Inspection · 2024-07-25
Licensing Inspector
Dominick Fields
(540) 359-5244
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 Emergencies
8VAC20-800 Nutrition
20 Access to minor's records
22.1 Early Childhood Care and Education
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on July 26, 2024, as a part of the licensure period. The on-site inspection began at 12:30pm and ended at 4:10pm. The inspector reviewed compliance in the areas listed above. There were 9 children present and 3 staff. The inspector reviewed 6 children?s records and 5 staff records on-site. This inspection included document review, tour of the home, 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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/5/24. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-2
Based on records review and interview, the provider did not obtain fingerprint check results for Caregiver #1 prior to employment.
Evidence:
Caregiver #1(start date 7/1/2024) was missing fingerprint results or proof of request.
Plan of Correction: Fingerprint has been completed and result received as cleared.
Standard 8VAC20-800-170-A
Based on records review and interview, the provider did not obtain a Tuberculosis Screening from each adult household member prior to coming into contact with children.
Evidence:
Household member #1 is missing tuberculosis screening results.
Plan of Correction: TB Test our minor household member completed and result as negative.
Standard 8VAC20-800-280
Based on observation and interview, the provider did not ensure potentially poisonous substances, materials and supplies were inaccessible to children.
Evidence:
1. A bottle of Drano Liquid drain cleaner was located on the floor next to the sink in the children?s bathroom.
2. A large bottle of hand sanitizer was located on the shelf in the children play area.
3. A bottle of Febreze air freshener was located on the changing table during diaper changing.
Plan of Correction: Liquid drainer cleaner removed and staff trained and educated not to repeated such thing again.
Standard 8VAC20-800-340-C
Based on observation and interview, the provider did not ensure the bathroom contained paper towels.
Evidence:
The provider confirmed that there were no paper towels in the dispenser.
Plan of Correction: Paper Towels replenished and filled.
Standard 8VAC20-800-430-A
Based on observation, the provider did not ensure children under two years of age do not have access to stairs.
Evidence
There is no wall mounted gate at the bottom of the staircase, leading to the main home area.
Plan of Correction: New safety gate purchased and installed.
Standard 8VAC20-800-680-A
Based on observation, Caregiver #1 did not wash their hands with liquid soap and warm running water after diapering a child.
Evidence:
Caregiver #1 was observed not washing their hands with liquid soap and warm running water after changing the diaper of child #7
Plan of Correction: All staff/teachers have been trained and advised to adhere to protocols strictly.
Standard 8VAC20-800-690-D
Based on observation, caregiver #1 did not ensure the diapering surface was cleaned and sanitized after each use.
Evidence:
Caregiver #1 did not clean and sanitize the diapering surface between Child #5 and Child #7.
Plan of Correction: Staff has been trained accordingly. A chart has been displayed depicting the process.
Standard 8VAC20-800-690-E
Based on observation, the caregiver did not ensure that soiled disposable diapers and wipes were disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver?s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
Evidence:
The provider confirmed the foot operated garbage pail in the diaper changing area is broken. Caregiver #1 used their hand to open the garbage pail, instead of using the foot petal.
Plan of Correction: Old trash bin has been replaced with a new/foot operable trash bin as directed.
Standard 8VAC20-800-750-A
Based on observation and interview, the provider did not ensure when topical skin products such as sunscreen, diaper ointment and insect repellent are used, the product was labeled with the child?s name.
Evidence:
The provider confirmed that 2 insect repellent?s, Burt?s bees baby diaper cream, medicated protecting powder and shea butter were not labeled.
Plan of Correction: Labeling the diaper cream with name of each child has been explained to all members and creams labeled.
Standard 8VAC20-800-940-B
Based on observation and interview, the provider did have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.
Evidence:
The provider confirmed that the thermometer does not work, and the battery needed to be replaced.
Plan of Correction: A new thermometer has been purchased and replaced the old one. The new thermometer is working fine.
Standard 8VAC20-800-960-E
Based on observation and interview, the provider did not ensure bottles were labeled with the child?s full name and the date.
Evidence:
The provider confirmed they did not know if the Organic chocolate milk bottle in the refrigerator belonged to a child in care.
Plan of Correction: All bottles daily labelled and SOPs explained to all staff for future compliance.