Inspection · 2022-04-12
Date
2022-04-12
Complaint Related
No
Licensing Inspector
Pernille Brandt
(703) 203-8659
(703) 203-8659
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
Inspector Notes
An unannounced monitoring inspection was conducted on 4/12/22. The provider and the assistant were present with11 children. A total of 30 points. The children were playing outside in the front yard. After playing outside, the children went inside, watched a tv show and had snack, bananas and oranges. The children had lunch as well, beans, rice and chicken. Interaction between caregiver and children observed. Lots of space and toys for children to play with. A violation notice was given to the provider along with the inspection summary. Please call me at 703-203-8659 if you have any questions regarding this inspection or email me at pernille.brandt@doe.virginia.gov.
Violations
14Standard 22.1-289.035-B-2
The provider failed to have the assistant submit to fingerprinting and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02.
Evidence: A new assistant started on 3/20/22, the assistant does not have any fingerprint background check on file. The provider had an assistant from January to March and does not have any fingerprint results from that staff.
Evidence: A new assistant started on 3/20/22, the assistant does not have any fingerprint background check on file. The provider had an assistant from January to March and does not have any fingerprint results from that staff.
Plan of Correction: I will ask my husband to do this.
Standard 8VAC20-770-60-B
Based on the review of the staff records, the provider failed to have sworn disclosure statements for the current assistant and a previous assistant.
Evidence: The current assistant started on 3/20/22 and the provider do not have the sworn disclosure statement on file. A separate assistant worked from January to March and the provider do not have a sworn disclosure statement on file for that assistant.
Evidence: The current assistant started on 3/20/22 and the provider do not have the sworn disclosure statement on file. A separate assistant worked from January to March and the provider do not have a sworn disclosure statement on file for that assistant.
Plan of Correction: I will ask my husband to do this
Standard 8VAC20-800-120-A
Based on the review of staff records the provider failed to get information for the assistant.
Evidence: The assistant does not have any paperwork, no references, no orientation and no emergency contacts, verification of age and job title.
Evidence: The assistant does not have any paperwork, no references, no orientation and no emergency contacts, verification of age and job title.
Plan of Correction: I will ask my husband to do this
Standard 8VAC20-800-130
Based on the information at the inspection, the assistant is not able to speak read and write English .
Evidence: The assistant was not able to speak with the inspector and failed to follow guidance when the inspector told her that she needed to wash hands after diaper changing as well as being told that the children needed to wash hands after diaper changing.
Evidence: The assistant was not able to speak with the inspector and failed to follow guidance when the inspector told her that she needed to wash hands after diaper changing as well as being told that the children needed to wash hands after diaper changing.
Plan of Correction: She is taking English classes
Standard 8VAC20-800-180-A
Based on the review of the provider records, the provider and a household member (#2) needs subsequent TB screenings
Evidence: The TB test for the two were done on 7/24/19 and 10/18/19 and is over 2 years old.
Evidence: The TB test for the two were done on 7/24/19 and 10/18/19 and is over 2 years old.
Plan of Correction: We will get it done
Standard 8VAC20-800-280
Based on the review of the physical plant, the provider did not keep cleaners inaccessible to children.
Evidence: Cleaners accessible on the kitchen island.
Evidence: Cleaners accessible on the kitchen island.
Plan of Correction: I will move
Standard 8VAC20-800-50-A
The provider failed to keep a written record of attendance.
Evidence: The provider told the inspector that she has not been taking attendance for a while.
Evidence: The provider told the inspector that she has not been taking attendance for a while.
Plan of Correction: I will start taking attendance again
Standard 8VAC20-800-60-A
Based on the review of the providers paperwork, the provider failed to have records for some of the children.
Evidence: Based on the review of 5 records, child 1 is missing information for parents, information regarding medication administration, physicians information, emergency treatment authorization, a physical and the child's records for with parents information and emergency contacts, The child started in October 2021.
Child 5 doe not have any paperwork and started on February 15th 2022.
Evidence: Based on the review of 5 records, child 1 is missing information for parents, information regarding medication administration, physicians information, emergency treatment authorization, a physical and the child's records for with parents information and emergency contacts, The child started in October 2021.
Child 5 doe not have any paperwork and started on February 15th 2022.
Plan of Correction: I will ask the parents for the information for the information, one of the children is a sister to one of my other children.
Standard 8VAC20-800-680-A
The caregiver failed to wash hands after diaper changing.
Evidence: The assistant failed to wash her hands after changing a diaper, the assistant did wear rubber gloves during the diaper change.
Evidence: The assistant failed to wash her hands after changing a diaper, the assistant did wear rubber gloves during the diaper change.
Plan of Correction: she had gloves on, I will tell her to wash hands with soap and water.
Standard 8VAC20-800-680-B
The caregiver failed to wash the children's hands
Evidence: Based on the observation during the inspection the children came in from outside and the younger children and infants failed to wash hands, the younger children also did not wash hands before eating and after diaper changing.
Evidence: Based on the observation during the inspection the children came in from outside and the younger children and infants failed to wash hands, the younger children also did not wash hands before eating and after diaper changing.
Plan of Correction: She used alcohol to clean the children's hands. I will tell her to make sure she uses soap and water.
Standard 8VAC20-800-690-D
Based on the physical inspection the provider failed to have a non absorbent surface that can be sanitized.
Evidence: The provider has a diaper changing pad that is covered with a cloth cover, the diaper changing pad is torn. The cloth and pad is absorbent.
Evidence: The provider has a diaper changing pad that is covered with a cloth cover, the diaper changing pad is torn. The cloth and pad is absorbent.
Plan of Correction: I have another changing pad in storage that I will use.
Standard 8VAC20-800-690-E
Based on the review of the physical plant, a hands free diaper pail is not used for disposable diapers.
Evidence: During the inspection, the assistant was observed changing a diaper, no step on trash can or other trashcan was available. The assistant tied the diaper up in a bag and at first but it on a shelf below the diaper changing pad, after being asked she took it outside and put it in the trashcan.
Evidence: During the inspection, the assistant was observed changing a diaper, no step on trash can or other trashcan was available. The assistant tied the diaper up in a bag and at first but it on a shelf below the diaper changing pad, after being asked she took it outside and put it in the trashcan.
Plan of Correction: I have a step on trash can and I just do not use it because the kids could touch it if it was in the room.
I will put it out.
I will put it out.
Standard 8VAC20-800-730-D
The provider failed to keep household medication in a locked place.
Evidence: The provider has a kitchen cupboard with open shelves, the shelves had about 40 bottles of medication belonging to the family of the provider. The children eat in the kitchen and were observed walking around in the kitchen during the inspection. None of the medications are locked up.
Evidence: The provider has a kitchen cupboard with open shelves, the shelves had about 40 bottles of medication belonging to the family of the provider. The children eat in the kitchen and were observed walking around in the kitchen during the inspection. None of the medications are locked up.
Plan of Correction: I will remove the medications to a locked area.
Standard 8VAC20-800-830-A
The provider failed to conduct monthly emergency evacuation drills.
Evidence: Based on the review of the emergency evacuation drills, and interview with the provider, the provider failed to conduct emergency drills for January, February and March 2022.
Evidence: Based on the review of the emergency evacuation drills, and interview with the provider, the provider failed to conduct emergency drills for January, February and March 2022.
Plan of Correction: I have been very busy with the children, they are my priority. I will make sure I do monthly drills.