Inspection · 2024-03-27
Date
2024-03-27
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 3/27/24 from 9:40am to 10:50am. At the time of the inspection there were nine children in care, ages 14 months to 5 years old (21 points) with two caregivers. Records were reviewed for five children and two caregivers. Children were observed participating in morning circle time and group activities. Evacuation drills, emergency supplies and other required records and postings were also reviewed. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit interview.
Violations
7Standard 8VAC20-800-180-A
Based on record review and interview, it was determined the provider did not ensure that subsequent tuberculosis screening for caregivers and household members shall be obtain 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:
1.The TB screening dated 9/17/21 had expired for caregiver #1 and caregiver #2. An updated TB screening was required as of 9/22/23.
2.Caregiver #1 confirmed an updated TB screening was not in the record.
Evidence:
1.The TB screening dated 9/17/21 had expired for caregiver #1 and caregiver #2. An updated TB screening was required as of 9/22/23.
2.Caregiver #1 confirmed an updated TB screening was not in the record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Based on record review and interviews, it was determined the provider did not ensure that in addition to satisfactory completion of first aid and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1.The records for caregiver #1 and caregiver #2 did not contain the required 16 hours of training for 2023.
2.Caregiver #1 confirmed the training documentation was not in the records.
Evidence:
1.The records for caregiver #1 and caregiver #2 did not contain the required 16 hours of training for 2023.
2.Caregiver #1 confirmed the training documentation was not in the records.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
Based on observation and interviews, it was determined the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe, and operable condition. Unsafe conditions include, but are not limited to cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin.
Evidence:
1.There was a vinyl fence next to the outdoor play equipment. The bottom of the fence had broken, cracked and jagged edges. These jagged edges were accessible to children and could snag or scratch skin.
2.The provider confirmed the edges were broken.
Evidence:
1.There was a vinyl fence next to the outdoor play equipment. The bottom of the fence had broken, cracked and jagged edges. These jagged edges were accessible to children and could snag or scratch skin.
2.The provider confirmed the edges were broken.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
REPEAT VIOLATION
Based on record review, it was determined the provider did not ensure that an up-to-date record was maintained at the family day home for each enrolled child.
Evidence:
1.The record for child #2 did contain parent work phone numbers.
2.The record for child #4 did not contain parent work phone numbers, medical insurance policy number, and emergency contact address.
Based on record review, it was determined the provider did not ensure that an up-to-date record was maintained at the family day home for each enrolled child.
Evidence:
1.The record for child #2 did contain parent work phone numbers.
2.The record for child #4 did not contain parent work phone numbers, medical insurance policy number, and emergency contact address.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-80-C
Based on record review and interview, it was determined the provider did not ensure that children?s records contained documentation of the method the provider used to verify the child?s age and identity.
Evidence:
1.The record for child #4 did not contain documentation that the provider viewed proof of age and identity.
2.The provider confirmed the documentation was not in the record.
Evidence:
1.The record for child #4 did not contain documentation that the provider viewed proof of age and identity.
2.The provider confirmed the documentation was not in the record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-D
Based on record review and interviews, it was determined the provider did not ensure that records of emergency evacuation and shelter-in-place drills were maintained for one year.
Evidence:
1.The emergency drill log contained documentation for emergency drills completed in January, February, and March 2024. There was no documentation of emergency drills completed for the prior 12 months.
2.The owner confirmed there was no documentation of 2023 emergency drills available for review.
Evidence:
1.The emergency drill log contained documentation for emergency drills completed in January, February, and March 2024. There was no documentation of emergency drills completed for the prior 12 months.
2.The owner confirmed there was no documentation of 2023 emergency drills available for review.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-890
REPEAT VIOLATION
Based on observation and interviews, it was determined the provider did not ensure that when food is brought from home the container will be clearly labeled in a way that identifies the owner.
Evidence:
1.There was a sippy cup in the refrigerator that had no name on it to identify who the cup belonged to.
2.The provider confirmed there was no name on the sippy cup.
Based on observation and interviews, it was determined the provider did not ensure that when food is brought from home the container will be clearly labeled in a way that identifies the owner.
Evidence:
1.There was a sippy cup in the refrigerator that had no name on it to identify who the cup belonged to.
2.The provider confirmed there was no name on the sippy cup.
Plan of Correction: Not available online. Contact Inspector for more information.