Inspection · 2024-02-16
Date
2024-02-16
Complaint Related
No
Licensing Inspector
Pamela Sneed
(804) 629-2691
(804) 629-2691
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.
Inspector Notes
An unannounced monitoring inspection was conducted at 10:06am. Observed 8 children totaling 21 points with 2 caregivers. Ratios and supervision were in compliance. Children were observed playing with toys, finger painting and eating lunch. The caregivers were actively engaged with the children and activities. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. Areas of non-compliance with standards and laws reviewed were found with multiple violations being repetitive and systemic. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov
Note: The licensee should submit the plan of corrections within 5 business days of receipt of this report for the plans to be included and posted on the VDOE website.
Violations
10Standard 22.1-289.011-F
Based on observations made, required documents were not posted in the home.
Evidence:
1. The findings from the previous inspection were not posted. The violation notice from 8/11/22 was posted.
2. The most recently issued license was not posted. The license that expired in July 2023 was posted.
Evidence:
1. The findings from the previous inspection were not posted. The violation notice from 8/11/22 was posted.
2. The most recently issued license was not posted. The license that expired in July 2023 was posted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on records reviewed, there was no documentation that a caregiver completed a Sworn Disclosure Statement (SDS) prior to the 1st day of working. Evidence: There was not a completed SDS on-file for Caregiver #4 who reportedly began working 2 weeks prior.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Repeat Violation and Systemic Deficiency.
Based on records reviewed, 1 of 10 children's records did not include documentation of a physical exam within the first 30-days of attendance. Evidence: The record for Child #12 did not include a physical exam. The child began attending in September 2022.
Based on records reviewed, 1 of 10 children's records did not include documentation of a physical exam within the first 30-days of attendance. Evidence: The record for Child #12 did not include a physical exam. The child began attending in September 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Repeat Violation.
Based on records reviewed, a caregiver's record did not include documentation of required information. Evidence: The record for Caregiver #4 did not include the date of employment; a minimum of 2 reference checks completed prior to the first day of working; and name, address and phone number of an emergency contact. Caregiver #4 reportedly began working 2 weeks prior.
Based on records reviewed, a caregiver's record did not include documentation of required information. Evidence: The record for Caregiver #4 did not include the date of employment; a minimum of 2 reference checks completed prior to the first day of working; and name, address and phone number of an emergency contact. Caregiver #4 reportedly began working 2 weeks prior.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Repeat Violation.
Based on records reviewed, there was no documentation of a TB screening for a caregiver prior to coming into contact with the children. Evidence: There was no documentation of a TB screening for Caregiver #4 who was observed working with the children on the date of this inspection and reportedly began working 2 weeks prior.
Based on records reviewed, there was no documentation of a TB screening for a caregiver prior to coming into contact with the children. Evidence: There was no documentation of a TB screening for Caregiver #4 who was observed working with the children on the date of this inspection and reportedly began working 2 weeks prior.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-A
Based on records reviewed, a caregiver's record did not include documentation of orientation training by the end of their 1st week of working. Evidence: There was no documentation of Caregiver #4 receiving orientation training. The caregiver reportedly began working 2 weeks prior to the date of inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Repeat Violation and Systemic Deficiency
Based on records reviewed, 3 of 10 children's records did not include required information.
Evidence:
1. Child #9 - There was no documentation of the parents receiving and signing the Information for Parents form.
2. Child #11 - There was no documentation of parents signing the emergency medical authorization form, emergency preparedness plan, and liability insurance statement.
3. Child #12 - There was no documentation of an allergy action plan for the diagnosed food allergy.
Based on records reviewed, 3 of 10 children's records did not include required information.
Evidence:
1. Child #9 - There was no documentation of the parents receiving and signing the Information for Parents form.
2. Child #11 - There was no documentation of parents signing the emergency medical authorization form, emergency preparedness plan, and liability insurance statement.
3. Child #12 - There was no documentation of an allergy action plan for the diagnosed food allergy.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Repeat Violation.
Based on records reviewed, 6 of 10 children's records did not include documentation that emergency contact information was reviewed and signed by parents annually.
Evidence:
1. Child #9-The last annual parent signature was documented as January 2023.
2. Child #10-The last annual parent signature was documented as October 2022.
3. Child #11-The last annual parent signature was documented as July 2022, when the child enrolled.
4. Child #12-The last annual parent signature was documented as April 2022.
5. Child #13-The last annual parent signature was documented as November 2022.
6. Child #16-The last annual parent signature was documented as February 5, 2023.
Based on records reviewed, 6 of 10 children's records did not include documentation that emergency contact information was reviewed and signed by parents annually.
Evidence:
1. Child #9-The last annual parent signature was documented as January 2023.
2. Child #10-The last annual parent signature was documented as October 2022.
3. Child #11-The last annual parent signature was documented as July 2022, when the child enrolled.
4. Child #12-The last annual parent signature was documented as April 2022.
5. Child #13-The last annual parent signature was documented as November 2022.
6. Child #16-The last annual parent signature was documented as February 5, 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-80-B
Repeat Violation and Systemic Deficiency.
Based on records reviewed, 8 of 10 children's records did not include documentation of verification of the child's proof of identity using an acceptable form of identification. Evidence: The records for Child #9, #10, #11, #12, #14, #15, #16 and #18 listed a document that does not qualify as a proof of identity. The social security card was listed as the document accepted.
Based on records reviewed, 8 of 10 children's records did not include documentation of verification of the child's proof of identity using an acceptable form of identification. Evidence: The records for Child #9, #10, #11, #12, #14, #15, #16 and #18 listed a document that does not qualify as a proof of identity. The social security card was listed as the document accepted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Repeat Violation and Systemic Deficiency.
Based on records reviewed, 4 of 10 children's records did not include documentation of immunizations every 6 months until the age of 2 years old.
Evidence:
1. Child #10-The immunizations on-file were dated October 2022 when the child was 13 months of age.
2. Child #11-The immunizations on-file were dated July 2022 when the child was 13 months of age.
3. Child #12-The immunizations on-file were dated April 2022 when the child was 6 months of age.
4. Child #18-The immunizations on-file were dated June 2023 when the child was 8 months of age.
Based on records reviewed, 4 of 10 children's records did not include documentation of immunizations every 6 months until the age of 2 years old.
Evidence:
1. Child #10-The immunizations on-file were dated October 2022 when the child was 13 months of age.
2. Child #11-The immunizations on-file were dated July 2022 when the child was 13 months of age.
3. Child #12-The immunizations on-file were dated April 2022 when the child was 6 months of age.
4. Child #18-The immunizations on-file were dated June 2023 when the child was 8 months of age.
Plan of Correction: Not available online. Contact Inspector for more information.