Inspection · 2024-07-15
Date
2024-07-15
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 on July 15, 2024 between the hours of 10:00 am through 11:30am. There were a total of 10 children (21 points) observed with three caregivers. A total of six children's files and five staff/household member's files were reviewed. The children were engaged in the following: circle time, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Repeat violations were found and identified in this report. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.
Violations
10Standard 22.1-289.035-B-2
Based on record review, and interview the provider did not obtain a national fingerprint check prior to employment.
Evidence:
1. Caregiver #3's record (Date of hire-01/29/2024) contained results of a national fingerprint check after the date of hire. The fingerprint results were dated 02/12/2024.
2. Caregiver #1 confirmed that the results of the national fingerprint check were obtained after the date of hire.
Evidence:
1. Caregiver #3's record (Date of hire-01/29/2024) contained results of a national fingerprint check after the date of hire. The fingerprint results were dated 02/12/2024.
2. Caregiver #1 confirmed that the results of the national fingerprint check were obtained after the date of hire.
Plan of Correction: Moving forward, the family day home will ensure that fingerprint results are returned before the date of hire.
Standard 22.1-289.035-B-3
Repeat Violation
Based on record review and interview, the family day home did not obtain a copy of the results of a search of central registry.
Evidence:
1. Caregiver #3's record (Start date-01/29/2024) did not contain results of a central registry search.
2. Caregiver #1 confirmed that a central registry search was not obtained for caregiver #3 to date.
Based on record review and interview, the family day home did not obtain a copy of the results of a search of central registry.
Evidence:
1. Caregiver #3's record (Start date-01/29/2024) did not contain results of a central registry search.
2. Caregiver #1 confirmed that a central registry search was not obtained for caregiver #3 to date.
Plan of Correction: A central registry search will be conducted for the caregiver immediately.
Standard 22.1-289.036-A
Based on record review and interview, the family day home did not obtain a repeat central registry search for a household member every five years.
Evidence:
1. Household Member #2's record did not contain a repeat central registry search. Results of the last central registry finding was dated 02/05/2019.
2. Caregiver #1 confirmed that a repeat central registry search was not conducted for household member #2.
Evidence:
1. Household Member #2's record did not contain a repeat central registry search. Results of the last central registry finding was dated 02/05/2019.
2. Caregiver #1 confirmed that a repeat central registry search was not conducted for household member #2.
Plan of Correction: A central registry search will be conducted for the household member.
Standard 8VAC20-800-100-A
Repeat Violation
Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1.Child #1's record (Start date-05/01/2023) did not contain documentation of a physical examination.
2.Caregiver #1 confirmed that Child #1 did not have a physical examination in the record.
Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1.Child #1's record (Start date-05/01/2023) did not contain documentation of a physical examination.
2.Caregiver #1 confirmed that Child #1 did not have a physical examination in the record.
Plan of Correction: The family day home will obtain a copy of the a current physical examination for the child and document the record.
Standard 8VAC20-800-120-B
Based on record review, assistants' and substitute providers' records did not contain required information.
Evidence:
1. Caregiver #3's record (Date of hire-01/29/2024) did not contain documentation of two references as to character and reputation as well as competency checked before employment. The two reference checks were checked on 03/22/2024.
Evidence:
1. Caregiver #3's record (Date of hire-01/29/2024) did not contain documentation of two references as to character and reputation as well as competency checked before employment. The two reference checks were checked on 03/22/2024.
Plan of Correction: Moving forward, the provider will obtain reference checks prior to hire date.
Standard 8VAC20-800-170-A
Based on record review and interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis(TB) Screening form.
Evidence:
1. Caregiver #3's record (Date of hire-01/29/2024) contained documentation of a negative TB screening dated after the date of hire. The negative TB screening was dated 05/16/2024.
2. Caregiver #1 confirmed that Caregiver #3's TB screening was obtained after the date of hire.
Evidence:
1. Caregiver #3's record (Date of hire-01/29/2024) contained documentation of a negative TB screening dated after the date of hire. The negative TB screening was dated 05/16/2024.
2. Caregiver #1 confirmed that Caregiver #3's TB screening was obtained after the date of hire.
Plan of Correction: Moving forward, the provider will ensure that TB screenings are obtained by the date of hire.
Standard 8VAC20-800-200-A
Based on record review and interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities.
Evidence:
1. Caregiver #3's record (Start date-01/29/2024) contain documentation of orientation dated 03/27/2024.
2. Caregiver #1 confirmed that Caregiver #3 did not receive orientation training by the end of their first week of assuming job responsibilities.
Evidence:
1. Caregiver #3's record (Start date-01/29/2024) contain documentation of orientation dated 03/27/2024.
2. Caregiver #1 confirmed that Caregiver #3 did not receive orientation training by the end of their first week of assuming job responsibilities.
Plan of Correction: Moving forward, the provider will ensure that the orientation is conducted by the end of the caregiver's first week of assuming job responsibilities.
Standard 8VAC20-800-60-A
Based on record review and interview, the provider did not maintain an up to date record at the family day home for each enrolled child.
Evidence:
1. Child #2 (Start date-07/15/2024) did not have a record.
2. Caregiver #1 confirmed that Child #2 did not have a record and that the parents will be given the record to complete today.
Evidence:
1. Child #2 (Start date-07/15/2024) did not have a record.
2. Caregiver #1 confirmed that Child #2 did not have a record and that the parents will be given the record to complete today.
Plan of Correction: The provider will have the parents to complete the information for the child's record.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain required information.
Evidence:
1. Child #1's record (Start date-05/01/2023) did not contain written authorization for emergency medical care should an emergency occur and documentation of the review of the child's emergency contact information.
2. Child #3's record (Start date-03/09/2023) did not contain documentation of the review of the child's emergency contact information.
3. Child #5's record (Start date-09/01/2022) did not contain documentation of the review of the child's emergency contact information.
Evidence:
1. Child #1's record (Start date-05/01/2023) did not contain written authorization for emergency medical care should an emergency occur and documentation of the review of the child's emergency contact information.
2. Child #3's record (Start date-03/09/2023) did not contain documentation of the review of the child's emergency contact information.
3. Child #5's record (Start date-09/01/2022) did not contain documentation of the review of the child's emergency contact information.
Plan of Correction: The parent's will review the children's records for updated information and document review.
Standard 8VAC20-800-70-A
Based on record review and interview, parents were not provided in writing required information before the child's first day of attendance.
Evidence:
1. Child #2's record (Start date-07/15/2024) did not contain provisions of the family day home's emergency preparedness and response plan, policy for administration of medications, Liability Insurance Declaration, and Information for Parents form.
2. Caregiver #1 confirmed that the parents were not provided with the required information before the child's first day of attendance.
Evidence:
1. Child #2's record (Start date-07/15/2024) did not contain provisions of the family day home's emergency preparedness and response plan, policy for administration of medications, Liability Insurance Declaration, and Information for Parents form.
2. Caregiver #1 confirmed that the parents were not provided with the required information before the child's first day of attendance.
Plan of Correction: The provider will give the written information for the parents today.