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Kirsten Lukas

Inspection · 2022-02-23

Date
2022-02-23
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(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

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
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A monitoring inspection was initiated on 2/23/22 and concluded on 2/28/22. The provider was contacted by telephone and a virtual inspection was conducted. There were 8 children present (20 points) with 3 caregivers present. The children were observed in movement and exercise activities, and later breaking up into smaller floor and table top activities. 3 children's records, 3 caregiver's records, attendance and emergency drill 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. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.

Violations

2
Standard 22.1-289.035-B-2
Based on records review, the family day home did not obtain results of fingerprint based criminal history check for an employee prior to the first day of employment.
Evidence:
1. Caregiver # 1's record indicated that her first day of employment was 11/28/2021. Caregiver #1's fingerprint based criminal history check was not obtained before the first day of employment.
2. The provider used background check portability instead of the caregiver going to a Field Print site to get fingerprinted. Portability of background checks did not go into effect until 1/1/22.
3. The portability form submitted by the provider was signed and dated 1/31/22.
4. The results of the criminal history check on the background check portability form were obtained on 2/15/22. The fingerprint results were found to be acceptable.
Plan of Correction: I am in disagreement that I did not obtain results of fingerprint based criminal history check for an employee prior to the first day of employment As stated in #4, the fingerprint results from her prior employer were found to be acceptable. I am in agreement that I used the wrong form/procedure. The portability went into effect on January 1, so there is no need for any correction since it is now found to be acceptable.
Standard 8VAC20-770-60-C-2
Based on records review, the family day home did not obtain results of the central registry search for an employee within 30 days of hire.
Evidence:
1. Caregiver # 1's record indicates that her first day of employment was 11/28/21.
2. The provider used background check portability instead of submitting the central registry form. Portability of background checks did not go into effect until 1/1/22.
3. The portability form submitted by the provider was signed and dated 1/31/22.
4. The results for the VA central registry search on the background check portability form were dated 2/15/22. The central registry results were found to be acceptable.
Plan of Correction: I am in disagreement that I did not obtain a central registry search for an employee within 30 days of hire. As stated in #4, the registry results from her prior employer were found to be acceptable. I am in agreement that I used the wrong form/procedure. The portability went into effect on January 1, so there is no need for any correction since it is now found to be acceptable.
View original record on Virginia Department of Social Services