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Wenjie Ping

Inspection · 2024-08-12

Date
2024-08-12
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 8/12/2024, The on-site inspection began at 12:50pmand ended at 1:55pm. The inspector reviewed compliance in the areas listed above. There were (12) children present and (2) caregivers; the point total was (25). The inspector reviewed (2) children?s records and (3) staff records on-site on 8/12/2024. This inspection included document review, emergency drill logs, tour of the facility, observations and measurements.

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 (8/20/2024). A POC submitted after this date will not appear on the public website

Violations

13
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:
1. Child #2 (start date 6/17/2024) was missing the child's health exam.
Plan of Correction: Will ask parents to provide physical forms.
Standard 8VAC20-800-140-B-3
Based on review, the provider was not current in certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
Evidence:
1. The provider's CPR certification expired on 6/27/2024 and had only completed the online portion of the training to renew.
Plan of Correction: Will register CPR in person class ASAP.
Standard 8VAC20-800-140-B-4
Based on review, the provider was not current in first aid training
Evidence:
The provider's first aid training certification expired on 6/27/2024 and had only completed the online portion of the training to renew
Plan of Correction: Will register first aid in person class ASAP.
Standard 8VAC20-800-180-A
Based on review, the provider did not obtain for each caregiver and adult household member a current report of tuberculosis screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Evidence:
1. Household member #1/Substitute had a tuberculosis screening or test dated 1/27/2022.
Plan of Correction: Household members TB Test on 8-28-2024 Once get result will send to inspector.
Standard 8VAC20-800-200-C
Based on review and interview, the provider did not documentation of the orientation for the substitute provider.
Evidence:
1. Substitute provider's records was missing the orientation document and the provider stated she did the orientation for them.
Plan of Correction: Will ask sub to fill in orientation as needed.
Standard 8VAC20-800-500-C
Repeat Violation
Based on observation, the providers stationary outdoor playground equipment was not placed at least six feet from the perimeter of other play structures or obstacles.
Evidence:
1. The provider had stationary outdoor playground equipment that had a wood border surrounding the perimeter that was approximately 4 feet away from the slide platform play structure.
Plan of Correction: Will follow the standard and to adjust it.
Standard 8VAC20-800-510-A
Based on observation, two children were not provided with an individual crib, cot, rest mat or bed for resting or napping.
Evidence:
1. One child was observed sleeping in a bouncy seat in the playroom and one child was observed sleeping in a bouncy seat in the crib room.
Plan of Correction: All babies need sleep in the crib.
Standard 8VAC20-800-570-A
Based on observation, the provider did not ensure that a caregiver did not exceed 16
points by using the point system to determine if an additional caregiver is needed.
Evidence:
1. The caregiver had 25 points from approximately 12:50pm to 1:09pm until the substitute arrived back from lunch their break.
Plan of Correction: All caregivers can't leave during the work.
Standard 8VAC20-800-60-B
Repeat Violation
Based on review of children's records, the records did not contain all required information.
Evidence:
1. Child #1 (start date 2/05/2024) was missing the name and location of previous day care programs and schools the child has attended.
2. Child #2 (start date 6/17/2024) was missing one parent's home address, place of employment, work address and phone number and the 2nd parent's place of employment and work phone number, immunization record and health exam.
Plan of Correction: Will ask parents to fill in missing parts.
Standard 8VAC20-800-680-B
Based on observation, the caregiver did not ensure that children's hands are washed before eating with liquid soap and warm running water.
Evidence:
1. One child was observed being placed in a high chair to eat a snack and the provider admitted that she only washed the child's hands with a wet wipe after changing the child and did not wash the child's hands with soap and running water.
Plan of Correction: Children need use running water to wash hands. Not wipes.
Standard 8VAC20-800-80-A
Repeat Violation
Based on record review, the provider did not obtain from the parent within seven business days of the child's first day of attendance at the family day home, the names and location of previous day care programs and schools the child has attended.
Evidence:
1. Child #1 and Child #2 did not have the names and location of previous day care programs and schools the child has attended. Both children have attended more than seven days.
Plan of Correction: Will ask parents to fill in the missing parts.
Standard 8VAC20-800-800-B
Based on review, the provider did not review the emergency plan at least annually and
update the plan as needed and document in writing each review and update to the
emergency plan.
Evidence:
1. The provider's emergency plan was last updated on 7/18/2023.
Plan of Correction: Will review every year and sign.
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 before a child attends the family day home.
Evidence:
1. Child #2 (start date 6/17/2024) was missing the child's immunization record.
Plan of Correction: Will ask parents fill in the forms.