Inspection · 2022-08-31
Date
2022-08-31
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
(757) 404-5261
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
Inspector Notes
A monitoring inspection was initiated and concluded on 8/31/2022. At the time of the inspector's arrival, there were 7 children present, ranging in ages from 3 to 5 years old, with 2 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 3 child records and 3 Provider / Assistant / Household Member 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.
Violations
8Standard 22.1-289.036-A
Based on record review and interview, the licensee did not ensure that every applicant for licensure as a family day home who is or will be involved in the day-to-day operations of the family day home, or who is or will be alone with, in control of, or supervising one or more of the children shall undergo a background check in accordance with subsection B prior to issuance of a license as a child day center, family day home, or family day system, registration as a family day home, or approval as a family day home by a family day system and every five years thereafter.
Evidence:
Two provider records were reviewed.
The record for the licensee contained the most recent results of a search of the central registry which were dated 8/25/2016 and should have been conducted again by 8/25/2021.
The Licensee confirmed that this documentation was not available during the inspection.
Evidence:
Two provider records were reviewed.
The record for the licensee contained the most recent results of a search of the central registry which were dated 8/25/2016 and should have been conducted again by 8/25/2021.
The Licensee confirmed that this documentation was not available during the inspection.
Plan of Correction: The licensee stated that a new Search of the Central Registry will be requested for Caregiver #1 within 10 days and results will be placed in the provider's record upon receipt.
Standard 8VAC20-770-40-D-5-a
Based on record review and interview, the licensee did not ensure that any person living in the licensed family day home provider obtains a Child protective services central registry check within 30 days of a 14-year-old beginning to reside in the home or a person in the home becoming 14 years old.
Evidence:
Three provider / household member records were reviewed.
The record for household member #3, who is 15 years old, did not contain the results of a Search of the Central Registry.
When asked, the licensee stated that she believed it had been conducted, but that she was unable to locate the documented results.
Evidence:
Three provider / household member records were reviewed.
The record for household member #3, who is 15 years old, did not contain the results of a Search of the Central Registry.
When asked, the licensee stated that she believed it had been conducted, but that she was unable to locate the documented results.
Plan of Correction: The licensee stated that she will ensure that household member #3 obtains a Search of the Central Registry within 10 days and will place documented results in the family day home records upon receipt.
Standard 8VAC20-800-140-B-1
Based on a review of records, the licensee did not maintain documentation in the records for caregivers of high school program completion or the equivalent or evidence of having met the requirements for admission to an accredited college or university.
Evidence:
The records for caregiver #1 and caregiver #2 did not contain documentation of high school program completion or the equivalent or evidence of having met the requirements for admission to an accredited college or university.
The licensee confirmed that his documentation was not located in the records she maintained for herself and the assistant caregiver and that she was unable to locate this documentation.
Evidence:
The records for caregiver #1 and caregiver #2 did not contain documentation of high school program completion or the equivalent or evidence of having met the requirements for admission to an accredited college or university.
The licensee confirmed that his documentation was not located in the records she maintained for herself and the assistant caregiver and that she was unable to locate this documentation.
Plan of Correction: The licensee will attempt to obtain documentation of high school completion for herself as well as her assistant and place such documentation in the records.
Standard 8VAC20-800-180-A
Based on a review of records, the licensee did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Evidence:
Two caregiver records were reviewed.
The Tuberculosis screening for caregiver #1 was dated 6/14/2018 - more than two years ago.
The Tuberculosis screening for caregiver #2 was dated 2/5/2019 - more than two years ago.
The provider was unable to demonstrate that a more recent screening had been conducted.
Evidence:
Two caregiver records were reviewed.
The Tuberculosis screening for caregiver #1 was dated 6/14/2018 - more than two years ago.
The Tuberculosis screening for caregiver #2 was dated 2/5/2019 - more than two years ago.
The provider was unable to demonstrate that a more recent screening had been conducted.
Plan of Correction: The licensee will ensure that both caregivers obtain an updated Tuberculosis screening within 2 weeks and that results are placed in the records upon reading and receipt.
Standard 8VAC20-800-210-A
Based on a review of records and interview, the licensee did not ensure that caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
Two caregiver records were reviewed.
The record for caregiver #1 did not contain any documentation of training in the past year.
The record for caregiver #2 contained 3 hours of training last year.
The Licensee confirmed that training is tracked from April through March each year and that neither caregivers obtained a minimum of 16 hours of training last year.
Evidence:
Two caregiver records were reviewed.
The record for caregiver #1 did not contain any documentation of training in the past year.
The record for caregiver #2 contained 3 hours of training last year.
The Licensee confirmed that training is tracked from April through March each year and that neither caregivers obtained a minimum of 16 hours of training last year.
Plan of Correction: The licensee will ensure that by March 31, 2022, both caregivers have obtained documentation of a minimum of 16 hours of annual training within the preceding 12 month period.
Standard 8VAC20-800-60-B
Based on a review of records, the licensee did not ensure that each enrolled child's record contained all of the required information.
Evidence:
Three children's records were reviewed.
The record for child #2 did not contain the name address and phone number for two individuals designated as emergency contacts if the parents can not be reached in an emergency.
The records for child #1 and child #3 did not contain complete information for the parents' work location and phone number.
The licensee confirmed that this information had not been completed on the children's enrollment paperwork and was not available elsewhere.
Evidence:
Three children's records were reviewed.
The record for child #2 did not contain the name address and phone number for two individuals designated as emergency contacts if the parents can not be reached in an emergency.
The records for child #1 and child #3 did not contain complete information for the parents' work location and phone number.
The licensee confirmed that this information had not been completed on the children's enrollment paperwork and was not available elsewhere.
Plan of Correction: The provider will request the missing information from parents this week and ensure that the forms are filled out completely within 10 days.
Standard 8VAC20-800-900-A
Based on observation, the licensee did not ensure that foods that are considered a choking hazard are not fed to children under four years of age unless the the food is prepared before being served in a manner that will reduce the risk of choking.
Evidence:
The inspector observed children eating whole grapes during lunch time.
Five of the 7 children observed eating the uncut grapes were three years old, while the remaining 2 children were 5 years old.
The licensee confirmed the children's ages and said that she thought the choking hazards pertained to children under 3 years of age.
Evidence:
The inspector observed children eating whole grapes during lunch time.
Five of the 7 children observed eating the uncut grapes were three years old, while the remaining 2 children were 5 years old.
The licensee confirmed the children's ages and said that she thought the choking hazards pertained to children under 3 years of age.
Plan of Correction: The licensee stated that she will prepare grapes by cutting them into pieces before serving them and will prepare all foods which could be a choking hazard in a way that reduces the risks for children under 4 years old.
Standard 8VAC20-820-120-E-2
Based on observation and interview, the licensee did not visibly post the findings of the most recent inspection of the family day home.
Evidence:
The inspector was unable to locate the most recent inspection findings in the family ay home at the time of inspection.
When asked, the licensee confirmed that the results of the last inspection were not posted and she was unable to find this documentation in her records.
Evidence:
The inspector was unable to locate the most recent inspection findings in the family ay home at the time of inspection.
When asked, the licensee confirmed that the results of the last inspection were not posted and she was unable to find this documentation in her records.
Plan of Correction: The licensee stated that she will post the results of the current inspection on her parent information board upon receipt.