Inspection · 2024-02-01
Date
2024-02-01
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
(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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect
Inspector Notes
An unannounced renewal inspection was conducted today from 10:25am-1:00pm. There were 10 children (24 points) directly supervised by the provider and 1 assistant caregiver. The home, 2 caregiver records, 3 children?s records, 2 household member?s records, and evacuation drills were inspected. Children were observed during circle time, coloring, and playing with legos. Diapering procedures were also observed. 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
12Standard 22.1-289.035-B-2
Based on record review, the provider did not obtain fingerprint-based criminal history record results for 1 caregiver prior to employment.
Evidence:
1. The provider stated Caregiver #2 began employment in January 2023. The record for Caregiver #2 did not contain a Fingerprint Eligibility Letter issued by the Office of Background Investigations.
Evidence:
1. The provider stated Caregiver #2 began employment in January 2023. The record for Caregiver #2 did not contain a Fingerprint Eligibility Letter issued by the Office of Background Investigations.
Plan of Correction: The provider will provide documentation that the request was sent within 10 business days.
Standard 22.1-289.036-A
Based on record review, the provider did not obtain repeat background checks every five years as required for 2 of 4 Caregiver/household members reviewed.
Evidence:
1. The repeat fingerprint check in the record for Caregiver #1 was obtained on 12/11/2023, more than 5 years after the previous results obtained on 7/24/18.
2. The repeat central registry check results in the record for Household member #1 were obtained on 1/10/2024, more than 5 years after the previous results obtained on 8/24/2018.
Evidence:
1. The repeat fingerprint check in the record for Caregiver #1 was obtained on 12/11/2023, more than 5 years after the previous results obtained on 7/24/18.
2. The repeat central registry check results in the record for Household member #1 were obtained on 1/10/2024, more than 5 years after the previous results obtained on 8/24/2018.
Plan of Correction: The provider will ensure repeat background checks are completed within 5 years from the previous results.
Standard 22.1-289.036-B-2
Based on record review, the provider did not obtain fingerprints for a household member over the age of 18.
Evidence:
1. The record for Household Member #1 did not contain documentation of the results of a fingerprint-based criminal history record check.
Evidence:
1. The record for Household Member #1 did not contain documentation of the results of a fingerprint-based criminal history record check.
Plan of Correction: The provider will provide documentation that the request was sent within 10 business days.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance for 1 of 3 children reviewed.
Evidence:
The record for Child #3 (start date 12/27/2023) did not contain documentation of a physical examination.
Evidence:
The record for Child #3 (start date 12/27/2023) did not contain documentation of a physical examination.
Plan of Correction: The provider will request the physical documentation from the parents.
Standard 8VAC20-800-120-B
Based on record review, 1 caregiver record did not contain all required documentation.
Evidence:
1. The record for Caregiver #2 did not contain the caregiver's date of hire and name, address, and telephone number of a person to be notified in an emergency.
Evidence:
1. The record for Caregiver #2 did not contain the caregiver's date of hire and name, address, and telephone number of a person to be notified in an emergency.
Plan of Correction: The provider will obtain the documentation for the caregiver's record.
Standard 8VAC20-800-230-A
Based on record review, the provider did not maintain written documentation of orientation for 1 caregiver.
Evidence:
1. The record for Caregiver #2 did not contain documentation of orientation.
Evidence:
1. The record for Caregiver #2 did not contain documentation of orientation.
Plan of Correction: The provider will obtain the documentation for the caregiver's record.
Standard 8VAC20-800-60-B
Based on record review, 1 of 3 children's records did not contain all required information.
Evidence:
1. The record for Child #1 did not contain documentation of the name and policy number of the child's medical insurance.
2. The record for Child #1 does not contain signed confirmation that the information provided in the record for Child #1 is correct.
Evidence:
1. The record for Child #1 did not contain documentation of the name and policy number of the child's medical insurance.
2. The record for Child #1 does not contain signed confirmation that the information provided in the record for Child #1 is correct.
Plan of Correction: The provider will request the information from the parents.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface was not cleaned after each use.
Evidence:
1. The provider was observed during diaper changing using a spray sanitizer after each use. The surface was not cleaned by washing with soap and water or detergent solution and rinsing with water, prior to being sanitized as required.
Evidence:
1. The provider was observed during diaper changing using a spray sanitizer after each use. The surface was not cleaned by washing with soap and water or detergent solution and rinsing with water, prior to being sanitized as required.
Plan of Correction: The provider will ensure that the diapering surface is cleaned by washing with soap and water or detergent solution and rinsing with water after each use.
Standard 8VAC20-800-70-B
Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of information required to be provided to parents by the child's first day.
Evidence:
1. The records for Child #1 and Child #2 did not contain written confirmation of the receipt of the provisions of the family day home's emergency preparedness and response plan.
Evidence:
1. The records for Child #1 and Child #2 did not contain written confirmation of the receipt of the provisions of the family day home's emergency preparedness and response plan.
Plan of Correction: The provider will provide the forms to the parents and obtain signatures of receipt of the informaiton.
Standard 8VAC20-800-80-C
Based on record review, 2 of 3 children's records did not contain complete documentation of proof of identification for each child in care.
Evidence:
1. The records for Child #1 and #3 did not contain documentation of date and person verifying original proof of identification.
Evidence:
1. The records for Child #1 and #3 did not contain documentation of date and person verifying original proof of identification.
Plan of Correction: The provider will make the corrections in the records. The provider will provide a signature and date when proof of identity documents are viewed.
Standard 8VAC20-800-800-B
Based on record review, the provider did not review the emergency plan at least annually.
Evidence:
1. There is documentation of one review of the emergency plan which was created on 11/08/2021. The signature of the review of the plan was not dated.
Evidence:
1. There is documentation of one review of the emergency plan which was created on 11/08/2021. The signature of the review of the plan was not dated.
Plan of Correction: The provider will ensure the emergency preparedness plan is reviewed annually.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that 1 of 3 children reviewed has been adequately immunized.
Evidence:
1. The record for Child #3 (start date 12/27/2023) did not contain documentation of immunizations.
Evidence:
1. The record for Child #3 (start date 12/27/2023) did not contain documentation of immunizations.
Plan of Correction: The provider will request documentation of immunizations from the parents.