Inspection · 2024-09-23
Date
2024-09-23
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
(571) 352-1453
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
8VAC20-820 THE LICENSE
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 renewal inspection was initiated and completed on 09/23/2024, as a part of the licensure period. The on-site inspection began at 10:50am and ended at 12:20pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 1 caregivers at the start of the inspection; the point total was 18. The inspector reviewed 3 children?s records and 4 caregiver/household members records on-site. This inspection included document review, tour of the facility, interviews, and observations. 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.
Violations
16Standard 22.1-289.035-B-1
The provider is required to obtain a completed sworn statement prior to the employee's first day of employment.
The provider did not obtain a sworn statement for Caregiver#1, who is currently working. The date of this inspection is their first day of employment.
The provider did not obtain a sworn statement for Caregiver#1, who is currently working. The date of this inspection is their first day of employment.
Plan of Correction: Provider will obtain a sworn statement for Caregiver #1.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.
Caregiver #1, whose first day was the date of this inspection, did not have a completed national criminal background check.
Caregiver #1, whose first day was the date of this inspection, did not have a completed national criminal background check.
Plan of Correction: Provider will obtain the results of a fingerprint-based criminal history record check for Caregiver #1.
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.
There were no physical exam records available for Child #1 and #3 who had been in care for over 30 days.
There were no physical exam records available for Child #1 and #3 who had been in care for over 30 days.
Plan of Correction: Provider will request a copy of the child's physical.
Standard 8VAC20-800-120-A
Providers must maintain a record for each caregiver.
There was no record for Caregiver #1 whose first day was the date of this inspection.
There was no record for Caregiver #1 whose first day was the date of this inspection.
Plan of Correction: Provider will maintain a record for all employees.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.
There was no tuberculosis screening for Caregiver #1, whose first day was the date of this inspection.
There was no tuberculosis screening for Caregiver #1, whose first day was the date of this inspection.
Plan of Correction: Provider will obtain documentation of a tuberculosis screening for Caregiver #1.
Standard 8VAC20-800-280
Poisonous materials shall be stored in an area inaccessible to children.
Poisonous materials used for grilling were on the deck where children play.
Poisonous materials used for grilling were on the deck where children play.
Plan of Correction: Provider removed the materials from the outdoor play area during inspection.
Standard 8VAC20-800-340-C
The bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.
The bathroom did not contain paper towels.
The bathroom did not contain paper towels.
Plan of Correction: Provider obtained paper towels and placed them in the bathroom during inspection.
Standard 8VAC20-800-50-A
Providers must keep a written record of children in attendance each day.
There were no attendance records on the date of inspection. The provider did not take written attendance on September 16-23, 2024.
There were no attendance records on the date of inspection. The provider did not take written attendance on September 16-23, 2024.
Plan of Correction: Provider will record attendance daily.
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points.
The provider was present with 18 points from 10:50am-11:45am.
The provider was present with 18 points from 10:50am-11:45am.
Plan of Correction: Upon arrival, provider reported her assistant had just left the home and she had contacted someone to assist her. Caregiver #1 arrived at the home at 11:45am.
Standard 8VAC20-800-60-A
An up to date record for each child enrolled shall be maintained by the provider.
There was no record for Child #3, who was in care during the inspection and had been in care for approximately 6 months.
There was no record for Child #3, who was in care during the inspection and had been in care for approximately 6 months.
Plan of Correction: Provider requested information from the parent.
Standard 8VAC20-800-60-B
Children's records are required to contain policy number of the child's medical insurance
The record for Child #1 was missing the policy number of the child's medical insurance. The child was present during the inspection and had been in care for 5 months.
The record for Child #1 was missing the policy number of the child's medical insurance. The child was present during the inspection and had been in care for 5 months.
Plan of Correction: Provider requested information from the parent.
Standard 8VAC20-800-600-B
Infants shall spend no more than 30 minutes of consecutive time during waking hours in a confining piece of equipment.
An infant child was observed awake in an infant chair for one hour.
An infant child was observed awake in an infant chair for one hour.
Plan of Correction: Provider removed the child from the seat. Provider will make sure children are not confined for more than 30 minutes.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration.
There were no parent acknowledgements available for Child #2 who had been attending the family day home for one week, and Child #3 who had been attending the family day home for approximately 6 months.
There were no parent acknowledgements available for Child #2 who had been attending the family day home for one week, and Child #3 who had been attending the family day home for approximately 6 months.
Plan of Correction: Forms were given to the parent, the provider will request signatures from the parents.
Standard 8VAC20-800-80-A
Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.
This information was not available for one child who had been attending the family day home for 5 months.
This information was not available for one child who had been attending the family day home for 5 months.
Plan of Correction: Provider will view proof of id documents within 7 business days.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.
Emergency evacuation procedures were last practiced in May 2024. Emergency evacuation procedures were not practiced in June 2024, July 2024, and August 2024.
Emergency evacuation procedures were last practiced in May 2024. Emergency evacuation procedures were not practiced in June 2024, July 2024, and August 2024.
Plan of Correction: Provider will make sure fire drills are practiced every month.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.
There was no documentation of immunizations for Child #1, who was in care during the inspection and had been in care for 5 months.
There was no documentation of immunizations for Child #3 who was in care during the inspection and had been in care for approximately 6 months.
There was no documentation of immunizations for Child #1, who was in care during the inspection and had been in care for 5 months.
There was no documentation of immunizations for Child #3 who was in care during the inspection and had been in care for approximately 6 months.
Plan of Correction: Provider will request a copy of the children's immunizations.