Inspection · 2024-04-25
Date
2024-04-25
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
(571) 835-0599
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
8VAC20-770 Background Checks
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 monitoring inspection was conducted on 4/25/2024 between the hours of 12:30pm-2:00pm. There were 6 children directly supervised by the provider and 2 assistant caregivers. The home, 3 caregiver records, 4 children?s records, 1 household member?s record, evacuation drills, and policies were inspected. Children were observed playing freely and napping. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.
Violations
10Standard 22.1-289.035-B-2
Based on record review and provider interview, a fingerprint-based criminal history record check was not obtained for 1 caregiver prior to first day of employment.
Evidence:
1. 1. There was no documentation of a fingerprint-based criminal history record check for Caregiver #1.
2. Provider stated Caregiver #1 did not complete a a fingerprint-based criminal history record check.
Evidence:
1. 1. There was no documentation of a fingerprint-based criminal history record check for Caregiver #1.
2. Provider stated Caregiver #1 did not complete a a fingerprint-based criminal history record check.
Plan of Correction: The assistant is no longer working at the Family Day Home.
Standard 8VAC20-770-60-B
Based on record review, the provider did not obtain a completed sworn statement for 2 caregivers.
Evidence:
1. Caregiver #1 has not completed a sworn statement.
2. The sworn statement in the record for Caregiver #2 did not contain a date of completion.
Evidence:
1. Caregiver #1 has not completed a sworn statement.
2. The sworn statement in the record for Caregiver #2 did not contain a date of completion.
Plan of Correction: The assistant is no longer working at the Family Day Home.
Standard 8VAC20-800-120-A
Based on record review and provider interview, the provider did not maintain a record for 1 of 2 caregivers present.
Evidence:
1. The provider stated Caregiver #1's first day at the family day home was "last week".
2. The provider stated she did not have a record for Caregiver #1.
Evidence:
1. The provider stated Caregiver #1's first day at the family day home was "last week".
2. The provider stated she did not have a record for Caregiver #1.
Plan of Correction: The assistant is no longer working at the Family Day Home.
Standard 8VAC20-800-120-B
Based on record review, 2 of 3 caregiver records did not contain all required information.
Evidence:
1. The provider did not document the 1st date of employment for Caregiver #1 and Caregiver #2.
2. The provider did not have documentation of the name address and telephone number of a person to be notified in an emergency for Caregiver #1 and Caregiver #2.
Evidence:
1. The provider did not document the 1st date of employment for Caregiver #1 and Caregiver #2.
2. The provider did not have documentation of the name address and telephone number of a person to be notified in an emergency for Caregiver #1 and Caregiver #2.
Plan of Correction: The information will be added to the file for one assistant. The other assistant is no longer working at the family day home.
Standard 8VAC20-800-130
Based on observation and caregiver interviews, 1 of 3 caregivers was not able to speak English as necessary to carry out assigned job responsibilities and communicate with emergency responders.
Evidence:
1. Caregiver #1 was unable to communicate with licensing inspector during inspection.
2. Caregiver #3 stated Caregiver #1 was not able to speak English.
Evidence:
1. Caregiver #1 was unable to communicate with licensing inspector during inspection.
2. Caregiver #3 stated Caregiver #1 was not able to speak English.
Plan of Correction: The assistant is no longer working at the Family Day Home.
Standard 8VAC20-800-200-A
Based on record review and provider interview, the provider did not orient 2 caregivers by the end of their first week of assuming job responsibilities.
Evidence:
1. Provider stated Caregiver #1 began employment "last week".
2. Provider stated Caregiver #2 began employment "at the end of March or first of April".
3. There was no documentation of orientation training for Caregiver 1 and Caregiver #2.
4. Provider stated orientation training was not completed for Caregiver #1 and Caregiver #2.
Evidence:
1. Provider stated Caregiver #1 began employment "last week".
2. Provider stated Caregiver #2 began employment "at the end of March or first of April".
3. There was no documentation of orientation training for Caregiver 1 and Caregiver #2.
4. Provider stated orientation training was not completed for Caregiver #1 and Caregiver #2.
Plan of Correction: Orientation training will be completed with the assistant and documented in the file.
Standard 8VAC20-800-40-A
Based on observation, the provider did not ensure the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.
Evidence:
1. The provider is currently licensed to provide care for 5 children at one time.
2. Upon arrival, there were 6 children in care in the family day home.
Evidence:
1. The provider is currently licensed to provide care for 5 children at one time.
2. Upon arrival, there were 6 children in care in the family day home.
Plan of Correction: There are only 5 children enrolled now. One parent un-enrolled their child.
Standard 8VAC20-800-50-A
Based on record review and provider interview, the family day home did not keep a written record of children in attendance.
Evidence:
1. Provider stated a record of attendance had not been completed for the current week.
Evidence:
1. Provider stated a record of attendance had not been completed for the current week.
Plan of Correction: A record of attendance will be completed every day.
Standard 8VAC20-800-60-B
Based on record review, 2 of 4 children's records did not contain all required information.
Evidence:
1. The records for Child #1 and Child #2 did not contain the name and policy number of the child's medical insurance,
Evidence:
1. The records for Child #1 and Child #2 did not contain the name and policy number of the child's medical insurance,
Plan of Correction: The information was added to the child's file.
Standard 8VAC20-800-780-B
Based on record review, the provider did not review annually with the parent the emergency contact information required to ensure the information is correct, and obtain the parent's signed acknowledgment of the review for 1 of 4 children.
Evidence:
1. The most recent review of emergency contact information in the record for Child #4 was dated 8/8/2022
Evidence:
1. The most recent review of emergency contact information in the record for Child #4 was dated 8/8/2022
Plan of Correction: Parents reviewed the information and documented.