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Tammy Brown

Inspection · 2023-05-01

Date
2023-05-01
Complaint Related
No
Licensing Inspector
Cindy Horne
(804) 297-4469
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced monitoring inspection was conducted today, May 1, 2023. The inspector was on site from approximately 12:05 pm until 1:45 pm. There were six children present with one caregiver supervising for a value of 16 points. Children were observed finishing lunch and preparing for nap. The provider sat and conversed with children during lunch. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of six children?s records and two caregiver record and two household member records were reviewed. The inspector interacted with the caregiver and children in care.
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.
If you have any questions regarding this inspection, please contact the licensing inspector.

Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov

Violations

10
Standard 8VAC20-770-40-D-5
Based on review of two household member records and interview, the provider did not
obtain the results of a central registry background check within 30 days of one household member becoming 14 years of age.

Evidence:

The record of household Member #2, 14 years in age as of March 19, 2023, was missing results of a central registry background check. The provider stated she had not requested a central registry background check for household member #2.
Plan of Correction: Per the provider: I will request the background check today.
Standard 8VAC20-800-240-A
Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence:

1. There was an abundance of boxes, packaged food, bags, a vacuum cleaner, and other equipment around and under the two cribs located in the kitchenette area of the home. The items prevented a clear path to and around the cribs posing a tripping hazard. There is a full-length curtains hanging next to the crib, accessible to a child in the crib that poses a hazard. The diaper changing table also located in the kitchenette area in between the two cribs had peeling paint.
2. The bathroom used by children in care had a latex glove that had been used for coloring hair in the sink. The floor of the bathroom had a sticky residue.
3. The provider acknowledged that the areas used by children were not clean.
Plan of Correction: Per the provider: I will clean out the area by the weekend.
Standard 8VAC20-800-280
Based on observation the provider did not ensure potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored away from food in areas inaccessible to children.

Evidence:

1. Multiple containers of cleaning products were observed on the washing machine located in the bathroom and separated only by a curtain. The cleaning products were accessible to children in care.
2. A canister of air freshener was observed sitting on the ledge of a half wall next to an occupied crib.
Plan of Correction: Per the provider: I will remove the cleaning products and lace them in an area that the children cannot access.
Standard 8VAC20-800-290
Based on observation, the provider did not ensure sharp kitchen utensils and other sharp objects were inaccessible to children unless being used by the caregiver or with children under close supervision.

Evidence:

The drawer in the kitchen that contain the sharp knives had a child safety lock that was broken creating accesses to the sharp knives by children in care.
Plan of Correction: Per the provider: I will install a new locking latch on the drawer.
Standard 8VAC20-800-60-A
Based on interview, the provider did not maintain an up-to-date record at the family day home for each child enrolled.

Evidence:

The provider stated child #4 was enrolled on 04/20/2023 however she did not have a record for child #4 that contained all the required information.
Plan of Correction: Per the provider: I will locate the missing record or have the parents complete another one.
Standard 8VAC20-800-70-B
Based on interview, the provider did not obtain the parent?s written acknowledgement of the receipt of the information for parents.

Evidence:

The provider stated she did not have the parent?s signed acknowledgment of the parent information for child #4.
Plan of Correction: Per the provider: I will have parents complete the missing information.
Standard 8VAC20-800-770
Based on interview, the provider did not maintain a working battery-operated flashlight to be kept in a designated area and available to caregivers at all times.

Evidence:

The provider stated she did not have a flashlight in the family day home.
Plan of Correction: Per the provider: I just ordered one. It will be here tomorrow.
Standard 8VAC20-800-780-B
Based on review of six children?s records, the provider did not annually obtain the parent?s signed acknowledgment of the review of the parent emergency contact information required to ensure the information is correct.

Evidence:

1. The record of child #2, enrolled 01/04/2021, was last reviewed by the parent on 03/22/2022 exceeding the annual requirement.
2. The record of child #6, enrolled 02/14/2022, was last reviewed by the parent on 02/14/2022 exceeding the annual requirement.
Plan of Correction: Per the provider: I will have the parents review the information tonight and sign the acknowledgement.
Standard 8VAC20-800-800-B
Based on review of documentation and interview, the provider did not review the emergency plan at least annually and update the plan as needed.

Evidence:

The family day home emergency preparedness plan was last reviewed/ updated on 01/20/2021 exceeding the annual requirement.
Plan of Correction: Per the provider: I will review the emergency preparedness plan and sign the acknowledgement.
Standard 8VAC20-800-90-A
Based on review of six children?s records, the provider did not obtain documentation that one child had been adequately immunized before the child attended the family day home.

Evidence:

Child #4, enrolled 04/20/2023, and in attendance on 05/01/2023, did not have documentation of immunization. The provider stated she did not have documentation of immunizations for child #4.
Plan of Correction: Per the provider: I will locate the missing physical or request another copy.
View original record on Virginia Department of Social Services