Inspection · 2022-04-13
Date
2022-04-13
Complaint Related
No
Licensing Inspector
Kara Vaughan
(703) 537-6241
(703) 537-6241
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 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
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 on April 13, 2022 There were 9 children directly supervised by 3 staff. The childcare area, 4 staff records, 3 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed settling down for nap. Diapering procedures were also observed. There was an assortment of age appropriate materials for children. The child care area was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.vaughan@doe.virginia.gov or 703-537-6241.
Violations
9Standard 8VAC20-770-60-C-2
Based on record review, the provider did not deny employment to staff who did not have a central registry finding within 30 days of employment.
Evidence:
There were not central registry background check results for Staff 2 and Staff 3.
Evidence:
There were not central registry background check results for Staff 2 and Staff 3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
There was no documentation of a a physical examination by or under the direction of a physician for Child 1. Child 1's date of enrollment is documented as 1/3/2022.
Evidence:
There was no documentation of a a physical examination by or under the direction of a physician for Child 1. Child 1's date of enrollment is documented as 1/3/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Based on record review, caegiver records did not contain all required information.
Evidence:
1. Staff 1's record did not contain all required background checks.
2. Staff 2's record did not contain verification of age, job title, date of employment, emergency contact information, all required background checks, education, or reference checks.
3. Staff 3's record did not contain a current Tuberculosis screening, documentation that references were checked, or documentation of education.
4. Staff 4's record did not contain all required background checks, or documentation of education.
Evidence:
1. Staff 1's record did not contain all required background checks.
2. Staff 2's record did not contain verification of age, job title, date of employment, emergency contact information, all required background checks, education, or reference checks.
3. Staff 3's record did not contain a current Tuberculosis screening, documentation that references were checked, or documentation of education.
4. Staff 4's record did not contain all required background checks, or documentation of education.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Evidence:
Staff 3's most recent Tuberculosis screening was conducted on 2/11/2019.
Evidence:
Staff 3's most recent Tuberculosis screening was conducted on 2/11/2019.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-320-A
Based on observation small electrical appliances were not unplugged unless being used by the caregiver or with children under close supervision.
Evidence:
On the counter in the kitchenette off of the child care area there was an electric kettle that was plugged in and extremely hot to the touch. The door of the kitchenette was open and the area was accessible to children in care.
Evidence:
On the counter in the kitchenette off of the child care area there was an electric kettle that was plugged in and extremely hot to the touch. The door of the kitchenette was open and the area was accessible to children in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on record review, 3 of 3 children's records reviewed did not contain all required information.
Evidence:
1. Child 1's record did not contain the child's health insurance policy number, the phone number for 1 of the 2 required emergency contacts, no documentation that proof of the child's age and identity have been verified, a record of immunization, or a physical conducted by a physician.
2. Child 2, and 3's record did not contain verification that proof of the child's identity had been viewed.
Evidence:
1. Child 1's record did not contain the child's health insurance policy number, the phone number for 1 of the 2 required emergency contacts, no documentation that proof of the child's age and identity have been verified, a record of immunization, or a physical conducted by a physician.
2. Child 2, and 3's record did not contain verification that proof of the child's identity had been viewed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
Based on record review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.
Evidence:
There was not an evacuation drill documented for 12/2021.
Evidence:
There was not an evacuation drill documented for 12/2021.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.
Evidence:
There was no documentation of immunization present in the record for Child 1.
Evidence:
There was no documentation of immunization present in the record for Child 1.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-820-120-E-2
Based on observation, the findings from the most recent licensing inspection were not posted in the facility.
Evidence:
No inspection notice was observed in the facility on the date of inspection.
Evidence:
No inspection notice was observed in the facility on the date of inspection.
Plan of Correction: Not available online. Contact Inspector for more information.