Inspection · 2024-04-22
Date
2024-04-22
Complaint Related
No
Licensing Inspector
Tiffany Jones
(757) 403-3045
(757) 403-3045
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.
Yes
Areas Reviewed
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
Inspector Notes
A subsidy health and safety (SHSI) inspection was completed on 4/22/2024 from 10:00 am - 2:15 pm. At the time of entrance, 4 children were in care with the provider. The sample size consisted of 4 children?s records and 4 provider / assistant / Household Member records.
A Voluntary Registered monitoring inspection was also conducted on this date. Both inspections combined cover subsidy and safety regulations. Only subsidy requirements that are not covered in VR Requirements were reviewed during this supplemental inspection.
Information gathered during the inspection determined violations with applicable standards or law. Violations are identified on the violation notice.
Violations
5Standard 8VAC20-790-250-B
Based on a review of records and interview, the vendor did not ensure that all caregivers complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within their first 90 days of employment or service.
Evidence:
The record for caregiver #2 did not include documentation of completion of the required Virginia Preservice Training for Child Care Staff .
The vendor stated that caregiver #2 had been assisting with the care of the children, as needed, since September of 2021 but had not yet completed this training.
Evidence:
The record for caregiver #2 did not include documentation of completion of the required Virginia Preservice Training for Child Care Staff .
The vendor stated that caregiver #2 had been assisting with the care of the children, as needed, since September of 2021 but had not yet completed this training.
Plan of Correction: The vendor stated that caregiver #2 will begin the 10 hour training today with the goal of completing prior to the end of May. The completion certificate will be placed in caregiver #2's record.
Standard 8VAC20-790-250-C
Based on a review of records and interview, the vendor was unable to demonstrate that caregiver #2 had received orientation training with regard to the required topics pertaining to the operation and procedures of the VR daycare.
Evidence:
There was no documentation to demonstrate that caregiver #2 had received the required orientation training on the operation and procedures for the VR home.
The vendor stated that the specific topics required of orientation training had not been conducted but that general information had been shared when caregiver #2 began assisting with the care of the children.
Evidence:
There was no documentation to demonstrate that caregiver #2 had received the required orientation training on the operation and procedures for the VR home.
The vendor stated that the specific topics required of orientation training had not been conducted but that general information had been shared when caregiver #2 began assisting with the care of the children.
Plan of Correction: The vendor stated that she would provide orientation training to caregiver #2 by the end of the week and document the orientation training in caregiver #2's record.
Standard 8VAC20-790-250-D-1
Based on a review of records and interview, the vendor did not ensure that each caregiver has current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. And that the training includes an in-person competency demonstration.
Evidence:
The record for caregiver #2 who the vendor stated had been assisting with the care of children, as needed, since September 2021, contained documentation of CPR training from a trainer who does not include an in-person competency demonstration.
The vendor confirmed that the CPR Training for caregiver #2 was completed remotely via computer and did not include an in-person competency demonstration.
Evidence:
The record for caregiver #2 who the vendor stated had been assisting with the care of children, as needed, since September 2021, contained documentation of CPR training from a trainer who does not include an in-person competency demonstration.
The vendor confirmed that the CPR Training for caregiver #2 was completed remotely via computer and did not include an in-person competency demonstration.
Plan of Correction: The vendor will begin looking for an available class with an approved trainer this week and will schedule caregiver #2's CPR training and certification at the next available class by the end of May.
The vendor stated that she will not leave caregiver alone with the children until her CPR certification has been completed / obtained.
The vendor stated that she will not leave caregiver alone with the children until her CPR certification has been completed / obtained.
Standard 8VAC20-790-250-F
Based on a review of records and interview, the vendor did not ensure that caregivers who work directly with children annually attend at least 16 hours of training, to include the department's health and safety update course. This training shall be related to child safety, child development, health and safety in the family day home environment, and any required department sponsored training.
Evidence:
The record for care provider #1 contained only 5 of the required 16 hours of training for the pervious 12 month period (2023 calendar year).
The record for care provider #2 did not contain any of the required 16 hours of training for the pervious 12 month period (2023 calendar year).
The vendor confirmed that there was not any additional training documentation available for review.
Evidence:
The record for care provider #1 contained only 5 of the required 16 hours of training for the pervious 12 month period (2023 calendar year).
The record for care provider #2 did not contain any of the required 16 hours of training for the pervious 12 month period (2023 calendar year).
The vendor confirmed that there was not any additional training documentation available for review.
Plan of Correction: The vendor stated that both caregivers would begin taking training and accumulating documentation of their 16 hours of training for 2024 now.
Standard 8VAC20-790-420-B-6
Based on a review of documentation and interview, the Vendor has not annually reviewed and updated the Emergency Preparedness Plan for the Voluntary Registered program.
Evidence:
The written Emergency Preparedness plan did not contain documentation showing that it had been reviewed and updated within the last 12 months.
The vendor confirmed that it had not been updated because she was not aware that it had to be.
Evidence:
The written Emergency Preparedness plan did not contain documentation showing that it had been reviewed and updated within the last 12 months.
The vendor confirmed that it had not been updated because she was not aware that it had to be.
Plan of Correction: The vendor stated that she would review and make any necessary adjustments to the Emergency Preparedness Plan today and would document the review today and each year when it is annually reviewed and / or updated.