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Ms. Mary Bellamy

Inspection · 2023-09-26

Date
2023-09-26
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
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
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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

Inspector Notes

A monitoring inspection was initiated and concluded on 9/26/2023. There were 5 children present with the provider and an assistant. The point total was13. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Children were observed resting at nap time, eating an afternoon snack and playing with playdoh and various other tabletop toys. A total of 5 child records and 3 caregiver / household member records were reviewed. The inspection started at 2:30 pm and concluded at 4:20 pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

5
Standard 22.1-289.035-A
Based on a review of records and interview, the licensee did not ensure that all employees, undergo a background checks prior to employment or beginning to serve as a volunteer and every five years thereafter.
Evidence:
Three Provider / Assistant / Household Member records were reviewed.
The record for Assistant #2 contained the most recent result s of a Criminal Record Check that were dated 6/19/2028, more than 5 years ago.
The licensee confirmed that a more recent Criminal Record Check had not been requested for Assistant #2 .
Plan of Correction: The licensee will request an updated Criminal History Check for assistant caregiver #2 within 10 days of receipt of this report (by 10/13/2023), send a copy of documentation of the request to the inspector and a copy of the results upon receipt. The results will be placed in the caregiver / household member records upon receipt.
Standard 22.1-289.036-A
Based on record review and interview, the licensee did not ensure that every applicant or agent who is or will be involved in the day-to-day operations of the family day home, who is or will be alone with, in control of, or supervising one or more of the children; and any adult living in the family day home undergoes required background checks prior to issuance of a license as a family day home and every five years thereafter.
Evidence:
Three Provider / Assistant / Household Member Records were reviewed.
The record for provider #1 contained the most recent result s of a Criminal Record Check that were dated 6/15/2028, more than 5 years ago.
The record for Household Member #3 contained the most recent result s of a Criminal Record Check that were dated 6/28/2028, more than 5 years ago.
The licensee confirmed that a more recent Criminal History Check had not been requested for Provider #1 and Household Member #3.
Plan of Correction: The licensee will request an updated Criminal History Check for Provider #1 and Household Member #3 within 10 days of receipt of this report (by 10/12/2023), send a copy of documentation of the request to the inspector and a copy of the results upon receipt. The results will be placed in the caregiver / household member records upon receipt.
Standard 8VAC20-800-100-A
Based on a review of records and interview, the licensee did not always 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:
Five children's records were reviewed.
The record for child #1, who began attending the family day home 7/17/2023, did not contain the results of a physical examination.
The licensee acknowledged that this documentation was not present in the child #1's record.
Plan of Correction: The licensee will speak to the child's parent today and request that the results of a physical exam for child #1 be submitted within 2 weeks.
Standard 8VAC20-800-180-A
Based on record review and interview, the licensee did not always 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.
Evidence:
Three provider / assistant / Household member records were reviewed.
The record for household member #3 contained the most recent results of a tuberculosis (TB) screening which were dated 6/10/2021.
The licensee confirmed that she had not obtained more recent result s of a TB screening for household member #3.
Plan of Correction: The licensee will request that Household Member #3 obtain an updated TB screening within 2 weeks. The results will be placed in Household Member #3's record.
Standard 8VAC20-800-60-B
Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains all of the required information.
Evidence:
Five children's records were reviewed.
The record for child #2 did not contain the address for one of the two required individuals to be contacted in an emergency if the parents could not be reached.
The record for child #4 and child #5 did not contain the address for either of the two required individuals to be contacted in an emergency if the parents could not be reached.
The licensee acknowledged that this information was not in the record for child #2, #4 and #5.
Plan of Correction: The licensee will request this information today and place it the records for child #2, #4 and #5 by no later than 10/13/2023.
View original record on Virginia Department of Social Services