Inspection · 2022-04-06
Date
2022-04-06
Complaint Related
No
Licensing Inspector
Miranda Wright
(571) 596-3661
(571) 596-3661
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.
8VAC20-770 Background Checks for Child Day Programs and Family Day Systems
22.1 Background Checks Code; carbon monoxide detectors
Inspector Notes
A monitoring inspection was conducted on April 6, 2022. There were 7 children present, with 2 staff 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 5 child records and 2 caregiver records were reviewed. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.
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
21Standard 22.1-289.035-B-2
Based on review of caregiver records, one did not submit to fingerprinting before their first day of employment.
Evidence
Caregiver #1 did not submit to fingerprinting before their first day of employment.
Evidence
Caregiver #1 did not submit to fingerprinting before their first day of employment.
Plan of Correction: I will make sure fingerprinting is completed and I receive the eligibility letter before a caregiver begins work. I will submit the eligibility letter when it is received.
Standard 8VAC20-770-60-B
Based on review of caregiver records, one does not have a completed sworn statement.
Evidence
Caregiver #1 did not complete a sworn statement.
Evidence
Caregiver #1 did not complete a sworn statement.
Plan of Correction: I will make sure all caregivers sign a sworn statement before their first day. I will send my inspector a copy of the sworn statement.
Standard 8VAC20-770-60-C-2
Based on review of caregiver records, one record did not have a central registry finding within 30 days of employment.
Evidence
There were no background checks completed for caregiver #1.
Evidence
There were no background checks completed for caregiver #1.
Plan of Correction: I will submit the central registry form within 10 days and submit the results to my inspector.
Standard 8VAC20-800-100-A
Based on review of five children records, five records do not contain documentation of a physical examination within 30 days of their first day of attendance.
Evidence
The record for child #1 #2, #3, #4 and $5 do not contain a physical examination within 30 days of their first day.
Evidence
The record for child #1 #2, #3, #4 and $5 do not contain a physical examination within 30 days of their first day.
Plan of Correction: I will get a physical record for all children and make sure I get one when a new child starts.
Standard 8VAC20-800-120-A
Based on review of caregiver records, there is no record for one caregiver.
Evidence
Caregiver #1 did not have a record. There was no record of name, address, job title, date of employment, emergency contact, 2 references, or orientation.
Evidence
Caregiver #1 did not have a record. There was no record of name, address, job title, date of employment, emergency contact, 2 references, or orientation.
Plan of Correction: I will make a record for her and obtain all required information. Going forward I will obtain the information before their first day.
Standard 8VAC20-800-170-A
Based on review of two caregiver records, one did not obtain prior to coming into contact with children a current report of tuberculosis (TB) screening form.
Evidence
Caregiver #1 did not obtain a current TB screening form prior to her first day of employment.
Evidence
Caregiver #1 did not obtain a current TB screening form prior to her first day of employment.
Plan of Correction: She will have the TB screening completed.
Standard 8VAC20-800-430-B
Based on observation, an accordion gate is being used as a protective barriers at the stair opening.
Evidence
At the base of the stairs, an accordion gate was being used at the bottom of the stair opening as a protective barrier.
Evidence
At the base of the stairs, an accordion gate was being used at the bottom of the stair opening as a protective barrier.
Plan of Correction: I will order a new gate this weekend and will install it when it arrives.
Standard 8VAC20-800-480-D
Based on observation, when equipment was being used by children is was not being used in accordance with the manufacture's instructions.
Evidence
The straps on three high chairs were not secured used when chair was occupied by children.
Evidence
The straps on three high chairs were not secured used when chair was occupied by children.
Plan of Correction: We will make sure to use the straps on all high chairs when they are occupied by the children.
Standard 8VAC20-800-50-A
Based on review of general recordkeeping, the provider did not have a written record of children in attendance.
Evidence
There was not written record of children in currently in attendance
Evidence
There was not written record of children in currently in attendance
Plan of Correction: I will begin keeping a written record of children in attendance each day.
Standard 8VAC20-800-510-A
Based on review, cribs and cots were not labeled for individual use.
Evidence
The cribs and cots were not labeled with child's name for individual use.
Evidence
The cribs and cots were not labeled with child's name for individual use.
Plan of Correction: We will make sure the cribs and cots are labeled for individual use.
Standard 8VAC20-800-60-B
Based on review of five children records, one does not contain emergency contact information.
Evidence
The record for child # 3 does not have two emergency contact information.
Evidence
The record for child # 3 does not have two emergency contact information.
Plan of Correction: I will get their information and make sure all children have two emergency contacts listed including the name, address and phone number.
Standard 8VAC20-800-690-D
Based on interview with provider the diapering surface is not being cleaned and sanitized with a solution of soap and water and sanitized with bleach and water.
Evidence
The diapering surface is being cleaned with a disinfecting wipes.
Evidence
The diapering surface is being cleaned with a disinfecting wipes.
Plan of Correction: We will spray with a solution of soap and water, pat dry and then spray with a solution of bleach and water and allow the surface to air dry.
Standard 8VAC20-800-70-A
Based on review of five children records, four do not contain the required information.
Evidence
The record for child #2 did not contain proof of birth documentation
The record for child #3 and #4 did not contain proof of liability form
The record for child #4 did not contain the emergency procedure form
Evidence
The record for child #2 did not contain proof of birth documentation
The record for child #3 and #4 did not contain proof of liability form
The record for child #4 did not contain the emergency procedure form
Plan of Correction: I will get the required information and make sure all records are complete.
Standard 8VAC20-800-780-A
Based on review of five children records, one did not have an annual review of emergency contact information.
Evidence
The record for child # 4 (start date 3/1/21) did not have documentation of parental review of emergency contact information.
Evidence
The record for child # 4 (start date 3/1/21) did not have documentation of parental review of emergency contact information.
Plan of Correction: I will make sure emergency contact information is reviewed every year and parents sign off on the review
Standard 8VAC20-800-800-C
Based on review of the emergency preparedness plan, the plan is not updated on an annual basis.
Evidence
The emergency preparedness plan has not been updated, the last updated in 12/19.
Evidence
The emergency preparedness plan has not been updated, the last updated in 12/19.
Plan of Correction: I will review and update the plan and make sure to review and update annually.
Standard 8VAC20-800-830-A
Based on review of emergency evacuation procedures, a monthly practice drill was not conducted in March.
Evidence
A drill was not conducted in March.
Evidence
A drill was not conducted in March.
Plan of Correction: We forgot to do a March, we will make sure to do one every one.
Standard 8VAC20-800-890
Based on observation, when food was brought from home, the containers are not labeled with child's full name and date.
Evidence
A lunch box and food containers brought from home were not labeled with a child's name and current date.
Evidence
A lunch box and food containers brought from home were not labeled with a child's name and current date.
Plan of Correction: We will make sure when something is brought from home with a child's name and current date.
Standard 8VAC20-800-90-A
Based on review of five children records, two do not contain documentation that the child has been adequately immunized.
Evidence
The record for children # 2 and #3 does not contain documentation of immunization.
Evidence
The record for children # 2 and #3 does not contain documentation of immunization.
Plan of Correction: I will get their record and make sure I get an immunization record before a child's first day.
Standard 8VAC20-800-90-C
Based on review of five children records, one record for a child under the age of two, does not have documentation of an additional immunization record every six months, which is required until the age of two.
Evidence
The record for child #4, who is under the age of 2, has an immunization record dated 07/2020. There is no documentation of an updated immunization record every six month.
Evidence
The record for child #4, who is under the age of 2, has an immunization record dated 07/2020. There is no documentation of an updated immunization record every six month.
Plan of Correction: I will get an updated record and make sure if a child is under the age of two, I will get an updated immunization record every six months.
Standard 8VAC20-800-920
Based on facility review, a current one week menu was not posted.
Evidence
The provider does not have a menu posted for the current one-week period for the food that is provided.
Evidence
The provider does not have a menu posted for the current one-week period for the food that is provided.
Plan of Correction: I will make sure to print and post a menu.
Standard 8VAC20-820-120-E-2
Based on observation, the most recent inspection was not posted.
Evidence
The provider did not have an inspection posted.
Evidence
The provider did not have an inspection posted.
Plan of Correction: My printed was broken, but I will get it fixed and make sure my inspection is posted.