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Ms. Letitia Paige

Inspection · 2023-03-24

Date
2023-03-24
Complaint Related
No
Licensing Inspector
Kimberly Sampson
(757) 354-7307
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
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Inspector Notes

An unannounced monitoring inspection was conducted from 11:00 am to 12:20 pm. At the time of entrance, 9 children were in care with the provider and assistant provider. The record sample size consisted of 5 children's records and the provider's record and the assistant's record. The children in care were observed engaging with the provider, participating in educational activities and free play, eating lunch, and handwashing. There have been no injuries since the last inspection and no medications are being administered at this time. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.

Violations

6
Standard 22.1-289.058
Based on observation and interview it was determined the provider did not ensure the home had at least one carbon monoxide detector.
Evidence:
1. There was no carbon monoxide detector in the home.
2. Provider confirmed that there was no carbon monoxide detector present during this inspection.
Plan of Correction: Provider will install a carbon monoxide detector.
Standard 8VAC20-800-140-B-3
Based on record review and interview it was determined the provider did not ensure that the assistant provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
Evidence:
1. The record for assistant provider did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). The documentation available expired 10.23.21
2. The assistant provider confirmed that their certification had expired.
Plan of Correction: Assistant will get current CPR certification.
Standard 8VAC20-800-140-B-4
Based on record review and interview it was determined the provider did not ensure that the assistant provider had current certification in first aid, as appropriate to the age of the children in care.
Evidence:
1. The record for assistant provider did not contain documentation of current certification in first aid. The documentation available expired 10.23.21
2. The assistant provider confirmed that their certification had expired.
Plan of Correction: Assistant will get current first aid certification.
Standard 8VAC20-800-240-A
Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.
Evidence:
1. There are small of broken, exposed plaster and peeling paint in the main childcare room.
2. One of the components of the play kitchen rocked when pulled on, presenting a potential tip hazard.
Plan of Correction: Provider will repair broken plaster, peeling paint, and anchor play kitchen component.
Standard 8VAC20-800-430-A
Based on observation and interview it was determined the provider did not ensure that children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.
Evidence:
1. There was no barrier preventing access to the stairs to the second floor.
2. Provider confirmed that they had not installed the gate to prevent access to the stairs.
Plan of Correction: Provider will install gate at base of stairs.
Standard 8VAC20-800-830-C
Based on record review and interview it was determined the provider did not ensure that documentation of emergency evacuation and shelter-in-place drills was maintained.
Evidence:
1. The last shelter in place drill recorded was July 2021.
2. Provider and assistant reported that the drill had been completed but not recorded.
Plan of Correction: Provider will document all emergency drills.
View original record on Virginia Department of Social Services