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Karlyn Davis

Inspection · 2024-11-06

Date
2024-11-06
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 11/6/2024 and completed on 11/06/2024, as a part of the licensure period. The on-site inspection began at 3:00pm and ended at 5:10pm. The inspector reviewed compliance in the areas listed above. There were 10 children, 1 provider and 2 caregivers present; the point total was 18. The inspector reviewed 5 children?s records, 1 provider record, and 2 caregiver records on-site. This inspection included document review, a tour of the home, interviews and 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 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, which will be the close of business on 11/26/2024. A POC submitted after this date will not appear on the public website.

For questions regarding this inspection, please contact stephanie.salvatori@doe.virginia.gov

Violations

6
Standard 8VAC20-800-200-A
The provider must orient assistants by the end of their first week of assuming job responsibilities.

Caregiver #1 and #2 provided care for children for two months without receiving orientation.
Plan of Correction: Caregivers are the providers family members and recently hired. I wasn?t sure if they required the same paperwork as an actual employee. family members are aware of the orientation process and provider and both family members signed the orientation form while inspector was present.
Standard 8VAC20-800-280
REPEAT

Poisonous materials shall be stored in an area inaccessible to children.

Poisonous cleaning chemicals were located under the downstairs bathroom sink, accessible to children.
Plan of Correction: This shouldn?t be a repeat violation due to the nature of the first violation. The provider was written up for a piece of furniture that had a couple of bottles of unopened wine that children cannot reach and has always been on the same floor as the children since 2014, it has never been a violation prior and passed all prior inspections. Part 2 of the new violation was because there were bathroom cleaners in a cabinet under the sink in a bathroom that is rarely to never used by daycare kids? all children are supervised while in the restroom. The provider moved cleaners to another cabinet while the inspector was present.
Standard 8VAC20-800-320-G
Fireplaces and associated chimneys shall be
inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

The provider could not provide a fireplace inspection report during the inspection.
Plan of Correction: Fireplace has always been blocked off from children and is never used > provider had a fireplace inspection preformed the next day and had it sealed off so no further inspections are needed.
Standard 8VAC20-800-60-B
Children's records are required to contain address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

The record for Child #2 was missing the address and telephone number for two designated persons to contact. The child was present during the inspection and had been in care for two months.
Plan of Correction: Provider corrected mistake while inspector was present
Standard 8VAC20-800-800-A
The family day home shall have a written emergency preparedness and response plan.

The provider could not locate the emergency preparedness and response plan during the inspection.
Plan of Correction: Provider misplaced the emergency response plan but found once inspection was complete and sent to the inspector later that evening.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

The immunizations for Child #4 were not received prior to the first day of attendance. Child #4 was present during the inspection and had been enrolled for 7 days.
Plan of Correction: Not available online. Contact Inspector for more information.