Inspection · 2023-05-30
Date
2023-05-30
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
(703) 479-4675
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.
8VAC20-820 THE LICENSING PROCESS.
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 monitoring inspection was conducted today from 10:12:am-11:07am with the provider on site. There were 4 children with 2 caregivers. A sample of 2 children's files and 4 caregivers/household member's files were reviewed. The children were engaged in the following: toy play and coloring. Interactions between the children and caregivers were positive. The physical space, attendance records, first aid kit, drill record and the Emergency Preparedness Plan were reviewed. There were no medications on site. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.
Violations
13Standard 22.1-289.011-F
Based on observation, the license required by the Superintendent was not posted in a conspicuous place on the licensed premises.
Evidence:
1. The provider had the license posted that expired on 11/16/2022.
Evidence:
1. The provider had the license posted that expired on 11/16/2022.
Plan of Correction: I will post the current license today.
Standard 22.1-289.035-A
Based on record review, the provider did not obtain an updated background check every five years.
Evidence:
1. Caregiver #1 had a fingerprint background check dated 1/23/2018.
Evidence:
1. Caregiver #1 had a fingerprint background check dated 1/23/2018.
Plan of Correction: Caregiver #1's fingerprint is scheduled for this Saturday 6/03/2023.
Standard 22.1-289.036-A
Based on record review, the provider did not obtain an updated background check every five years for a household member.
Evidence:
1. Household Member #1 had a fingerprint background check dated 1/23/2018.
Evidence:
1. Household Member #1 had a fingerprint background check dated 1/23/2018.
Plan of Correction: Household Member #1 got his fingerprint done today.
Standard 8VAC20-770-60-C-2
Based on review, the provider did not have the central registry findings within 30 days of employment for a caregiver.
Evidence:
1. Caregiver #2's file (Start date approximately January or February 2022) did not have the central registry findings.
Evidence:
1. Caregiver #2's file (Start date approximately January or February 2022) did not have the central registry findings.
Plan of Correction: I am sending the request to central registry finding for my assistant today.
Standard 8VAC20-800-120-B
Based on review, the provider's records did not contain all required information for a caregiver.
Evidence:
1. Caregiver #2's file (approximate start date January or February 2022) did not have the emergency contact name, address and phone number or the employment date.
Evidence:
1. Caregiver #2's file (approximate start date January or February 2022) did not have the emergency contact name, address and phone number or the employment date.
Plan of Correction: I am updating caregiver #2 emergency contact name, address and phone today.
Standard 8VAC20-800-200-C
Based on interview, the provider did not have documentation that the assistant had completed orientation by the end of their first week of assuming job responsibilities.
Evidence:
1. The provider stated she completed the orientation training with the assistant (start date January or February 2022), but did not have the documentation.
Evidence:
1. The provider stated she completed the orientation training with the assistant (start date January or February 2022), but did not have the documentation.
Plan of Correction: Assistant got training yesterday.
Standard 8VAC20-800-60-B
Based on review of children's records and interview, the provider did not obtain written authorization if the child is taken off the premises of the family day home as required.
Evidence:
1. Child #1 and Child #2 did not have written authorization from the parent to take the child off premises.
2. The provider stated she takes the children to the playground in the neighborhood.
Evidence:
1. Child #1 and Child #2 did not have written authorization from the parent to take the child off premises.
2. The provider stated she takes the children to the playground in the neighborhood.
Plan of Correction: Child #1 and #2 have signed playground permission slip yesterday.
Standard 8VAC20-800-770
Based on observation, the provider did not have a working battery operated weather band radio.
Evidence:
1. The provider had a weather band radio, but could not get the radio to work during the inspection.
Evidence:
1. The provider had a weather band radio, but could not get the radio to work during the inspection.
Plan of Correction: weather band radio has been ordered yesterday.
Standard 8VAC20-800-800-B
Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document each review.
Evidence:
1. The emergency plan review was documented on 12/23/2021.
Evidence:
1. The emergency plan review was documented on 12/23/2021.
Plan of Correction: I have review emergency plan today.
Standard 8VAC20-800-800-C
Based on review of staff records, the provider had a caregiver that had not received training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities, on an annual basis, and at the time of each plan update.
Evidence:
1. Caregiver #2 (approximate start date January 2022) did not have documentation that the emergency training had been received.
Evidence:
1. Caregiver #2 (approximate start date January 2022) did not have documentation that the emergency training had been received.
Plan of Correction: Caregiver #2 is receiving training yesterday and today and I'll update the records today..
Standard 8VAC20-800-830-A
Based on review, the provider did not practice emergency evacuation procedures monthly.
Evidence:
1. The provider documented practicing evacuation procedures the month of January 2022 through October 2022, but did not practice them in November 2022, December 2022, January 2023, February 2023, March 2023 or April 2023.
Evidence:
1. The provider documented practicing evacuation procedures the month of January 2022 through October 2022, but did not practice them in November 2022, December 2022, January 2023, February 2023, March 2023 or April 2023.
Plan of Correction: I am updated the evacuation drill today 5/30. Will do it every month from here.
Standard 8VAC20-800-830-B
Based on review, the provider did not practice shelter in place procedures twice per year.
Evidence:
1. The provider documented practicing shelter in place procedures April 2022 only.
Evidence:
1. The provider documented practicing shelter in place procedures April 2022 only.
Plan of Correction: I have updated the shelter in place for last year and this year. I'll keep it in practice.
Standard 8VAC20-800-920
Based on observation and interview, the provider provided meals and snacks and did not have a menu for the current one week period.
Evidence:
1. The provider stated the menu was not up to date for this week. The menu that was posted was dated November 2022.
Evidence:
1. The provider stated the menu was not up to date for this week. The menu that was posted was dated November 2022.
Plan of Correction: I have posted the current menu.