Inspection · 2024-06-17
Licensing Inspector
Dominick Fields
(540) 359-5244
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
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect
Inspector Notes
An unannounced monitoring inspection was initiated on 6/17/2024 from approximately 9:50 am to 10:40am. There were a total of 3 children with 2 caregivers present for 12 points which is in ratios for supervision. One child was observed during free play and snack time, and two infants were sleeping in cribs upstairs. 3 children's and 2 caregiver's records, physical space and food storage 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. Please be aware that the plan of correction must be provided within 5 days of receipt of the inspection notes if you want it displayed on the website. Feel free to contact me if you need any assistance at Afryea.deas@doe.virginia.gov or (571) 835-0599.
Standard 22.1-289.011-F
Based on observation, the provider did not ensure documents required by the Superintendent were posted in a conspicuous place on the licensed premises.
Evidence
There was no previous inspection posted in a conspicuous place on the licensed premises.
Plan of Correction: Post documents in a consipicuous place on premises
Standard 22.1-289.035-A
Based on records review, the provider did not obtain background checks prior to employment or every five years thereafter.
Evidence
The Provider's fingerprints expired 6/5/2024.
Plan of Correction: Provider to obtain new set of fingerprints.
Standard 22.1-289.035-B-4
Based on records review, the provider did not obtain obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Evidence
Caregiver #2 did not have results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Plan of Correction: Caregiver #1 has submitted necessary paperwok for processing a criminal history record information check. Caregiver #1 has only resided in the state of VA.
Standard 8VAC20-770-40-D-4
Based on interview and record review, the provider did not obtain the sworn statement or affirmation, and criminal history record check for a person living in the home.
Evidence
Household Member #2 did not have a sworn statement and criminal history record check.
Plan of Correction: Household member #2 will complete sworn statement and criminal history record check.
Standard 8VAC20-800-170-A
Based on records review, the provider did not obtain a current Report of Tuberculosis Screening prior to coming into contact with children.
Evidence:
Household member #2 did not have a Tuberculosis Screening.
Plan of Correction: Household member #2 to obtain TB screening on 6/27
Standard 8VAC20-800-320-B
Based on observation, the provider did not ensure child-resistant protective covers were installed on all unused electrical outlets.
Evidence
There was no protective cover on the unused electrical outlet behind the infant swing.
Plan of Correction: Install protective cover on unused electrical outlets.
Standard 8VAC20-800-50-A
Based on record review, the provider did not ensure to keep a written record of children in attendance each day.
Evidence
The attendance for the current date was not recorded.
Plan of Correction: Record daily of each childs arrival immediatly.
.
Standard 8VAC20-800-750-A
Based on observation, the provider did not ensure when topical skin products are used all requirements were met.
Evidence
Three diaper ointments were not labeled with the child's name.
Plan of Correction: Label each diaper ointment with childs name.
Standard 8VAC20-800-750-D
Based on observation, the provider did not ensure topical skin products were not being used beyond the expiration date of the product.
Evidence
There were 6 expired topical ointments in storage bin.
Plan of Correction: Replace all topical ointments that have expired. Notify parents to bring in updated
ointments.
Standard 8VAC20-800-780-B
Based on record review, the provider did not ensure to review with the parent the emergency contact information required, ensure the information is correct and obtain the parents' signed acknowledgment of the review.
Evidence
Child #1's(start date 3/13/2023) emergency contact information was not reviewed annually, it was last reviewed and signed on 3/23/2023.
Plan of Correction: Instruct staff and myself on how to complete yearly review of each childs folder to assure each document is up to date. Ask child #1 parents to review and sign new emergency contact form.
Standard 8VAC20-800-830-C
Based on record review, the provider did not ensure there was documentation of an evacuation drill was practiced monthly.
Evidence
The fire drill was not documented for May 2024.
Plan of Correction: Document each fire drill or each month.
Standard 8VAC20-800-90-C
Based on records review, the provider did not obtain documentation of immunizations once every six months for children under the age of two years.
Evidence
Child #1's (start date 3/13/23) immunization record was last dated 10/3/2023.
Plan of Correction: Have child #1 parents provide immunization record and update child#1 folder.