Inspection · 2024-08-27
Licensing Inspector
Christine Mahan
(757) 404-0568
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
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 and completed on 8/27/2024.The on-site inspection began at 1:35 pm and ended at 3:35 pm. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 staff. The inspector reviewed 3 children?s records and 4 staff / household member records on-site on 8/27/2024. This inspection included document review, a tour of the facility, 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.
Standard 22.1-289.035-A
Based on a review of records and interview, the licensee did not obtain, for each caregiver, the results of a Search of the Central Registry within 5 years of the previously obtained results of the Search of the Central Registry.
Evidence:
The licensee confirmed that caregiver #3 remains a substitute provider for the family day home and that updated results of the Central Registry Search had not been obtained within the last 5 years, but that instead a "portability request", which was not able to be completed, had been erroneously requested, last year.
Plan of Correction: The provider stated that she mistakenly made a "portability" request for Caregiver #3 instead of a new Search of the Central Registry . The license began the process of requesting caregiver #3's central registry search during the inspection on 8/27/2024. The results will be sent to the licensing inspector upon receipt.
Standard 8VAC20-770-40-D-5
Based on a review of records and interview, the licensee did not ensure that a Child Protective Services Central Registry check is completed for any child living in the Family Day Home, within 30 days of becoming 14 years old.
Evidence:
The licensee confirmed that household member #4 turned 14 years old more than 30 days ago and that a Search of the Central Registry had not been requested for her.
Plan of Correction: The licensee stated that she mistakenly thought that a Search of the Central Registry was not required until household children turned 15 years old. The licensee began the process of requesting household member #4's central registry search during he inspection on 8/27/2024. The results will be sent to the licensing inspector upon receipt.
Standard 8VAC20-800-180-A
Based on a review of records and interview, the licensee did not obtain an updated Tuberculosis (TB) Screening for each adult household member and caregiver within 2 years of the most recently obtained results.
Evidence:
The provider conformed that the TB screening results for adult household member #2 and adult caregiver #3 had been conducted more than 2 years ago and that more recent results had not been obtained.
Plan of Correction: The licensee stated that household member #2 has an appointment for an updated TB screening on 9/6/2024 and caregiver #3 will make an appointment at the earliest available date to have her screening conducted.
Standard 8VAC20-800-210-A
Based on a review of records and interview, the licensee was unable to demonstrate that each caregiver, in addition to CPR and First Aid Training. obtained a minimum of 16 hours of annual training in the previous12 month period.
Evidence:
The provider confirmed that she did not have substitute provider #3's complete file available and did not have documentation of caregiver #3's annual training hours totaling 16 hours.
Plan of Correction: The licensee stated that during her recent closure, she cleared the childcare area for cleaning and organizing and has not located some of the documentation since moving items back into place. She will locate the record for caregiver #3 and ensure that any missing documentation is kept in accessible files for future inspections. Training requirements will be reviewed for completion and training completed or updated by the end of September, as necessary.
Standard 8VAC20-800-240-A
Repeat Violation. Based on observation and interview, the licensee did not ensure that the areas and furnishings of the family day home are maintained in a clean, safe, operable condition, to include unstable heavy furniture that a child could pull down on himself.
Evidence:
There were two shelving units, approximately 6 feet tall, located int he childcare area where 3 three-year-old children were being care for. The shelving units were filled with books, and learning supplies. The licensee confirmed that these shelving units were not anchored or secured in a manner which would prevent the shelving units from being pulled over by a child.
Plan of Correction: The provider stated that she will ensure that the children do not come into contact with t he shelving units until she has them anchored and secured this weekend before children return on 9/2/2024.