Inspection · 2024-09-12
Date
2024-09-12
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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 renewal inspection was initiated on 09/12/2024 and completed on 09/12/2024. This on-site inspection began at 10:50 am and ended at 1:30 pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 2 caregivers; the point total was 15. The inspector reviewed 6 children's records and 2 caregiver records on-site.
This inspection included:
*Document review;
*Tour of the home;
*Interviews;
*Observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the family day home.
Violations
8Standard 22.1-289.035-B-1
The family day home is required to obtain a completed sworn statement prior to the employee's first day of employment.
There was no completed sworn statement for caregiver 1 who was working during the inspection and has been working in the family day home for 7 days.
There was no completed sworn statement for caregiver 1 who was working during the inspection and has been working in the family day home for 7 days.
Plan of Correction: The provider stated that a sworn statement will be completed by caregiver 1 today.
Standard 8VAC20-800-120-B
Assistants' and substitute providers' records shall contain the following:
Job title,
*Date of employment,
*Name address and telephone number of a person to be notified ina an emergency,
*Documentation that two or more references at to character and reputation as well as competency were checked before employment.
The employment file for caregiver 1 did not have written documentation of the date of employment, job title, emergency contact and two reference checks. Caregiver 1 has been employed for approximately one week.
Job title,
*Date of employment,
*Name address and telephone number of a person to be notified ina an emergency,
*Documentation that two or more references at to character and reputation as well as competency were checked before employment.
The employment file for caregiver 1 did not have written documentation of the date of employment, job title, emergency contact and two reference checks. Caregiver 1 has been employed for approximately one week.
Plan of Correction: The provider stated that the file for caregiver 1 will be completed to include all required information.
Standard 8VAC20-800-280
Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents and disinfectants, shall be stored away from food in areas inaccessible to children.
A bottle of hand sanitizer and a bottle of bleach were stored in areas of the child care room accessible to the 6 children in care. These products contained warning lables that stated "Keep our of reach of children" and contents were labeled as hazardous.
A bottle of hand sanitizer and a bottle of bleach were stored in areas of the child care room accessible to the 6 children in care. These products contained warning lables that stated "Keep our of reach of children" and contents were labeled as hazardous.
Plan of Correction: The provider stated that all hazardous chemicals will be locked up or placed in areas inaccessible to children.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.
There was not a written record of the 6 children in attendance when the inspector arrived at 10:50 am.
There was not a written record of the 6 children in attendance when the inspector arrived at 10:50 am.
Plan of Correction: The provider stated that the attedance record will maintained each day and completed when each child arrives for care.
Standard 8VAC20-800-60-B
Children's records are required to contain the following:
*Name, address and telephone number of each custodial parent's place of employment;
*Name, address and telephone number of two designated persons to contact in case of an emergency if the parent can not be reached;
*Policy number for the child's medical insurance;
*First date of attendance;
*Proof of the child's age and identity;
Written authorization for emergency medical cre should an emergency occur and the parent cannot be located immediately;
*Parent's signed acknowedgement of the receipt of the information required by 8VAC20-800-70;
*
1. The enrollment record for child 1 lacked the following required information:
a. The work telephone number and address for each parent's place of employment;
b. Parent's signed acknowedgement of the receipt of the information required by 8VAC20-800-70;
c. Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately;
d. Proof of age and identity;and names and address of previously attended child day care and schools attended;
e. First date of attendance.
2. The enrollment for child 2 lacked the following required information:
a. Policy number for child's medical insurance;
b. First date of attendance;
c. Proof of child's age and identity.
3. The enrollment record for child 3 lacked the following required information:
a. Work telephone number for one parent's place of employment.
4. The enrollment record for child 4 lacked the following required information:
a. Policy number of medical insurance;
b. First date of attendance.
5. The enrollment record for child 5 lacked the following required information:
a. Work telephone number for each parent's place of employment.
b. Written authorization for emergency medical care.
6. The enrollment record for child 6 lacked the following required information:
a. Frist date of enrollment;
b. Policy number for medical insurance.
*Name, address and telephone number of each custodial parent's place of employment;
*Name, address and telephone number of two designated persons to contact in case of an emergency if the parent can not be reached;
*Policy number for the child's medical insurance;
*First date of attendance;
*Proof of the child's age and identity;
Written authorization for emergency medical cre should an emergency occur and the parent cannot be located immediately;
*Parent's signed acknowedgement of the receipt of the information required by 8VAC20-800-70;
*
1. The enrollment record for child 1 lacked the following required information:
a. The work telephone number and address for each parent's place of employment;
b. Parent's signed acknowedgement of the receipt of the information required by 8VAC20-800-70;
c. Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately;
d. Proof of age and identity;and names and address of previously attended child day care and schools attended;
e. First date of attendance.
2. The enrollment for child 2 lacked the following required information:
a. Policy number for child's medical insurance;
b. First date of attendance;
c. Proof of child's age and identity.
3. The enrollment record for child 3 lacked the following required information:
a. Work telephone number for one parent's place of employment.
4. The enrollment record for child 4 lacked the following required information:
a. Policy number of medical insurance;
b. First date of attendance.
5. The enrollment record for child 5 lacked the following required information:
a. Work telephone number for each parent's place of employment.
b. Written authorization for emergency medical care.
6. The enrollment record for child 6 lacked the following required information:
a. Frist date of enrollment;
b. Policy number for medical insurance.
Plan of Correction: Children's records were updated and completed during the inspection.
Standard 8VAC20-800-690-D
The diapering surface shall be nonabsorbent and washable and cleaned and sanitized after each use.
Child 5's diaper was not changed on a nonabsorbent surface that could be cleaned and sanitized. Child 5 was changed on the lap of caregiver 1.
Child 5's diaper was not changed on a nonabsorbent surface that could be cleaned and sanitized. Child 5 was changed on the lap of caregiver 1.
Plan of Correction: The provider stated that caregiver 1 will be trained on proper diapering procedures.
Standard 8VAC20-800-690-E
Soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
After completion of a diaper change for child 5, caregiver 1 did not dispose of a soiled and wet diaper and wipes in any type of foot operated storage system.
After completion of a diaper change for child 5, caregiver 1 did not dispose of a soiled and wet diaper and wipes in any type of foot operated storage system.
Plan of Correction: The provider stated that caregiver 1 will be trained on proper diapering procedures.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing the following information:
*Whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation;
*Provisions of the family day home's emergency preparedness and response plan:
*Requirement for the family day home to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has development any reportable communicable disease;
*Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible;
*Policies for the administration of medications;
1. The written parent agreement for child 1 lacked notification of communicable disease notification ,notification of ill child, notification of medication policy, emergency preparedness plan and whether or not there is liability insuracne for the family day home.
2. The writen parent agreement for child 2, 5 and 6 lacked notification of the emergency preparedness plan for the FDH;
3. The written parent agreement for child 5 lacked notification of communicable disease and pick-up of ill child.
*Whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation;
*Provisions of the family day home's emergency preparedness and response plan:
*Requirement for the family day home to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has development any reportable communicable disease;
*Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible;
*Policies for the administration of medications;
1. The written parent agreement for child 1 lacked notification of communicable disease notification ,notification of ill child, notification of medication policy, emergency preparedness plan and whether or not there is liability insuracne for the family day home.
2. The writen parent agreement for child 2, 5 and 6 lacked notification of the emergency preparedness plan for the FDH;
3. The written parent agreement for child 5 lacked notification of communicable disease and pick-up of ill child.
Plan of Correction: Children's records were updated and completed during the inspection.