Inspection · 2022-10-13
Date
2022-10-13
Complaint Related
No
Licensing Inspector
Christina Bakonyi
(571) 596-3655
(571) 596-3655
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.
Yes
Areas Reviewed
22.1 Background Checks Code
63.2 Child Abuse and Neglect
8VAC20-790 Subsidy Program Vendor Requirements for Family Day homes
Inspector Notes
An in-person annual subsidy inspection was conducted on 10:13 am from 10:05 am to 11:15 am. There were 2 children in care (6 points) with the vendor supervising. The inspector reviewed 4 children's records and 1 caregiver's records to ensure compliance with the health and safety regulations. The children were observed watching TV, getting diapered and playing with toys.
Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.
If you have any questions regarding this inspection, please contact Mahrukh Aziz at 571-835-4718 or mahrukh.aziz@doe.virginia.gov
Violations
9Standard 8VAC20-790-180-B
Based on staff interview and records review, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
1. The vendor stated that she has not maintained a written record of attendance for the children in care.
2. The most recent attendance records on site were from October 2021.
Evidence:
1. The vendor stated that she has not maintained a written record of attendance for the children in care.
2. The most recent attendance records on site were from October 2021.
Plan of Correction: I will keep a regular log of attendance.
Standard 8VAC20-790-190-B
Based on records review, children's records did not contain complete information.
Evidence:
1. Child # 1's first day of enrollment was 9/7/21.
2. Child # 1's record was missing the following: information for persons authorized to pick up and proof of identity.
Evidence:
1. Child # 1's first day of enrollment was 9/7/21.
2. Child # 1's record was missing the following: information for persons authorized to pick up and proof of identity.
Plan of Correction: I will ask the parents for the missing information.
Standard 8VAC20-790-230-A
Based on records review, the vendor did not obtain documentation of immunizations for children in care.
1. Child # 2's first day of enrollment was 1/3/22.
2.The vendor did not obtain documentation of immunization for Child # 2 to this date.
1. Child # 2's first day of enrollment was 1/3/22.
2.The vendor did not obtain documentation of immunization for Child # 2 to this date.
Plan of Correction: I will ask the parent to bring in the immunization record.
Standard 8VAC20-790-250-F
Based on staff interview, the vendor did not complete the annual health and safety update course.
Evidence: The vendor stated that she had not completed the 3 hour VA health and safety update course.
Evidence: The vendor stated that she had not completed the 3 hour VA health and safety update course.
Plan of Correction: The training will be completed.
Standard 8VAC20-790-390-A-2
Based on observation, children's hands were not washed with soap and running water after toileting.
Evidence: After the vendor changed Child # 2's diaper, the vendor did not ensure that Child # 2's hands were washed with running water and soap.
Evidence: After the vendor changed Child # 2's diaper, the vendor did not ensure that Child # 2's hands were washed with running water and soap.
Plan of Correction: Children's hands will be washed after time they use the bathroom. Children's hands were washed during the inspection.
Standard 8VAC20-790-390-A-3
Based on observation, caregivers did not wash hands with soap and water after diapering.
Evidence:
1. The vendor was observed changing Child # 2's diaper.
2. The vendor did not wash her own hands after completing the process.
Evidence:
1. The vendor was observed changing Child # 2's diaper.
2. The vendor did not wash her own hands after completing the process.
Plan of Correction: I will be sure to wash my hands after each time changing diapers or helping a child with the bathroom.
Standard 8VAC20-790-390-E
Based on observation and staff interview, the diapering surface was absorbent; and the surface was not cleaned and sanitized after each use.
Evidence:
1. The vendor was observed changing Child # 2's on the bed in the daycare are. The bed was covered by a fleece blanket. There was no barrier in place between the child and the bedding.
2. The vendor stated that she had a diaper changing station that could be place on the playpen.
3. The area where Child # 2's diaper was changed was not cleaned or sanitized after the diaper change.
Evidence:
1. The vendor was observed changing Child # 2's on the bed in the daycare are. The bed was covered by a fleece blanket. There was no barrier in place between the child and the bedding.
2. The vendor stated that she had a diaper changing station that could be place on the playpen.
3. The area where Child # 2's diaper was changed was not cleaned or sanitized after the diaper change.
Plan of Correction: The diaper pad will be used; and cleaned and sanitized after each use.
Standard 8VAC20-790-410-A-1
Based on observation, the first aid kit was not complete.
Evidence: The first aid kit was missing tweezers, disposable gloves, and antiseptic cleansing solution and pads.
Evidence: The first aid kit was missing tweezers, disposable gloves, and antiseptic cleansing solution and pads.
Plan of Correction: I will get the missing items for the first aid kit.
Standard 8VAC20-790-430-A-1
Based on records review and staff interview, emergency procedures were not practiced monthly.
Evidence: The vendor's evacuation log had documentation of evacuations drills till April 2022. The vendor stated she had not practiced drills from May 2022 onwards.
Evidence: The vendor's evacuation log had documentation of evacuations drills till April 2022. The vendor stated she had not practiced drills from May 2022 onwards.
Plan of Correction: I will practice monthly evacuation drills and record them.