Inspection · 2022-08-29
Date
2022-08-29
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
(703) 397-3827
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
8VAC20-770 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
A monitoring inspection was conducted on 08/29/2022 between the hours of approximately 9:45 am to 12:20 pm. There were 13 children present, ranging in ages from 3 months to 4 years, with 2 staff supervising. Children were observed while napping, free play with toys, being bottle fed, dancing and exercising. Staff was observed while supervising the children, changing diapers, and bottle feeding the children.
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 5 children's records and 2 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.
Violations
15Standard 8VAC20-800-100-A
Based on record review, 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) The physical examination in the record for Child #4 (start date 11/29/2021) was dated 07/21/2022.
Evidence:
1) The physical examination in the record for Child #4 (start date 11/29/2021) was dated 07/21/2022.
Plan of Correction: I will make sure I have the records on every one.
Standard 8VAC20-800-240-A
Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1) The following was observed in the backyard:
a) Tripping hazards: exposed roots, uneven ground, and holes in the ground resulting from water drainage.
b) Exposed nails in wood planks that were removed from the fence.
c) The door to a closet next to the house was unlocked. Inside there were products like: insect killer, mortar mix, all purpose cleaner, garden tools and rotten wood in wood pallets that are laying on the ground.
Evidence:
1) The following was observed in the backyard:
a) Tripping hazards: exposed roots, uneven ground, and holes in the ground resulting from water drainage.
b) Exposed nails in wood planks that were removed from the fence.
c) The door to a closet next to the house was unlocked. Inside there were products like: insect killer, mortar mix, all purpose cleaner, garden tools and rotten wood in wood pallets that are laying on the ground.
Plan of Correction: I will clean it up.
Standard 8VAC20-800-30-A
Based on observation, the provider did not ensure to comply with the terms of the current license issued by the department.
Evidence:
1) On the date of inspection, 13 children were in care in the family day home. The current license limits the maximum number of children who may be in care at any time to 12 children.
Evidence:
1) On the date of inspection, 13 children were in care in the family day home. The current license limits the maximum number of children who may be in care at any time to 12 children.
Plan of Correction: I will correct it.
Standard 8VAC20-800-320-B
Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age.
Evidence:
1) One electrical outlet located next to the mirror in the central rug area did not have a protective cover.
Evidence:
1) One electrical outlet located next to the mirror in the central rug area did not have a protective cover.
Plan of Correction: I will change the whole outlet.
Standard 8VAC20-800-480-D
Based on observation, equipment used by children was not used in accordance with the manufacturer's instructions.
Evidence:
1) The safety straps in a Bumbo floor seat were not buckled in while being used by Child #5.
Evidence:
1) The safety straps in a Bumbo floor seat were not buckled in while being used by Child #5.
Plan of Correction: I will make sure the baby is with seatbelt.
Standard 8VAC20-800-50-A
Based on documentation review, the family day home did not keep an accurate written record of children in attendance each day.
Evidence:
1) At the time of entrance, an attendance record for the day was not available for review. Attendance records for the prior weeks were also not available.
Evidence:
1) At the time of entrance, an attendance record for the day was not available for review. Attendance records for the prior weeks were also not available.
Plan of Correction: I have the new form for attendance.
Standard 8VAC20-800-60-A
Based on record review and interview with the provider, the provider did not maintain a record for each child at the family day home.
Evidence:
1) On the date of inspection, there were no records for Child #6 and Child #7 who were in care in the family day home.
2) The provider stated that she had no records for Child #6 and Child #7.
Evidence:
1) On the date of inspection, there were no records for Child #6 and Child #7 who were in care in the family day home.
2) The provider stated that she had no records for Child #6 and Child #7.
Plan of Correction: I have the record.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #1 did not contain the address of one custodial parent's place of employment and the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached.
2) The record for Child #2 did not contain the telephone number of one custodial parent's place of employment.
3) The record for Child #3 did not contain the name, address and telephone number of one custodial parent's place of employment; the address and telephone number of the child's physician; the policy number of the child's medical insurance; and name, address and telephone number of two designated persons (other than the parents) to contact in case of an emergency if the parent cannot be reached.
4) The record for Child #4 did not contain the telephone number of one custodial parent's place of employment.
5) The record for Child #5 did not contain the telephone number of both custodial parents' place of employment.
Evidence:
1) The record for Child #1 did not contain the address of one custodial parent's place of employment and the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached.
2) The record for Child #2 did not contain the telephone number of one custodial parent's place of employment.
3) The record for Child #3 did not contain the name, address and telephone number of one custodial parent's place of employment; the address and telephone number of the child's physician; the policy number of the child's medical insurance; and name, address and telephone number of two designated persons (other than the parents) to contact in case of an emergency if the parent cannot be reached.
4) The record for Child #4 did not contain the telephone number of one custodial parent's place of employment.
5) The record for Child #5 did not contain the telephone number of both custodial parents' place of employment.
Plan of Correction: I will make sure all the records are review and corrected.
Standard 8VAC20-800-680-A
Based on observation, caregivers did not wash their hands with liquid soap and warm running water when required.
Evidence:
1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and went on to perform other duties without washing her hands first.
2) Staff #2 was observed heating up a bottle of milk. Staff 2 did not wash her hands before handling the milk bottle. When ready, Staff #2 was observed feeding the bottle to Child #5.
Staff #did not wash her hands before feeding Child #5.
Evidence:
1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and went on to perform other duties without washing her hands first.
2) Staff #2 was observed heating up a bottle of milk. Staff 2 did not wash her hands before handling the milk bottle. When ready, Staff #2 was observed feeding the bottle to Child #5.
Staff #did not wash her hands before feeding Child #5.
Plan of Correction: I will correct it.
Standard 8VAC20-800-680-B
Based on observation, caregivers did not wash children's hands with liquid soap and warm running water when required.
Evidence:
1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and let her go play without washing the child's hands first.
2) Staff #2 was observed feeding a bottle of milk to Child #5. Staff #2 did not wash the child's hands before feeding her the milk.
Evidence:
1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and let her go play without washing the child's hands first.
2) Staff #2 was observed feeding a bottle of milk to Child #5. Staff #2 did not wash the child's hands before feeding her the milk.
Plan of Correction: I will correct it.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface was not cleaned and sanitized after each use.
Evidence:
1) Although Staff #1 was observed using Lysol disinfecting wipes on the diapering surface after changing the diaper of a child, this does not comply with the requirement of cleaning and sanitizing as per the definitions of "cleaned" and "sanitized" covered in 8VAC20-800-10.
Evidence:
1) Although Staff #1 was observed using Lysol disinfecting wipes on the diapering surface after changing the diaper of a child, this does not comply with the requirement of cleaning and sanitizing as per the definitions of "cleaned" and "sanitized" covered in 8VAC20-800-10.
Plan of Correction: I will correct it.
Standard 8VAC20-800-770
Based on review of emergency supplies, a working battery-operated flashlight was not available to caregivers.
Evidence:
1) On the date of inspection, the flashlight available for review was not working.
Evidence:
1) On the date of inspection, the flashlight available for review was not working.
Plan of Correction: I will buy a new flashlight.
Standard 8VAC20-800-830-A
Based on documentation review, emergency evacuation procedures were not practiced monthly.
Evidence:
1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of July 2022.
Evidence:
1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of July 2022.
Plan of Correction: I will do to record on September. I did one o08/31/2022.
Standard 8VAC20-800-940-A
Based on observation, temperature was not maintained at or below 0?F in the freezer compartment.
Evidence:
1) On the date of inspection, the thermometer in the freezer compartment read approximately 5 degrees.
Evidence:
1) On the date of inspection, the thermometer in the freezer compartment read approximately 5 degrees.
Plan of Correction: I will change the temperature on the refrigerator.
Standard 8VAC20-820-120-E-2
Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program.
Evidence:
1) On the date of inspection, the findings of the most recent inspection of the facility (01/06/2022) were not posted.
Evidence:
1) On the date of inspection, the findings of the most recent inspection of the facility (01/06/2022) were not posted.
Plan of Correction: I will put the most recent review.