Inspection · 2022-03-16
Date
2022-03-16
Complaint Related
No
Licensing Inspector
Morgan Bryson
(540) 270-0057
(540) 270-0057
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 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.
8VAC20-770 Background Checks for Child Day Programs and Family Day Systems
22.1 Background Checks Code; carbon monoxide detectors
Inspector Notes
An unannounced monitoring inspection was conducted today. The provider was not present at the beginning of the inspection, Caregiver A and B were present with 10 children.
The age range of the 10 children were 22 months to 5 years for a total of 21 points The 10 children were outside playing with one caregiver at the beginning of the inspection. The caregiver's reported that 4 of the 10 children reside in the home. Several children were eating their lunch ( peanut butter and jelly sandwiches) during their outside time.
Upon returning inside, the children watched tv and then 5 of the children transitioned to their cots for naptime while the other 5 children continued to watch tv, as the caregivers reported that they do not nap. At the end of the inspection the provider arrived.
Please send proof to your licensing inspector that you have sent off tor the central registry background check for caregiver B. This proof needs to be provided within 10 days. Upon completion of the background check please send the results.
Violations
16Standard 22.1-289.036-A
Based on interview, it was determined that one caregiver/household member did not have a repeat background check every five years.
Evidence:
Caregiver B's central registry finding is dated 11/15/16.
Evidence:
Caregiver B's central registry finding is dated 11/15/16.
Plan of Correction: Caregiver A, B and C have appointment for background check and central registry.on 4/7/22.
Standard 8VAC20-800-100-A
Based on a review of children's files and interviews with the caregivers, it was determined that there were no physicals on file within 30 days of attendance for child B and C.
Plan of Correction: Will give parents until 4/15/22 to give the physicals to the daycare. 4/15/22 will be the last day
Standard 8VAC20-800-240-A
Based on observation, it was determined that the area inside and outside was not maintianed in a safe and operable condtion.
Evidence:
1. The banister on the stairs leading to the basement was detaching from the wall and provided very little hand support.
2. In the backyard play area, the children were running around, playing and using tricycles/scooters near the the top of the stairs that lead to the basement. There was no protective barrier to prevent access to the stairs and the fall from the top to the bottom would have been approximately 7 feet.
Evidence:
1. The banister on the stairs leading to the basement was detaching from the wall and provided very little hand support.
2. In the backyard play area, the children were running around, playing and using tricycles/scooters near the the top of the stairs that lead to the basement. There was no protective barrier to prevent access to the stairs and the fall from the top to the bottom would have been approximately 7 feet.
Plan of Correction: Inside and outside will be maintained with weekly repairs when needed on anything.
Bannister repaired and made a gate to block steps.
Bannister repaired and made a gate to block steps.
Standard 8VAC20-800-50-A
Based on observation and interview, there was no written record of children in attendance.
Plan of Correction: The caregivers will sign the children in when they arrive and out when they leave.
Standard 8VAC20-800-560-A
Based on observation and interview, it was determined that the one of the two caregivers were not providing direct care and supervision to the children while outside. The caregiver that was present with the children in the backyard thought she was caring for 9 children, when in fact she had 10 children in care.
Evidence:
The Licensing Inspector (LI) observed 10 preschoolers ( ages 22 months to 5 years of age) outside in the backyard playing and eating with caregiver A supervising. The LI asked caregiver A how many children were in care and was told 9 children were in care today. The LI repeated the question 20 minutes later and again was told 9 children were present. The LI pointed out there were in fact 10 children present, then caregiver A acknowledged that there were 10 children present and not the 9.
The LI asked caregiver A if there was any other caregivers as she was alone with the 10 preschoolers, which totaled 21 points. Caregiver A reported that caregiver B was inside the house. Caregiver A asked caregiver B to join her outside with the children, caregiver B came outside for a few minutes and then returned inside, leaving caregiver A alone again with 10 preschoolers. Several minutes later, caregiver A decided to send 3 to 4 children inside with caregiver B.
Caregiver B, while inside, was not providing direct care supervision of the children consequently leaving caregiver A alone with 10 children, which totaled 21 points. One caregiver should not exceed 16 points.
Evidence:
The Licensing Inspector (LI) observed 10 preschoolers ( ages 22 months to 5 years of age) outside in the backyard playing and eating with caregiver A supervising. The LI asked caregiver A how many children were in care and was told 9 children were in care today. The LI repeated the question 20 minutes later and again was told 9 children were present. The LI pointed out there were in fact 10 children present, then caregiver A acknowledged that there were 10 children present and not the 9.
The LI asked caregiver A if there was any other caregivers as she was alone with the 10 preschoolers, which totaled 21 points. Caregiver A reported that caregiver B was inside the house. Caregiver A asked caregiver B to join her outside with the children, caregiver B came outside for a few minutes and then returned inside, leaving caregiver A alone again with 10 preschoolers. Several minutes later, caregiver A decided to send 3 to 4 children inside with caregiver B.
Caregiver B, while inside, was not providing direct care supervision of the children consequently leaving caregiver A alone with 10 children, which totaled 21 points. One caregiver should not exceed 16 points.
Plan of Correction: All caregivers should know an exact count of how many children we have at all times.
Standard 8VAC20-800-580-A
Based on observation, it was determined that caregiver B did not promote the children's emotional and social well being and growth by providing needed help, comfort, and support.
Evidence:
Five preschoolers were not napping and were told to watch tv by caregiver B. The Licensing Inspector observed/overheard caregiver B repeatedly tell the 5 children to sit and watch tv. Caregiver B repeatedly told the children to "be quiet", "sit down" "get back over there" "great, now turn around" all was done with a harsh and demeaning voice tone.
One child said they couldn't hear the tv, caregiver B said to the child, "say it again and you wont hear nothing"
Evidence:
Five preschoolers were not napping and were told to watch tv by caregiver B. The Licensing Inspector observed/overheard caregiver B repeatedly tell the 5 children to sit and watch tv. Caregiver B repeatedly told the children to "be quiet", "sit down" "get back over there" "great, now turn around" all was done with a harsh and demeaning voice tone.
One child said they couldn't hear the tv, caregiver B said to the child, "say it again and you wont hear nothing"
Plan of Correction: I had a meeting with B with how to speak with all children and tone is everything. Non napping children will be given activities to do instead of tv.
Standard 8VAC20-800-60-A
Based on observation and interview, it was determined that there was no file available for review for child A. Interviews revealed that child A enrolled approximately 2 week prior.
Plan of Correction: Gave parent another application , must have all paperwork before children can start.
Standard 8VAC20-800-60-B
Based on a review of 7 children's records and interviews with three caregivers, it was determined that children's records did not contain all of the required information outlined under this standard.
Evidence:
1. There were no dates of enrollment listed for children A through G.
2. There were no insurance information on file for child F, G and B.
3. There were no physician information on file for child C and D.
All information above is required at the time of enrollment.
Evidence:
1. There were no dates of enrollment listed for children A through G.
2. There were no insurance information on file for child F, G and B.
3. There were no physician information on file for child C and D.
All information above is required at the time of enrollment.
Plan of Correction: Working on all children's files to make sure all files are complete and up to date by 4/29/22.
An any new children must turned in paperwork before they start daycare
An any new children must turned in paperwork before they start daycare
Standard 8VAC20-800-630-A
Based on observation, it was determined that a caregiver failed to use methods of discipline that was constructive , nor did she model and redirect the children to acceptable behavior
Evidence:
On one occasion the LI observed caregiver B leaning over the chair and the child with her body as the child sat in the chair trying to get the child to comply, caregiver B's behavior was determined to be intimidating.
Evidence:
On one occasion the LI observed caregiver B leaning over the chair and the child with her body as the child sat in the chair trying to get the child to comply, caregiver B's behavior was determined to be intimidating.
Plan of Correction: Had a 45 minute on how body language can be a threat to children.
Standard 8VAC20-800-680-B
Based on observation, it was determined that the caregivers did not ensure that the 10 children's hands were washed after coming in from playing outside as their hands were dirty nor after eating their lunch.
Plan of Correction: Staff meeting on handwashing before and after eating and coming from outside.
Standard 8VAC20-800-70-A
Based on a review of seven children's files and interview with the caregivers, it was determined that there were no information provided in writing to parents to include check in and out procedures identified, operational information, schedule and fee information on file for child C, D. E, F and G.
Plan of Correction: Put up notice that all parents must sign a child in and out daily and note fees.
Information was posted, daily schedule and menus are now posted for parents to see as well as we send parents a weekly schedule.
Information was posted, daily schedule and menus are now posted for parents to see as well as we send parents a weekly schedule.
Standard 8VAC20-800-730-D
Based on observation, it was determined that medication was not kept locked and was accessible to the children.
Evidence:
The Licensing Inspector observed a full bottle of Ibuprofen sitting on the kitchen counter. The medication was accessible to all of the children in care as the children were in and out of the kitchen area throughout the inspection.
Evidence:
The Licensing Inspector observed a full bottle of Ibuprofen sitting on the kitchen counter. The medication was accessible to all of the children in care as the children were in and out of the kitchen area throughout the inspection.
Plan of Correction: Caregiver put medication in appropriate place out of reach from children of children. The medication will also be kept locked.
Standard 8VAC20-800-880
Based on observation and interview, it was determined that the provider was not following the most recent nutritional requirements of a recognized authority such as the child and adult care program by the USDA.
Evidence;
The LI observed the children being served only peanut butter and jelly sandwiches for lunch.
Evidence;
The LI observed the children being served only peanut butter and jelly sandwiches for lunch.
Plan of Correction: Took pictures of daycare giving additional food of cucumber and also if change needs to happen it should be done in the am.
Standard 8VAC20-800-90-A
Based on a review of children's files and interviews with the caregivers, it was determined that there were no immunization records on file before attendance for child B and C.
Plan of Correction: Caregiver will give a two week deadline to have all paperwork in and to give the children a start date.
Standard 8VAC20-800-900-B
Based on observation, it was determined that at least three children were observed walking and playing outside while eating their peanut butter and jelly sandwiches.
Plan of Correction: Children shall always be sitting while eating and drinking.
Standard 8VAC20-800-920
Based on observation and interview, it was determined that there was no menu given to parents or posted/placed in a area accessible to parents for the current one-week period.
Plan of Correction: Will send weekly copies by cellphone and post at front entrance of home visible for all parents to see.