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Anju Thapa

Inspection · 2023-02-08

Date
2023-02-08
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
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 02/08/2023 from 1:55pm-3:15pm. There were 10 children (32 points) directly supervised by 2 caregivers. The home, 2 caregiver records, 3 children?s records, evacuation drills, and emergency supplies were inspected. Children were observed during naptime, and playing with Legos and puzzles. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations

8
Standard 22.1-289.035-B-2
Based on record review, the provider did not obtain fingerprint-based criminal history record reports for 1 caregiver prior to employment.

Evidence:
The record for Caregiver #1 did not contain a Fingerprint Eligibility Letter issued by the Office of Background Investigations.
Plan of Correction: Criminal history check results obtained by the provider were not in the correct form and verbiage on the document indicated the document was not valid to use for employment purposes. The provider will contact OBI to determine next steps in order to obtain the appropriate documentation.
Standard 22.1-289.036-A
Based on record review, the provider did not obtain central registry check results every five years for 1 caregiver.

Evidence:
1. The most recent central registry check results in the record for Caregiver #2 were dated 9/27/2017.
Plan of Correction: The provider will provide the Department with documentation that the central registry check was submitted within the next 10 days.
Standard 8VAC20-800-120-B
Based on record review, 1 caregiver record did not contain all required information.

Evidence:
The record for Caregiver #1 did not contain the following:
-Date of employment
-Name address and telephone number of a person to be notified in an
emergency
-Documentation that two or more references as to character and reputation as
well as competency were checked before employment. The record only contained one reference.
Plan of Correction: The provider will obtain the information from the caregiver and place in the record.
Standard 8VAC20-800-200-A
Based on record review and provider interview, the provider did not provide orientation to 1 assistant by the end of their first week of assuming job responsibilities.

Evidence:
1. The provider stated caregiver #1's date of employment was 1/12/2023.
2. There was no documentation of orientation training in the record for Caregiver #1.
Plan of Correction: The provider will update the caregiver's record with orientation information.
Standard 8VAC20-800-510-C
Based on observation, sleeping mats were not atleast 12 inches from each other.

Evidence:
Four children were observed sleeping on sleeping mats in the floor of the family day home. The sleeping mats were positioned next to each other and touching.
Plan of Correction: Provider will place the sleeping mats in different places so that they are at least 12 inches apart.
Standard 8VAC20-800-60-B
Based on record review, 3 of 3 children's records reviewed did not contain all required information.

Evidence:
1. The record for Child #2 did not contain documentation of the name, address and telephone number of one of two required designated persons to contact in case of an emergency if the parent cannot be reached
2. The records for Child #1 and Child #3 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction: Provider will request the information from the parents at pick up.
Standard 8VAC20-800-70-A
Based on record review, the provider did not provide all required information in writing to the parents prior to the child's first day.

Evidence:
The records for Child #1, Child #2, and Child #3 did not contain written acknowledgement that the parents received the provisions of the family day home's emergency preparedness and response plan.
Plan of Correction: Provider will provide the parents with the required information.
Standard 8VAC20-800-790
Based on observation, the provider did not ensure required phone numbers were posted.

Evidence:
The provider did not have the following numbers posted:
A 911 or local dial number for police, fire, and emergency medical responders
The regional poison control center
Plan of Correction: Corrected during inspection.
View original record on Virginia Department of Social Services