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Juliana Opoku

Inspection · 2023-05-08

Date
2023-05-08
Complaint Related
No
Licensing Inspector
Tameika King
(804) 629-7486
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 monitoring inspection was conducted today between 11:30am and 12:45pm. There were 5 children present with the Provider a total of 12 points within the supervision guidelines. The children were observed watching videos on their tablets and eating snacks. A complete inspection of the physical plant, children and staff records, menu, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice.

Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.

Violations

9
Standard 22.1-289.035-A
Based on record review and interview, the Provider did not undergo subsequent background checks every five years.
Evidence: The Providers most recent fingerprint background check is dated 3/12/2023. The Provider stated that they did not know that they needed to renew their fingerprint background check.
Plan of Correction: I will make the appointment to do them again.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance.
Evidence: Child #4 (date of enrollment: 4/20/2022) file does not contain documentation of a physical exam.
Plan of Correction: The parent has it. I will ask them to bring me a copy.
Standard 8VAC20-800-140-B-3
Based on record review and interview, the Provider does not have current certification in cardiopulmonary resuscitation (CPR).
Evidence: The Providers CPR certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.
Plan of Correction: I thought it expired in May. I'll call him today to get scheduled for a class this month.
Standard 8VAC20-800-140-B-4
Based on record review and interview, the Provider does not have current certification in first aid.
Evidence: The Providers first aid certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.
Plan of Correction: I thought it expired in May. I'll call him today to get scheduled for a class this month.
Standard 8VAC20-800-240-A
Based on observation, areas of the family day home were not maintained in a clean and safe condition.
Evidence: There were tissues, food wrappers, food crumbs and dirt debris on the floor in the children's play area. The children were observed sitting, playing and laying on the floors.
Plan of Correction: I'll vacuum after they eat.
Standard 8VAC20-800-50-A
Based on record review the family day home does not keep a written record of children in attendance each day.
Evidence: The most recent documented attendance for the family day home was dated 5/4/2023.
Plan of Correction: I forgot on Friday. I'll do it.
Standard 8VAC20-800-50-C
Based on observation, information contained in a child's record shall be privileged and confidential.
Evidence: The Supplemental Pages from the last two inspections which clearly state "DO NOT POST" were observed posted on the Providers wall.
Plan of Correction: I won't post the next one.
Standard 8VAC20-800-680-B
Based on observation, hand washing requirements were not met.
Evidence: Children were observed taking snacks (chips and graham crackers) out of their personal bags and eating the snacks on the Providers couch. The children's did not wash their hands prior to eating.
Plan of Correction: I wasn't paying attention to them eating because you are here. I'll make them wash their hands.
Standard 8VAC20-800-90-A
Based on record review and interview, the provider did not obtain documentation of immunizations for each child prior to the first date of enrollment.
Evidence: Child #4 (date of enrollment: 4/20/2022) record does not contain documentation of immunizations.
Plan of Correction: The parent has it. I'll ask them to bring me a copy.