Inspection · 2022-03-30
Date
2022-03-30
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
(571) 596-3662
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
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
Inspector Notes
A monitoring inspection was conducted on March 30, 2022 There were 12 children present, 2 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 8 child records and 2 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.
Violations
12Standard 8VAC20-800-120-B
Based on review of the assistant provider record, one reference check was not completed
Evidence
The record for provider #1 did not contain documentation that two reference checks were completed. There is only one reference check in their record.
Evidence
The record for provider #1 did not contain documentation that two reference checks were completed. There is only one reference check in their record.
Plan of Correction: I will make sure to obtain two references for each employee.
Standard 8VAC20-800-240-A
Based on observation, areas of the family day home, inside and outside, are not being maintained in a clean, safe, and operable condition.
Evidence
Located along the walls inside the family day home, peeling wall paper and paint was observed
Located in the backyard of the family day home a broken piece of a toy and a small electric ride on toy that was broken missing a piece were observed
Evidence
Located along the walls inside the family day home, peeling wall paper and paint was observed
Located in the backyard of the family day home a broken piece of a toy and a small electric ride on toy that was broken missing a piece were observed
Plan of Correction: The children have not been outside due to the cold, I will make sure the area is cleaned up before they go out.
I will replace the wall paper to make sure there are no tears or rips. In the future I will replace the wallpaper whenever necessary.
I will replace the wall paper to make sure there are no tears or rips. In the future I will replace the wallpaper whenever necessary.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances, such as cleaning agents were not stored in areas inaccessible to children.
Evidence
Cleaning supplies that are labeled "keep our of reach of children" were observed on the floor in a backroom that the door was unlocked and open making them accessible to children.
Evidence
Cleaning supplies that are labeled "keep our of reach of children" were observed on the floor in a backroom that the door was unlocked and open making them accessible to children.
Plan of Correction: I have a storage room that I keep cleaning supplies and the childrens paper work. The door is always locked but because the you needed the papers, I went to get them but I forgot to close the door behind me. I will always keep the door closed no matter what and keep all items stored away safely.
Standard 8VAC20-800-320-B
Based on observations, child-resistant protective covers were not installed on all unused electrical outlets.
Evidence
The unused electrical outlets located behind the child swing did not have child resistant protective covers.
Evidence
The unused electrical outlets located behind the child swing did not have child resistant protective covers.
Plan of Correction: We will make sure all unused outlets are covered.
Standard 8VAC20-800-510-A
Based on observation, not all cribs were labeled for individual use.
Evidence
Not all cribs were labeled with a child's name for individual use.
Evidence
Not all cribs were labeled with a child's name for individual use.
Plan of Correction: I labeled the cribs and will make sure they are always labeled for each child.
Standard 8VAC20-800-540-A
Based on observation a swing was not being used according to the manufacturer's instructions when occupied by a child.
Evidence
When the inspector arrived a child over the age of one year was occupying a swing. They were too big for the swing and there was no strap available on the swing seat.
Evidence
When the inspector arrived a child over the age of one year was occupying a swing. They were too big for the swing and there was no strap available on the swing seat.
Plan of Correction: I removed the swing from the area. I will make sure to remove anything that is not in working order.
Standard 8VAC20-800-60-B
Based on review of 9 children's records, 3 records do not contain the required information.
Evidence
The record for child #3 does not contain a registration form, written authorization for an insurance liability form, a policy and procedure form or medication information form
The record for child #4 does not contain written authorization for an insurance liability form, emergency procedure form, annual update or addresses for the emergency contacts.
The record for child #5 does not contain a registration form, no emergency contact information or written authorization for the emergency procedure form.
Evidence
The record for child #3 does not contain a registration form, written authorization for an insurance liability form, a policy and procedure form or medication information form
The record for child #4 does not contain written authorization for an insurance liability form, emergency procedure form, annual update or addresses for the emergency contacts.
The record for child #5 does not contain a registration form, no emergency contact information or written authorization for the emergency procedure form.
Plan of Correction: I will review all records to ensure they are up to date and current going forward I will review them on a regular basis.
Standard 8VAC20-800-890
Based on observation, food brought from home were not labeled with a child's name or date.
Evidence
Two cans of infant formula, two cans of infant snacks, and one container of infant food were not labeled with child's name or date. Staff confirmed this food was brought from the child's home.
Evidence
Two cans of infant formula, two cans of infant snacks, and one container of infant food were not labeled with child's name or date. Staff confirmed this food was brought from the child's home.
Plan of Correction: I will make sure everything is labeled as the parents bring it in.
Standard 8VAC20-800-90-A
Based on review of 9 children's records, 3 records for children under the age of did not obtain documentation that the child has been adequately immunized every six months.
Evidence
The record for child #1, #2 and #3 who are under the age of two do not contain documentation of an immunization record every six months.
Evidence
The record for child #1, #2 and #3 who are under the age of two do not contain documentation of an immunization record every six months.
Plan of Correction: I will make sure to get immunization records when required.
Standard 8VAC20-800-920
Based on observation the current menu did not list the substituted lunch being served during the inspection.
Evidence
Listed on the posted menu for lunch was hot dogs and beans for the day. The lunch being served was macaroni and cheese.
Evidence
Listed on the posted menu for lunch was hot dogs and beans for the day. The lunch being served was macaroni and cheese.
Plan of Correction: I exchanged the menu for a day earlier. It was easier to make the macaroni and cheese but I will stick to the menu from here out.
Standard 8VAC20-800-960-E
Based on observation not all bottles located in the refrigerator were not labeled with the child's full name and current date.
Evidence
Five bottles located in the refrigerator were not labeled with a child's name or current date.
Evidence
Five bottles located in the refrigerator were not labeled with a child's name or current date.
Plan of Correction: I will make sure all the bottles are labeled.
Standard 8VAC20-820-120-E-2
Based on observation, the most recent inspection of the facility was not posted.
Evidence
The most recent inspection report was not posted
Evidence
The most recent inspection report was not posted
Plan of Correction: I will make sure the most current one is posted.