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Anju Thapa

Inspection · 2024-06-11

Date
2024-06-11
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Inspector Notes

An unannounced monitoring inspection was conducted today from 8:00am-9:20am. There were 8 children (19 points) directly supervised by the caregiver and 1 assistant caregiver. The home, 3 caregiver records, 4 children?s records, evacuation drills, and policies were inspected. Children were observed playing freely. 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

7
Standard 8VAC20-800-100-A
Repeat Violation

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 4 children reviewed.

Evidence:
The record for Child #1 (start date 2/26/2024) did not contain documentation of a physical examination.
Plan of Correction: The provider will request the physical from the parents.
Standard 8VAC20-800-120-B
Repeat Violation

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.
Plan of Correction: The provider will add the information to the caregiver's record.
Standard 8VAC20-800-230-A
Repeat Violation

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.
Plan of Correction: The provider will document the caregiver's orientation training in the record.
Standard 8VAC20-800-60-B
Based on record review, 1 of 4 records did not contain all required information.

Evidence:
1. The record for Child #1 did not contain documentation of the address of the place of employment for both parents.
2. The record for Child #2 did not contain Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction: The provider will request the information from the parents.
Standard 8VAC20-800-70-B
Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of information as required.

Evidence:
1. The record for Child #2 did not include written acknowledgement of the provisions of the family day home's emergency preparedness and response plan and policies for the administration of medications.
2. The records for Child #3 and #4 did not include written acknowledgement of the provisions of the family day home's emergency preparedness and response plan.
3. The written acknowledgement of the provisions of the family day home's emergency preparedness and response plan in the record for Child #1 did not contain include the address of the relocation site, in the event an evacuation of the home must occur.
Plan of Correction: The provider will provide the forms to the parents and obtain signatures of receipt of the information.
Standard 8VAC20-800-80-C
Repeat Violation

Based on record review, 2 of 4 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 #2 did not contain documentation of date and person verifying original proof of identification.
Plan of Correction: The provider will make corrections in the records.
Standard 8VAC20-800-90-A
Repeat Violation

Based on record review, the provider did not obtain documentation that 1 of 4 children reviewed has been adequately immunized.

Evidence:
1. The record for Child #1 (start date 02/26/2024) did not contain documentation of immunizations.
Plan of Correction: The provider will request the immunizations from the parents.