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Mary Ugarte

Inspection · 2022-07-07

Date
2022-07-07
Complaint Related
No
Licensing Inspector
Ariel Hayes
(804) 629-7124
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

This monitoring inspection was initiated by licensing staff and concluded on 07/10/2022, between the hours of 9 am to 12 pm. There were 9 children present (24 points), ranging from infant to preschool-age, with 3 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication; special care and emergencies; and nutrition. A total of 9 children records, 1 household record, and 3 staff records were reviewed.

Information gathered during the inspection determined that there were 7 non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations

7
Standard 8VAC20-770-60-B
Based on review, 1 of 3 staff files indicated that an employee of a licensed Family Day Home (FDH) does not have a completed sworn statement or affirmation form (SDS) on site.

Evidence -
1. On the date of inspection (07/07/2022), a SDS was not available for review for Staff #2.
2. The start date for Staff #2 was listed as - 03/30/2022.
Plan of Correction: l documentation will be completed and/or obtained.
Standard 8VAC20-800-120-A
Based on review, 1 of 3 staff files indicated that 1 of 2 references was on file for Staff #2.

Evidence -
1. On the date of inspection (07/07/2022), only 1 reference was reviewed for Staff #2.
2. The start date for Staff #2 was listed as 03/30/2022.
Plan of Correction: l documentation will be completed and/or obtained.
Standard 8VAC20-800-200-A
Based on review, 1 of 3 staff files indicated that documentation of an orientation training was not available for Staff #2.

Evidence -
1. On the date of inspection (07/07/2022), documentation of the orientation training for Staff #2 was not available for review.
2. The start date for Staff #2 was listed as - 03/30/2022.
Plan of Correction: l documentation will be completed and/or obtained.
Standard 8VAC20-800-500-C
Based on observation, the outdoor playground equipment was stationed over a hard surface.

Evidence -
1. On the date of inspection (07/07/2022), the two structures of playground equipment located in the backyard of the FDH was located over hard decking.
2. The children in care were observed playing over it on the date of inspection.
Plan of Correction: The playground equipment will moved to the rubber surface on the upper level.
Standard 8VAC20-800-60-A
Based on review, 1 of 9 enrolled children did not have an up-to-date record at the Family Day Home (FDH).

Evidence -
1. On the date of inspection (07/07/2022), Child #9 was without a complete child's record.
2. The start date for Child #9 was listed as 06/30/2022.
Plan of Correction: All documentation will be completed and/or obtained.
Standard 8VAC20-800-800-B
Based on review, the Provider did not document in writing each annual review (and update as needed) to the Emergency Preparedness and Response Plan (EP&RP).

Evidence -
1. On the date of inspection (07/07/2022), the last written documentation of a review for the EP&RP was dated - 01/07/2020.
2. This was confirmed on the date of inspection by the Provider.
Plan of Correction: l documentation will be completed, if need updated, signed, and dated.
Standard 8VAC20-800-90-C
Based on review, 1 of 9 children files indicated that the FDH did not obtain additional immunizations for a child (who was not exempt from the immunization requirements) under two years of age, every 6 months.

Evidence -
1. On the date of inspection (07/07/2022), the immunization page on file for Child #8 was dated - 11/29/2021.
2. This was confirmed on the date of inspection by the Provider.
Plan of Correction: l documentation will be completed and/or obtained.