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Yvette Williams-Patterson

Inspection · 2023-08-30

Date
2023-08-30
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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

Inspector Notes

A renewal inspection was initiated on August 30, 2023 at approximately 10:00 AM to 11:15 AM. There were 9 children present, ranging in age from infant to three years, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care, and emergencies and nutrition. A total of nine child records and two staff records were reviewed.

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.

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304
heather.dapper@doe.virginia.gov

Violations

5
Standard 22.1-289.036-A
Based on record review and interview, two staff records did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding.

Evidence:
1. The most recent criminal records check in the record for staff #1 was dated 07/31/18. A repeat criminal records check was required by 07/31/2023.
2. The most recent criminal records check in the record for staff #2 was dated 08/20/18. A repeat criminal records check was required by 08/20/2023.
3. The provider stated that the criminal records check had not been updated for staff #1 and staff #2.
Plan of Correction: Both staff members have updated central registry as of 09/07/23.
Standard 8VAC20-800-180-A
Based on a review of staff records, the provider did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

Evidence:
1. The records for staff #1(last TB screening 07/13/21) and staff #2 (last TB screening 07/16/21) did not contain updated TB screening results.
Plan of Correction: TB screenings have been conducted.
Standard 8VAC20-800-50-A
Based on documentation review, the family day home did not keep an accurate written record of children in attendance each day.

Evidence:
1) On the date of inspection, the inspector observed nine children in attendance. The attendance record only had seven children documented in attendance for the day.
Plan of Correction: This has been corrected. I will continue to monitor.
Standard 8VAC20-800-60-A
Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

Evidence:
The record for child #8, (enrolled 08/28/23) did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction: This has been addressed and corrected 09/01/2023.
Standard 8VAC20-800-70-A
Based on record review, the provider did not ensure that written information was provided to parents/guardian's prior to the first day of attendance.

Evidence:
1. The record for child #8 did not contain medication policy; whether or not there is liability insurance as required by ? 22.1-289.050 of the Code of Virginia; and provisions of the family day home's emergency preparedness and response plan.
Plan of Correction: This has been corrected 09/01/23 had the parent sign the appropriate papers.
View original record on Virginia Department of Social Services