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Ms. Hirut Yigezu

Inspection · 2024-01-10

Date
2024-01-10
Complaint Related
No
Licensing Inspector
Morgan Bryson
(540) 270-0057
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 renewal inspection was conducted 1/10/2024 between the hours of 10:55am through 12:45pm. There were a total of 9 children present, ranging in age from 15 months to 2 years (24 points) with the Provider and 2 assistants. A total of 5 children?s files, 3 staff files, and 2 household member?s files were reviewed. The children were observed engaging in self-directed play with a variety of age appropriate toys and materials and building with legos during the inspection. Positive interactions between caregivers and children were observed during this inspection. A complete inspection of the programming space, children and staff records, emergency drills, menu, attendance, and emergency procedures were completed today. The provider advised there was no medication on site today. There was an abundant supply of age appropriate materials and toys and the home was clean and organized. 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 1/31/2024. Please email me at morgan.bryson@doe.virginia.gov with any questions.

Violations

10
Standard 8VAC20-770-60-C-2
Based on record review and provider interview, the provider did not obtain the results of a Virginia Child Abuse and Neglect Central Registry search within 30 days of employment for staff.

Evidence: Staff #2 (Date of Hire: 6/5/2023) did not have Virginia Child Abuse and Neglect Central Registry search results on file.
Plan of Correction: Is currently being processed
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: Child #2 (Start Date: 1/9/2023) and Child #5 (Start Date: 1/10/2022) did not have physical examinations on file.
Plan of Correction: I have made notice to parents. Parents will provide documents.
Standard 8VAC20-800-120-B
REPEAT VIOLATION

Based on record review, the provider did not ensure that assistants' records contain all required information.

Evidence: Staff #3's record did not contain documentation or orientation training.
Plan of Correction: Has already been added and corrected
Standard 8VAC20-800-180-A
Based on record review and provider interview, the provider did not obtain updated tuberculosis screening or test results every two years for each caregiver.

Evidence: Staff #1's most recent tuberculosis test results were dated 11/1/2021 and Staff #3's most recent tuberculosis test results were dated 9/10/2021.
Plan of Correction: Testing and updating tuberculosis for each caregiver
Standard 8VAC20-800-50-A
REPEAT VIOLATION

Based on interview and documentation review, the provider did not maintain a written record of children in attendance each day.

Evidence: There was no attendance maintained for 1/8/24, 1/9/24 or 1/10/24.
Plan of Correction: Attendance was on paper but will be added to form
Standard 8VAC20-800-60-B
REPEAT VIOLATION

Based on record review, the provider did not ensure that children's records contain all required information.

Evidence:
1. Child #2 (Start Date: 1/9/2023) and Child #3's (Start Date 10/22/2023) records were missing the medical insurance policy number.
2. Child #2 and Child #5's (Start Date: 1/10/2022) records were missing documentation of the provider verifying the proof of age and identity.
3. Child #3's record was missing immunization records.
4. Child #2 and Child #5's records were missing physical examinations.
Plan of Correction: All required information will be added to child's records
Standard 8VAC20-800-70-A
Based on record review, the provider did not provide required information in writing prior to children's first day of attendance.

Evidence:
1. Child #1 (Start Date: 1/17/2023), Child #2 (Start Date: 1/9/2023), and Child #3 (Start Date: 10/22/2023) did not have documentation on file that parents were provided the family day home's policies for the administration of medications.
2. Child #5 (Start Date: 1/10/2022) did not have documentation on file that parents were provided the family day homes provision of the emergency preparedness plan or documentation indicating if there is liability insurance in force on the family day home operation.
Plan of Correction: Adding the first day of child's attendance to file
Standard 8VAC20-800-760-A-1
REPEAT VIOLATION

Based on observation of emergency supplies, the provider did not ensure that the first aid kit contains all required items.

Evidence: The first aid kit did not contain the required two triangular bandages.
Plan of Correction: Has already been added to first aid kit
Standard 8VAC20-800-830-C
Based on documentation review and provider interview, the provider did not ensure documentation is maintained of shelter-in-place drills.

Evidence: There was no documentation of shelter-in-place drills having been conducted.
Plan of Correction: Going to conduct shelter-in-place drills every 6 months
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation the the child has been adequately immunized prior to attending the family day home.

Evidence: Child #3 (Start Date: 10/22/2023) did not have immunizations on file.
Plan of Correction: Parents have been noticed. Document will be provided.
View original record on Virginia Department of Social Services