Inspection · 2022-11-14
Date
2022-11-14
Complaint Related
No
Licensing Inspector
Angela Dudek
(804) 629-8167
(804) 629-8167
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
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 The License
8VAC20-820 The Licensing Process
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 11/14/2022 from 11:15am to 1:00pm. There were 3 children ages 3 months old to age 3 years old (9 points) with the Provider. The programming area, menus, Provider and Household member records, 3 children?s records, attendance, emergency drills, and emergency supplies were reviewed. There were no children?s medications on site. Children were observed being fed, playing with trucks, and sitting in an infant seat. The Provider had current certification in CPR and First Aid training. Areas of non-compliance are identified in the Violation Notice.
Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 11/28/22. Please email me at angela.dudek@doe.virginia.gov with any questions.
Violations
14Standard 8VAC20-800-100-A
Based on review of 3 children?s records, the Provider did not ensure they had documentation of a physical examination for children in care within 30 days after the first day of attendance.
Evidence: The file for Child #3 (start date 9/1/21) did not contain documentation of a physical examination.
Evidence: The file for Child #3 (start date 9/1/21) did not contain documentation of a physical examination.
Plan of Correction: Child #1 latest physical will arrive by January 11.
Standard 8VAC20-800-180-A
Based on review of 2 household records, the Provider did not obtain for each Household member a current report of Tuberculosis screening every 2 years from the date of the first screening.
Evidence: The record for Household member #2 contained a Tuberculosis screening that was last completed on 4/12/19.
Evidence: The record for Household member #2 contained a Tuberculosis screening that was last completed on 4/12/19.
Plan of Correction: Already corrected.
Standard 8VAC20-800-240-A
Based on observation, the Provider did not ensure that areas and furnishings of the family day home, inside and outside were maintained in a clean, safe and operable condition.
Evidence: The gate preventing access to the stairs, was pulling out of the drywall causing the screw to be exposed. The screw was sharp and could snag a child?s skin.
Evidence: The gate preventing access to the stairs, was pulling out of the drywall causing the screw to be exposed. The screw was sharp and could snag a child?s skin.
Plan of Correction: Already corrected.
Standard 8VAC20-800-320-B
Based on observation, the Provider did not cover all unused electrical outlets accessible to children under five years of age with child-resistant protective covers.
Evidence: On the main level of the home in the living room area where children were playing, there were 6 unused outlets that were not covered.
Evidence: On the main level of the home in the living room area where children were playing, there were 6 unused outlets that were not covered.
Plan of Correction: Already corrected.
Standard 8VAC20-800-50-A
Description: Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day.
Evidence:
1)During the inspection in was determined there were 3 children present, but the written record reflected there were no children present.
2)Documentation of the written attendance record was last completed on 11/10/22.
Evidence:
1)During the inspection in was determined there were 3 children present, but the written record reflected there were no children present.
2)Documentation of the written attendance record was last completed on 11/10/22.
Plan of Correction: Already corrected.
Standard 8VAC20-800-520-C
Based on observation, the Provider did not ensure cribs meet the U.S. Consumer Product Safety Commission standards at the time they were manufactured.
Evidence: Two of the cribs that the Provider has onsite have manufacture dates of 12/2003 and 11/2010 while the U.S. Consumer Product Safety Commission requires cribs to have a manufacture date of 6/28/2011 or later.
Evidence: Two of the cribs that the Provider has onsite have manufacture dates of 12/2003 and 11/2010 while the U.S. Consumer Product Safety Commission requires cribs to have a manufacture date of 6/28/2011 or later.
Plan of Correction: A new crib has been ordered and should arrived promptly by end of next week.
Standard 8VAC20-800-60-B
Based on review of 3 child records, the provider did not obtain all of the required documentation for child?s records.
Evidence:
1)The record for Child #1 and Child #2 did not contain the name address and telephone number of 2 designated persons to contact in case of an emergency if the parent cannot be reached. Each child had only 1 designated emergency contacted listed.
2)The record for Child #1 did not contain the policy number of the child?s medical insurance as required.
3)The record for Child #3 did not contain documentation of the review of the child?s emergency contact information annually. The last recorded documentation of the review of the child?s emergency contact information was on 8/6/2021.
Evidence:
1)The record for Child #1 and Child #2 did not contain the name address and telephone number of 2 designated persons to contact in case of an emergency if the parent cannot be reached. Each child had only 1 designated emergency contacted listed.
2)The record for Child #1 did not contain the policy number of the child?s medical insurance as required.
3)The record for Child #3 did not contain documentation of the review of the child?s emergency contact information annually. The last recorded documentation of the review of the child?s emergency contact information was on 8/6/2021.
Plan of Correction: Already corrected.
Standard 8VAC20-800-680-B
Based on observation, the Provider did not ensure that children?s hands are washed with liquid soap and warm running water before eating.
Evidence: During the inspection, Child #2 sat down to eat lunch and did not wash his hands prior to eating.
Evidence: During the inspection, Child #2 sat down to eat lunch and did not wash his hands prior to eating.
Plan of Correction: Already corrected.
Standard 8VAC20-800-70-A
Based on review of 3 child records, the Provider did not obtain required documentation of parental review of the Provider?s policies for administration of medications, whether or not the Provider maintains liability insurance, and the provisions of the family day home emergency preparedness and response plan.
Evidence: The record for Child #1 did not contain documentation of parental review of the Provider?s policy related to whether or not the provider maintains liability insurance.
Evidence: The record for Child #1 did not contain documentation of parental review of the Provider?s policy related to whether or not the provider maintains liability insurance.
Plan of Correction: Already corrected.
Standard 8VAC20-800-730-D
Based on observation and interview with staff, the Provider did not ensure that medications, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children.
Evidence: The Provider had insulin stored on the shelves in the door of the refrigerator.
Evidence: The Provider had insulin stored on the shelves in the door of the refrigerator.
Plan of Correction: Already corrected.
Standard 8VAC20-800-830-A
Based on documentation and Provider interview, the Provider did not practice monthly emergency evacuation drills with the children in care.
Evidence: The Provider provided documentation and stated that there were no emergency evacuation drills completed in January 2022, February 2022, March 2022, June 2022, July 2022, August 2022, September 2022 or October 2022.
Evidence: The Provider provided documentation and stated that there were no emergency evacuation drills completed in January 2022, February 2022, March 2022, June 2022, July 2022, August 2022, September 2022 or October 2022.
Plan of Correction: Already corrected.
Standard 8VAC20-800-830-B
Based on documentation and staff interview, the Provider did not practice shelter-in-place procedures a minimum of twice per year.
Evidence: The Provider provided documentation and stated that there were no shelter-in-place procedures practiced since 8/20/2021.
Evidence: The Provider provided documentation and stated that there were no shelter-in-place procedures practiced since 8/20/2021.
Plan of Correction: Already corrected.
Standard 8VAC20-800-870-G
Based on observation the Provider did not ensure that tables were cleaned after each use, and at least daily.
Evidence: When Child #2 sat down to eat lunch, the table was not cleaned before they ate.
Evidence: When Child #2 sat down to eat lunch, the table was not cleaned before they ate.
Plan of Correction: Already corrected.
Standard 8VAC20-800-920
Based on documentation and Provider interview, the Provider did not have documentation of a menu for the current one-week period or a menu kept on file for one week.
Evidence: During the inspection, the provider stated that they did not have a menu ready for the current week.
Evidence: During the inspection, the provider stated that they did not have a menu ready for the current week.
Plan of Correction: Already corrected.