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Shweta Anand

Inspection · 2024-10-22

Date
2024-10-22
Complaint Related
No
Licensing Inspector
Kara Vaughan
(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 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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 10/22/2024 and completed on 10/22/2024. The on-site inspection began at 10:20am and ended at 11:20am. The inspector reviewed compliance in the areas listed above. There were 9 children present and 2 caregivers; the point total was 26. The inspector reviewed 6 children?s records and 4 caregiver/household members records [on-site] and [electronically on 10/22/2024].

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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/31/2024. A POC submitted after this date will not appear on the public website.

Violations

13
Standard 8VAC20-800-100-A
The provider shall 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.

Child 2 and 4's record did not contain documentation of a physical examination.
Plan of Correction: Documentation updated.
Standard 8VAC20-800-120-C
Substitute providers' records shall also contain documentation of the time of arrivals and departures.

On the date of inspection Caregiver 2 was acting in the capacity of a substitute in the absence of the provider. No record documenting the time of arrival was available for review.
Plan of Correction: Was not aware of this but will start keeping track
Standard 8VAC20-800-210-A
REPEAT VIOLATION
In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Caregiver 3's record did not contain documentation of annual training.
Plan of Correction: Caregiver 3 was short by a couple of hours but will have 16 next time around
Standard 8VAC20-800-50-C
Information contained in a child's record shall be privileged and confidential. The provider shall not distribute or release information in a child's record to any unauthorized person without the written consent of the child's parent.

The supplemental page from the two previous licensing inspections were posted in the facility. The supplemental page contains confidential information about children in care are state that they are not to be posted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-500-F
Trampolines shall not be used during the hours children are in care.

A small trampoline was observed in the backyard in the play area used by children.
Plan of Correction: Trampoline removed
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed.
1. Children from birth through 15 months of age count as four points each;
2. Children from 16 months through 23 months of age count as three points each;
3. Children from two through four years of age count as two points each.

Upon the inspector's arrival, Caregiver 3 was observed talking on the phone in the front yard. Caregiver 3 entered the family day home at the same time as the inspector, where Caregiver 2 was observed caring for 9 children alone (26 points).
Plan of Correction: Caregiver 3 had stepped away for a quick moment but will make a note for the future
Standard 8VAC20-800-60-B
REPEAT VIOLATION
Children's records shall be maintained with all required information.

Child 6's record did not contain the name, address, and phone number of two emergency contacts. The one listed emergency contact is the child's parent or the child's medical insurance carrier and policy number.
Plan of Correction: Child's second day parents already informed. Documents updated.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diaper changes.

One child's hands were not washed after receiving a diaper change.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing the all required information.

Child 6's record did not contain documentation that they have been informed of:

Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; Schedule of fees and payment plans; Check in and check out procedures; Whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by ? 63.2-1809.1 of the Code of Virginia; Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; Requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately; Requirement for paid caregivers to report suspected child abuse or neglect according to ? 63.2-1509 of the Code of Virginia;Custodial parent's right to be admitted to the family day home any time the child is in care as required by ? 63.2-1813 of the Code of Virginia; General daily schedule that is appropriate for the age of the enrolling child; Policies for the provision of food; Presence of a pet or animal in the home; Discipline policies including acceptable and unacceptable discipline measures; The name of the adult assistant or substitute provider; Provisions of the family day home's emergency preparedness and response plan; and
Address of the website of the department, with a note that a copy of this regulation and additional information about the family day home may be obtained from the website, including compliance history that includes information after July 1, 2003.
Plan of Correction: It was child's second day all documentation has been updated.
Standard 8VAC20-800-700-B
The parent's written authorization for medication shall expire or be renewed after 10 working days. Medication authorizations can extend past 10 days if the parent authorization is accompanied by a physician's written authorization.

Child 3's medication authorization was authorized for the dates 8/13/2024 through 2/13/2025, but did not contain an additional authorization from the child's physician.
Plan of Correction: Will update documents accordingly
Standard 8VAC20-800-730-D
Medication shall be kept in a locked place using a safe locking method that prevents access by children.

Two medications were stored in a child's cubby in an area accessible to children.
Plan of Correction: Medication was sealed and has been relocated.
Standard 8VAC20-800-80-B
The provider shall verify the identity and age of a child by documenting that they have viewed an approved document verifying age and identity within 7 days of enrollment.

Child 1, 4, and 5's record did not contain documentation that the child's age and identity were verified.
Plan of Correction: Document updated.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall 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.

Child 4's record did not contain documentation of immunization.
Plan of Correction: Documentation will be updated.