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Audrey Bender

Inspection · 2023-09-07

Date
2023-09-07
Complaint Related
No
Licensing Inspector
Derek Acosta
(703) 554-4995
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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

Inspector Notes

An unannounced monitoring inspection was conducted September 7, 2023 between 10:30am and 11:55am. There were 5 children present with one (1) caregiver supervising within the supervision guidelines. The children were observed playing outside with bubbles and water sprinkler, eating snack, diapering and toileting procedures, handwashing, and playing with other age-appropriate toys and materials. Positive interactions were observed during this inspection. The inspector reviewed compliance in the areas administration, physical plant, staffing and supervision, programing, evacuation drill logs, menu, first aid supplies, attendance, child and caregiver records, and emergency procedures. No medication on site. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the programs.

If you have any questions regarding this inspection, contact the Licensing Inspector, Sheila Nelson at sheila.nelson@ doe.virginia.gov

Thank you for your cooperation during this inspection.

Sheila Nelson
Virginia Department of Education
Office of Child Care Health and Safety
Division of Early Childhood Care and Education

Violations

3
Standard 8VAC20-800-100-A
Based on record review, and interview, the provider did not obtain documentation of a physical examination prior to the child's attendance or within 30 days after the first day of attendance.
Evidence: 1. Child # 2 (DOE 8/23/22) record did not contain documentation of a physical examination.
2. The provider confirmed the record for Child #2 did not contain documentation of a physical examination.
Plan of Correction: I will tell the parent to bring the physical report to me.
Standard 8VAC20-800-680-A
Based on observation, the caregiver did not wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.
Evidence: The caregiver did not wash their hands after changing the diaper on child #5 and Child #4.
Plan of Correction: "I'm pretty good about washing my hands. I just felt overwhelmed. You were here, and I brought all the kids inside and they were wet and hungry. I was trying to be as fast as I could. I will be sure to wash each time going forward."
Standard 8VAC20-800-90-C
Based on record review and interview, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years.
Evidence:
1. The record for Child #4 (DOB 12/2021) did not have documentation of an additional immunizations once every six months. The last documentation was on 10/3/22.
2. The provider confirmed the last documentation was on 10/3/22.
Plan of Correction: I will tell the parent to bring in an updated immunization record. I know she has a 15 month appointment schedule soon.
View original record on Virginia Department of Social Services