Inspection · 2024-08-15
Date
2024-08-15
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
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
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
An unannounced, on-site monitoring inspection was conducted 8/15/2024 from 9:30am - 12:30pm. The inspector reviewed compliance in the areas listed above. There were 12 children present and 3 caregivers. The inspector reviewed 3 children?s records and 3 caregivers records on-site. This inspection included document review, interviews, observations, and a tour of the facility.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today. A POC submitted after this date will not appear on the public website.
Violations
14Standard 8VAC20-800-100-B
Based on record review, the physical examination prior to attendance was not conducted within 3 months for a child age 7 months through 18 months.
Evidence:
Child #5 has a date of birth of 4/12/2022 and a date of enrollment as 9/25/2023, making them 17 months of age at the time of attendance. The physical provided was conducted on 1/12/2023, 8 months prior to attendance.
Evidence:
Child #5 has a date of birth of 4/12/2022 and a date of enrollment as 9/25/2023, making them 17 months of age at the time of attendance. The physical provided was conducted on 1/12/2023, 8 months prior to attendance.
Plan of Correction: I talked to the parents.
Standard 8VAC20-800-120-B
REPEAT VIOLATION
Based on record review, caregivers records did not contain all required information.
Evidence:
1) The records for caregivers #2 and #3 did not have verification of age.
2) The records for caregivers #2 and #3 did not have documentation of date of employment.
Based on record review, caregivers records did not contain all required information.
Evidence:
1) The records for caregivers #2 and #3 did not have verification of age.
2) The records for caregivers #2 and #3 did not have documentation of date of employment.
Plan of Correction: Fixed already.
Standard 8VAC20-800-180-A
REPEAT VIOLATION
Based on record review, the provider did not obtain a current report of Tuberculosis (TB) screening for each caregiver.
Evidence:
1) Caregiver #2 did not have documentation of a TB screening or test on file.
2) Caregiver #3 had a TB expiration of 2/4/2023; however, a new TB screening was not obtained until 7/18/2023.
Based on record review, the provider did not obtain a current report of Tuberculosis (TB) screening for each caregiver.
Evidence:
1) Caregiver #2 did not have documentation of a TB screening or test on file.
2) Caregiver #3 had a TB expiration of 2/4/2023; however, a new TB screening was not obtained until 7/18/2023.
Plan of Correction: I already fix the paperwork.
Standard 8VAC20-800-230-A
Based on record review, the provider did not maintain written documentation of each caregivers applicable orientation and annual training.
Evidence:
1) Caregiver #1 did not have documentation of 16 hours of annual training for 2023.
2) Caregivers #2 and #3 had orientation that was not dated.
Evidence:
1) Caregiver #1 did not have documentation of 16 hours of annual training for 2023.
2) Caregivers #2 and #3 had orientation that was not dated.
Plan of Correction: Will be taking a class by October.
Standard 8VAC20-800-240-A
Based on observation, furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1) Child #3 was observed in a crib with two missing bolts, which affects the structural integrity of the crib. The missing bolts pose a potential pinching or entrapment hazard.
2) The outdoor wooden play structure has a broken board at the bottom of the ramp holding the rope and the handle at the top of the ramp was broken off.
3) Multiple areas of the fence has rusted screws and brackets used to hold the rails to the base.
4) The platform structure has a metal pergola that was rusted and unstable.
5) There were several broken tree branches on top of the pergola that could fall through.
Evidence:
1) Child #3 was observed in a crib with two missing bolts, which affects the structural integrity of the crib. The missing bolts pose a potential pinching or entrapment hazard.
2) The outdoor wooden play structure has a broken board at the bottom of the ramp holding the rope and the handle at the top of the ramp was broken off.
3) Multiple areas of the fence has rusted screws and brackets used to hold the rails to the base.
4) The platform structure has a metal pergola that was rusted and unstable.
5) There were several broken tree branches on top of the pergola that could fall through.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances such as cleaning agents, insect repellents, and sunscreen were not stored away from food in areas inaccessible to children.
Evidence:
A bottle of Lysol, insect repellent, and sunscreen was on the shelf next to child #1's bottle.
Evidence:
A bottle of Lysol, insect repellent, and sunscreen was on the shelf next to child #1's bottle.
Plan of Correction: It was left by mistake from my helper. I will make sure not to let it happen again.
Standard 8VAC20-800-490
Based on observation and interview, the climbing portions of indoor slides over 18 inches high were used over bare floor.
Evidence:
An indoor slide, approximately 36 inches high, was observed being used over bare floor.
Evidence:
An indoor slide, approximately 36 inches high, was observed being used over bare floor.
Plan of Correction: Since past 15 years of my daycare, I didn't receive any violation about it since there is carpet under it, but I will fix it after my vacation.
Standard 8VAC20-800-50-A
Based on interview, the family day home did not keep a written record of children in attendance each day.
Evidence:
The provider stated they had not kept a written record of attendance since June of the current year.
Evidence:
The provider stated they had not kept a written record of attendance since June of the current year.
Plan of Correction: I will keep writing attendance daily.
Standard 8VAC20-800-530-B
Based on observation, cribs did not have a tight-fitting bottom cover.
Evidence:
Child #1 was observed sleeping in a crib with a sheet that was too large and bunching in the center.
Child #2 was observed awake in a crib with a sheet that was too small and had come partially off the mattress.
Evidence:
Child #1 was observed sleeping in a crib with a sheet that was too large and bunching in the center.
Child #2 was observed awake in a crib with a sheet that was too small and had come partially off the mattress.
Plan of Correction: I already correct it.
Standard 8VAC20-800-750-A
Based on observation and interview, topical skin products such as sunscreen, diaper ointment, and insect repellent did not meet the requirements of obtaining written parent authorization noting any known adverse reactions and labeling with the child's name.
Evidence:
1) 7 out of 14 diaper creams/ointments were not labeled with a child's name.
2) 14 out of 14 diaper creams/ointments did not have written parent authorization.
3) 3 out of 8 sunscreens and insect repellents were not labeled with a child's name.
4) 8 out of 8 sunscreens and insect repellents did not have written parent authorization.
Evidence:
1) 7 out of 14 diaper creams/ointments were not labeled with a child's name.
2) 14 out of 14 diaper creams/ointments did not have written parent authorization.
3) 3 out of 8 sunscreens and insect repellents were not labeled with a child's name.
4) 8 out of 8 sunscreens and insect repellents did not have written parent authorization.
Plan of Correction: I label them.
Standard 8VAC20-800-80-C
Based on record review, the provider did not obtain the names and locations of the previous child care programs and schools the child has attended.
Evidence:
Child #4, date of enrollment 7/25/2022, and Child #5, date of enrollment 9/25/2023, did not have documentation of previous child care programs attended.
Evidence:
Child #4, date of enrollment 7/25/2022, and Child #5, date of enrollment 9/25/2023, did not have documentation of previous child care programs attended.
Plan of Correction: I fixed it.
Standard 8VAC20-800-800-A
REPEAT VIOLATION
Based on record review and interview, emergency evacuation procedures were not practiced monthly with all caregivers and children in care.
Evidence:
A monthly emergency evacuation drill was not conducted in April, May, June, July, or August of the current year.
Based on record review and interview, emergency evacuation procedures were not practiced monthly with all caregivers and children in care.
Evidence:
A monthly emergency evacuation drill was not conducted in April, May, June, July, or August of the current year.
Plan of Correction: I already started signing.
Standard 8VAC20-800-890
REPEAT VIOLATION
Based on observation, food from home was not clearly labeled in a way that identifies the owner.
Evidence:
2 out of 7 lunchboxes were not labeled with a child's name.
Based on observation, food from home was not clearly labeled in a way that identifies the owner.
Evidence:
2 out of 7 lunchboxes were not labeled with a child's name.
Plan of Correction: Fixed already
Standard 8VAC20-800-920
Based on observation and interview, a menu for the current one-week period was not posted.
Evidence:
The provider had meals posted for the current day but it was not dated.
Evidence:
The provider had meals posted for the current day but it was not dated.
Plan of Correction: Fixed already.