information check dated 08/06/18. The fingerprint based criminal history record information check was required to be completed prior to 08/06/23.
2. The provider stated that assistant #1 did not have the updated fingerprint based criminal history record information check.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-3
REPEAT VIOLATION
Based on record review and interview, the provider did not maintain current certification in cardiopulmonary resuscitation (CPR).

Evidence:
1. The record for provider #1 did not contain a current certification in CPR.
2. The provider stated she did not have a current CPR certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-4
REPEAT VIOLATION
Based on record review and interview, the provider did not maintain current certification in First Aid.

Evidence:
1. The record for provider #1 did not contain a current certification in First Aid.
2. The provider stated she did not have a current certification in First Aid.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-150-D-1
REPEAT VIOLATION
Based on record review and interview, the assistant did not maintain current certification in cardiopulmonary resuscitation (CPR).

Evidence:
1. The record for assistant #1 did not contain a current certification in CPR.
2. The provider stated that assistant #1 did not have a current certification in CPR.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-150-D-2
REPEAT VIOLATION
Based on record review and interview, the assistant did not maintain current certification in First Aid

Evidence:
1. The record for assistant #1 did not contain a current certification in First Aid.
2. The provider stated that assistant #1 did not have a current certification in First Aid.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Based on review of documentation and interview, the provider did not ensure that all caregivers completed a minimum of 16 hours of training annually.

Evidence:
1. The record for provider #1 had documentation of 13.5 hours. The provider stated that she did not have any additional hours to report.
2. The record for assistant #1 had documentation of 2 hours. The provider stated that assistant #1 did not have any additional hours to report.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-330-A
Based on observation and interview, the provider did not ensure that a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation.

Evidence:
1. The landline phone was tested at the time of the inspection; the landline phone was not operable.
2. The provider confirmed that the landline phone was not working.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
Based on observation, the provider failed to keep a written record of children in attendance each day.

Evidence:
The provider did not have a written record of attendance for the day.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-530-A
Based on observation, the provider did not ensure that cots being used for napping had linens consisting of a top cover and a bottom cover.

Evidence:
One child was napping on a cot and the cot did not have a bottom cover.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-770
Based on observation, the provider did not have a working battery-operated flashlight.
Evidence:
1.The provider was unable to get a battery-operated flashlight to work at the time of inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services