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Tammy Brown

Inspection · 2024-08-26

Date
2024-08-26
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 Physical Health of Caregivers and Household Members
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Emergencies
8VAC20-770 Background Checks
?22.1-289.035-A Background Checks
?22.1-289.036-A Background Checks

Inspector Notes

An unannounced, on-site focused, early compliance inspection was initiated and completed on 8/26/24, as a part of the provisional licensure period. The on-site inspection began at 11:00 a.m. and ended at 12:40 p.m. The inspector reviewed compliance in the areas listed above. There were six children present and three caregivers; the point total was sixteen. The inspector reviewed three children?s records on-site. This inspection included document review (license posting and previous inspection posting, background checks, physical evaluations, immunizations, TB tests, pet records), a tour of the family day home, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 9/05/2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-800-240-A
(Repeat Violation) Based on observation, the caregiver failed to maintain areas of the family day home in a clean and safe condition.

Evidence:
1) Multiple items including pencils, pens, a drill, and scissors were observed piled high on side tables in the living room that a child could pull down onto themselves.

2) A trashcan on the floor near the hallway to the bathroom was overflowing with trash that a child could put in their mouth.

3) The floors in the hallway and the kitchen were observed to be dirty with bits of trash, an old straw, lint, and dog hair that a child could put in their mouth.

4) On the floor by a side table in the living room there was a bag of snack food, bits of trash, and a cherry tomato that could present a choking hazard.

5) The front porch that is accessible to children had peeling paint and was observed to be dirty and cluttered with multiple items including cigarettes and wood filler.

6) In an interview on 8/26/24, the caregiver acknowledged that they needed to clean things up.
Plan of Correction: No pencils, pens, or scissors were "piled high"-they were in a pencil cup set directly on table. -as was the safety drill. But pencil cup and safety drill were removed by assistant. Trash can was completely removed by Caregiver. Floor vacuumed by Caregiver. Will continue to vacuum daily moving forward. Area was vacuumed and cleaned by Caregiver and Assistant. Will continue daily cleaning. Porch was cleaned and swept by Caregiver and Assistant. Daily cleaning will continue. We are removing all paint from the porch as to not deal with random peeling.
Standard 8VAC20-800-250-E
Based on observation, the caregiver failed to keep items that could pose a risk of suffocation out of reach of children under five years of age.

Evidence:
A plastic grocery bag was observed on the kitchen floor accessible to children. One child under five years was observed in the kitchen during the inspection.
Plan of Correction: The bag was removed and placed in trash. Child was immediately sent out of kitchen when he followed adult in.
Standard 8VAC20-800-320-B
Based on observation, the caregiver failed to install child-resistant protective covers on all unused surge protectors accessible to children under five years of age.

Evidence:
A power strip plugged with multiple cords and one empty outlet was accessible to children in the living room posing a risk of shock.
Plan of Correction: Power strip was moved and any access to strip was blocked.
Standard 8VAC20-800-340-C
Based on observation, the caregiver did not keep the bathroom that the children use clean.

Evidence:
The bathroom floor was observed to be dirty with bits of trash, lint, and hair. Children under five years were observed going into the bathroom during the inspection.
Plan of Correction: The piece of 2 inch yarn was thrown away. Floor was swept and mopped. Floors will continue to be swept daily and mopped weekly by assistant.
Standard 8VAC20-800-440-A
Based on observation and interview, the caregiver has allowed children to have access to the front porch which does not have a protective barrier.

Evidence:
In an interview on 8/26/24, the provider reported that the children have been permitted to play on the front porch with chalk. The porch which is approximately two feet off the ground was observed not to have a protective railing to prevent a child from falling off.
Plan of Correction: Children will no longer go on porch to use chalk or other activities.
Standard 8VAC20-800-460-I
Based on observation, the children have access to the food and water bowls of the caregiver?s dogs.

Evidence:
The dogs? food and water bowls are on the floor in the kitchen and accessible to children. One child under 5 years was observed in the kitchen during the inspection.
Plan of Correction: Child was immediately sent out of kitchen as we do not allow them in kitchen. But we moved their bowls to a different area of the house.
View original record on Virginia Department of Social Services