Inspection · 2023-07-14
Date
2023-07-14
Complaint Related
No
Licensing Inspector
Karen Dickens
(571) 423-6978
(571) 423-6978
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 Background Checks Code, Carbon Monoxide
?54.1 Provider must be MAT certified to administer prescription medication.
?63.2 Child abuse and neglect
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
Inspector Notes
An unannounced monitoring inspection was conducted today between the hours of 9:45 am through 10:45 am. There were a total of 5 children (14 points) observed with two caregivers. A total of four children's files and six staff/household member's files were reviewed. The children were engaged in the following: toy play, bottle feeding, snack, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.
Violations
11Standard 22.1-289.011-F
Based on observation, the violation notice and inspection summary required by the Superintendent was not posted in a conspicuous place on the licensed premises.
Evidence:
1. The violation notice and inspection summary from the previous inspection on 11/30/2022 was not posted.
Evidence:
1. The violation notice and inspection summary from the previous inspection on 11/30/2022 was not posted.
Plan of Correction: The provider will print out the findings of the last inspection and post.
Standard 8VAC20-770-40-D-5-a
Based on record review and interview, the provider did not obtain a Central Registry Check within 30 days of a person in the home becoming 14 years old.
Evidence:
1. Household Member #4's record did not contain documentation of Central Registry Results.
2. Caregiver #1 confirmed that a Central Registry check had not been conducted to date.
Evidence:
1. Household Member #4's record did not contain documentation of Central Registry Results.
2. Caregiver #1 confirmed that a Central Registry check had not been conducted to date.
Plan of Correction: The provider will submit a Central Registry Search for the 14 year old immediately using the new online portal.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance.
Evidence:
1. Child #1's record (Start date-12/5/2022) did not contain documentation of a physical examination.
Evidence:
1. Child #1's record (Start date-12/5/2022) did not contain documentation of a physical examination.
Plan of Correction: The provider will ask the parents for a copy of a physical examination.
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis(TB) Screening form.
Evidence:
1. Caregiver #1's record did not contain documentation of a current TB screening. Caregiver #1's record contained documentation of a TB screening dated 12/18/2020.
2. Caregiver #2's record did not contain documentation of a current TB screening. Caregiver #2's record contained documentation of a TB screening dated 12/18/2020.
3. Household Member #1's, Household Member #2's, and Household Member #3's records did not contain documentation of a current TB screening. Household Member #1's, Household Member #2's, and Household Member #3's records record contained documentation of TB screenings dated 12/18/2020.
Evidence:
1. Caregiver #1's record did not contain documentation of a current TB screening. Caregiver #1's record contained documentation of a TB screening dated 12/18/2020.
2. Caregiver #2's record did not contain documentation of a current TB screening. Caregiver #2's record contained documentation of a TB screening dated 12/18/2020.
3. Household Member #1's, Household Member #2's, and Household Member #3's records did not contain documentation of a current TB screening. Household Member #1's, Household Member #2's, and Household Member #3's records record contained documentation of TB screenings dated 12/18/2020.
Plan of Correction: The provider will ensure that the caregivers and household members get a subsequent TB screening.
Standard 8VAC20-800-60-B
Based on review of records, children's records did not contain required information.
Evidence:
1. Child #2's record (Start date-08/02/2021) did not contain documentation of the review of the child's emergency contact information.
Evidence:
1. Child #2's record (Start date-08/02/2021) did not contain documentation of the review of the child's emergency contact information.
Plan of Correction: The provider will have the parents to review the emergency contacts in the record and document the review.
Standard 8VAC20-800-80-A
Based on record review and interview, the provider did not obtain within seven business days of the child's first day of attendance verification of the identity and age of the child.
Evidence:
1. Child #1's (Start date-12/5/2022) record did not contain documentation of verification of the identity and age of the child within seven days of the child's first day of attendance.
2. Caregiver #1 confirmed that documentation of verification of Child #1's identity and age was not obtained from the parents within seven days of the first day of attendance.
Evidence:
1. Child #1's (Start date-12/5/2022) record did not contain documentation of verification of the identity and age of the child within seven days of the child's first day of attendance.
2. Caregiver #1 confirmed that documentation of verification of Child #1's identity and age was not obtained from the parents within seven days of the first day of attendance.
Plan of Correction: The provider will get verification of identification and age of the child and document the record.
Standard 8VAC20-800-800-B
Based on documentation review, the provider did not review the emergency plan at least annually and update the plan as needed in writing.
Evidence:
1. The emergency plan contained documentation that the emergency plan was last reviewed and updated in writing on 12/09/2021.
Evidence:
1. The emergency plan contained documentation that the emergency plan was last reviewed and updated in writing on 12/09/2021.
Plan of Correction: The provider will review and document the Emergency Preparedness Plan.
Standard 8VAC20-800-830-C
Based on documentation review and interview, documentation was not maintained for emergency evacuation drills.
Evidence:
1. Documentation for the emergency evacuation drill was not maintained for the month of June.
2. Caregiver #1 confirmed that the emergency drill was conducted, but documentation was not maintained.
Evidence:
1. Documentation for the emergency evacuation drill was not maintained for the month of June.
2. Caregiver #1 confirmed that the emergency drill was conducted, but documentation was not maintained.
Plan of Correction: The provider will document the emergency evacuation drill log to reflect the June emergency evacuation drill.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the first day of attendance.
Evidence:
1. Child #1's record (Start date-12/5/2022) did not contain documentation of immunization records.
2. Caregiver #1 confirmed that immunization records were not obtained from the parents before Child #1's first day of attendance.
Evidence:
1. Child #1's record (Start date-12/5/2022) did not contain documentation of immunization records.
2. Caregiver #1 confirmed that immunization records were not obtained from the parents before Child #1's first day of attendance.
Plan of Correction: The provider will get the immunization records from the parents.
Standard 8VAC20-800-90-C
Based on record review, the family day home did not obtain documentation of additional immunizations for a child once every six months for children under the age of two years.
Evidence:
1. Child #3's record (Start date-08/15/2022) did not contain documentation of additional immunizations. The last immunization recorded was dated 04/27/2022.
Evidence:
1. Child #3's record (Start date-08/15/2022) did not contain documentation of additional immunizations. The last immunization recorded was dated 04/27/2022.
Plan of Correction: The provider will ask the parents for the additional immunizations to document the record.
Standard 8VAC20-800-960-E
Based on observation, bottles were not labeled with the child's full name and date.
Evidence:
1. A bottle was observed sitting on the counter in the kitchen area of the family day home without a label with the child's full name and date.
Evidence:
1. A bottle was observed sitting on the counter in the kitchen area of the family day home without a label with the child's full name and date.
Plan of Correction: The provider labeled the child's bottle and put the current date.