Inspection · 2022-08-10
Date
2022-08-10
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
(571) 835-0599
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
8VAC20-800-120 Administration
8VAC20-800-170 Health Care of Caregivers and Household Members
8VAC20-800-210 Annual Training
8VAC20-800-240 Environment and Equipment
8VAC20-800-680 Spread of Disease
8VAC20-800-810 Emergencies
8VAC20-800-870 Nutrition
Inspector Notes
A monitoring inspection was conducted on 8/10/22 from 11:45 am to 12:45 pm. There were 9 children (22 points) present, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. There were no medications for children on site. A total of 3 children's records and 4 staff records were reviewed. Emergency drill records, attendance and the menu was also reviewed. The licensing inspector had a discussion about the provider providing updates as missing background checks are obtained.
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. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.
Violations
11Standard 22.1-289.035-B-2
Based on records review, the provider did not obtain results of a fingerprint based criminal record for employees prior to the first day of employment.
Evidence:
1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
2. Staff # 1?s fingerprint results were obtained on 7/18/22.
3. Staff # 2?s fingerprint results have not obtained to this date.
Evidence:
1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
2. Staff # 1?s fingerprint results were obtained on 7/18/22.
3. Staff # 2?s fingerprint results have not obtained to this date.
Plan of Correction: Appointments for fingerprinting will be made and the licensing inspector will be updated.
Standard 8VAC20-770-60-B
Based on records review and staff interview, the provider did not obtain a complete Sworn Disclosure Statement for new employees prior to the first day of employment.
Evidence:
1. The provider stated that Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
2. The SDS for both staff members was not obtained to this date. The forms in the records were blank.
Evidence:
1. The provider stated that Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
2. The SDS for both staff members was not obtained to this date. The forms in the records were blank.
Plan of Correction: SDS for both staff will be completed and the licensing inspector will be updated.
Standard 8VAC20-770-60-C-2
Based on staff interview and records review, the provider did not obtain results of the central registry search for Virginia for employees within 30 days of employment.
Evidence:
1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
2. The provider stated that she has not submitted the central registry forms for either of the staff members.
Evidence:
1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
2. The provider stated that she has not submitted the central registry forms for either of the staff members.
Plan of Correction: The CPS forms will be mailed and the licensing inspector will be updated as soon as the results have been received.
Standard 8VAC20-800-120-A
Based on records review and staff interview, the provider did not maintain a complete record for each employee.
Evidence:
1. The provider stated that Staff # 2?s first day of employment was 7/11/22.
2. Staff # 2?s record had blank forms, Staff # 2?s first day of employment was not documented in her record either.
Evidence:
1. The provider stated that Staff # 2?s first day of employment was 7/11/22.
2. Staff # 2?s record had blank forms, Staff # 2?s first day of employment was not documented in her record either.
Plan of Correction: The record for Staff # 2 will be completed and maintained at the family day home.
Standard 8VAC20-800-120-B
Based on records review and staff interview, records for assistants did not contain complete information.
Evidence:
1. Staff # 1?s record was missing the following: date of employment and emergency contact information.
2. Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
3. The provider stated that she had not completed reference checks for both staff to this date. Their records had blank forms used for checking references.
Evidence:
1. Staff # 1?s record was missing the following: date of employment and emergency contact information.
2. Staff # 1 and Staff # 2?s first day of employment was 7/11/22.
3. The provider stated that she had not completed reference checks for both staff to this date. Their records had blank forms used for checking references.
Plan of Correction: The missing information will be obtained for the record.
Standard 8VAC20-800-170-A
Based on records review, the provider did not obtain a current tuberculosis (TB) screening prior to coming into contact with the children.
Evidence: Staff # 2?s first day of employment was 7/11/22. Staff # 2?s most recent TB screening was date 1/29/19.
Evidence: Staff # 2?s first day of employment was 7/11/22. Staff # 2?s most recent TB screening was date 1/29/19.
Plan of Correction: The TB screening will be obtained for Staff 2.
Standard 8VAC20-800-200-A
Based on record review and staff interview, the provider did not complete orientation training with employees by the end of their first week of assuming job responsibilities.
Evidence:
1. Staff # 2?s first day of employment was 7/11/22.
2. The provider stated that she had not completed orientation training with Staff # 2. The form in Staff # 2?s record was blank.
Evidence:
1. Staff # 2?s first day of employment was 7/11/22.
2. The provider stated that she had not completed orientation training with Staff # 2. The form in Staff # 2?s record was blank.
Plan of Correction: Orientation will be completed and documented.
Standard 8VAC20-800-280
Based on observation, potentially poisonous materials were not stored out of reach of children.
Evidence: A bottle of sanitizing solution was kept in a bin by the front door on the floor. The sanitizing solution was within reach of children.
Evidence: A bottle of sanitizing solution was kept in a bin by the front door on the floor. The sanitizing solution was within reach of children.
Plan of Correction: The bottle was removed during the inspection .
Standard 8VAC20-800-60-B
Based on records review, children's records were not complete.
Evidence: Child # 1's record was missing the following information: emergency contact information, persons authorized to pick up and parent's work numbers.
Evidence: Child # 1's record was missing the following information: emergency contact information, persons authorized to pick up and parent's work numbers.
Plan of Correction: The missing information will be obtained from the parents.
Standard 8VAC20-800-830-A
Based on staff interview and record review, the provider did not practice evacuation drill each month.
Evidence:
1. The evacuation drill log only had documentation for January 2022.
2. The provider stated that she had not done any evacuation from 02/22 through 06/22.
Evidence:
1. The evacuation drill log only had documentation for January 2022.
2. The provider stated that she had not done any evacuation from 02/22 through 06/22.
Plan of Correction: Evacuation drills will be conducted each month and recorded on the log.
Standard 8VAC20-800-830-B
Based on staff interview, the provider did not practice shelter in place drills twice a year.
Evidence: The provider stated that she had not completed 2 shelter in place from 08/21 through 08/22.
Evidence: The provider stated that she had not completed 2 shelter in place from 08/21 through 08/22.
Plan of Correction: Shelter in place drills will be completed twice a year and recorded in the log.