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Le Lam

Inspection · 2023-08-17

Date
2023-08-17
Complaint Related
No
Licensing Inspector
Karen Dickens
(571) 423-6978
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 Background Checks Code, Carbon Monoxide
?54.1 Provider must be MAT certified to administer prescription medication.
?63.2 Child abuse and neglect
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced monitoring inspection was conducted today between the hours of 9:30 am through 10:45 am. There were a total of 13 children (29 points) observed with two caregivers. A total of six children's files and three staff/household member's files were reviewed. The children were engaged in the following: toy play, games, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations

4
Standard 8VAC20-800-40-A
Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.
Evidence:
1. The family day home has a capacity of 12 children. At the time of the inspection, there were a total of 13 children(29pts) observed with two caregivers.
Plan of Correction: The one child that exceeded the capacity of the family day home was an emergency situation. The child had a complete record, but needed care at the time of the inspection.
Standard 8VAC20-800-60-B
Based on record review and interview, children's records did not contain required information.
Evidence:
1. Child # 1's record (Start date-08/14/2023) did not contain documentation of immunizations.
2. Caregiver #2 confirmed that Child #1's immunization records were obtained before the first date of attendance, but the copy was returned to the parent for proper certification by a physician.
Plan of Correction: The parent will return the immunization records and the provider will document the record.
Standard 8VAC20-800-680-B
Based on observation, caregivers did not ensure that children's hands are washed with liquid soap and warm running water.
Evidence:
1. Child #7's (2 years old) hands were not washed with soap and warm running water after diapering.
Plan of Correction: The caregivers will ensure that children's hands will be washed with soap and warm water after diapering and toileting.
Standard 8VAC20-800-830-C
Based on documentation review and interview, documentation was not maintained of emergency evacuation and shelter in place drills.
Evidence:
1. At the time of the inspection, documentation of emergency evacuation and shelter in place drills was not available for review.
2. Caregiver #1 stated that documentation for the emergency evacuation and shelter in place drills was maintained, but could not be located at the time of the inspection.
Plan of Correction: The log sheet for the Emergency Evacuation and Shelter in Place drills will be found and sent to the Licensing Inspector.
View original record on Virginia Department of Social Services