Inspection · 2024-08-12
Date
2024-08-12
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
(571) 352-1453
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
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
Inspector Notes
A Subsidy Health and Safety Inspection was conducted on 8/12/2023 from 10:355 am- 12:15pm. At the time of arrival, there were 4 children directly supervised by the vendor. During the inspection the home, activities and interactions with children, emergency supplies, procedures and drills were inspected. 4 children's records, provider information and household member information was reviewed. Information gathered determined violations with applicable code or requirements and are listed on the Violation Notice.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/29/2024. A POC submitted after this date will not appear on the public website.
Violations
12Standard 22.1-289.040-A
Based on record review and interview, the vendor did not obtain the results of all required background checks for 1 household member.
Evidence:
1. Vendor stated Household Member (HHM) #1 began living in the home in June 2024.
2. HHM #1 has lived outside of the state of Virginia in the past 5 years.
3. A fingerprint-based background check was not completed for HHM #1.
4. A child abuse and neglect search was not completed for the state where HHM #1 previously resided.
5. A sex offender registry check was not completed for the state where HHM #1 previously resided.
Evidence:
1. Vendor stated Household Member (HHM) #1 began living in the home in June 2024.
2. HHM #1 has lived outside of the state of Virginia in the past 5 years.
3. A fingerprint-based background check was not completed for HHM #1.
4. A child abuse and neglect search was not completed for the state where HHM #1 previously resided.
5. A sex offender registry check was not completed for the state where HHM #1 previously resided.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-180-B
Based on record review and vendor interview, 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 did not have documentation of attendance after 7/31/2024.
2. The vendor stated each parent fills out an attendance form for their child and turns it in at the end of each month.
Evidence:
1. The vendor did not have documentation of attendance after 7/31/2024.
2. The vendor stated each parent fills out an attendance form for their child and turns it in at the end of each month.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-190-B
Based on record review, 3 of 4 children's records reviewed did not contain all required information.
Evidence:
1. The record for Child #1 and 2 did not contain the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached.
2. The record for Child #4 did not contain documentation of viewing proof of the child's identity.
Evidence:
1. The record for Child #1 and 2 did not contain the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached.
2. The record for Child #4 did not contain documentation of viewing proof of the child's identity.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-F
Based on record review, the vendor did not complete 16 hours of training annually to include the department's health and safety update course.
Evidence:
1. The most recent health and safety update course in the record for Caregiver #1 was last completed in 2020.
2. The record for Caregiver #1 did not contain documentation of training for the year 2023.
Evidence:
1. The most recent health and safety update course in the record for Caregiver #1 was last completed in 2020.
2. The record for Caregiver #1 did not contain documentation of training for the year 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-270-A
Based on observation, potentially poisonous substances were not stored in areas inaccessible to children.
Evidence:
1. Cleaning supplies were observed in an unlocked cabinet in the kitchen. The prevention gate was observed unlocked, and a child was observed freely entering the kitchen where the cleaning supplies were kept.
2. Multiple containers of potentially poisonous substances were observed in the bottom drawer of the changing table, accessible to children.
3. Laundry detergent was observed on the stairs, and cleaning supplies were observed in the bathroom, accessible to older children who use the bathroom unsupervised.
Evidence:
1. Cleaning supplies were observed in an unlocked cabinet in the kitchen. The prevention gate was observed unlocked, and a child was observed freely entering the kitchen where the cleaning supplies were kept.
2. Multiple containers of potentially poisonous substances were observed in the bottom drawer of the changing table, accessible to children.
3. Laundry detergent was observed on the stairs, and cleaning supplies were observed in the bathroom, accessible to older children who use the bathroom unsupervised.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-300-G
Based on observation, the vendor provided care for more than four children and is not licensed.
Evidence:
1. Upon arrival, the vendor was providing care for 4 children. At 11:00am, a 5th child arrived at the home.
2. The vendor provided care for 5 children from 11:00am to 11:20am.
Evidence:
1. Upon arrival, the vendor was providing care for 4 children. At 11:00am, a 5th child arrived at the home.
2. The vendor provided care for 5 children from 11:00am to 11:20am.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-390-A-1
Based on observation, a child's hands were not washed with soap and running water before eating.
Evidence:
1. A child was observed eating at the kitchen table. The vendor did not ensure the child's hands were washed before eating.
Evidence:
1. A child was observed eating at the kitchen table. The vendor did not ensure the child's hands were washed before eating.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-390-A-3
Based on observation, the caregiver did not wash their hands with soap and running water before serving food.
Evidence:
The caregiver served lunch to a child sitting at the kitchen table. The caregiver did not wash their hands before serving the food to the child.
Evidence:
The caregiver served lunch to a child sitting at the kitchen table. The caregiver did not wash their hands before serving the food to the child.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-390-F
Based on observation, soiled disposable diapers were not disposed of in a storage system that is foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
Evidence:
1. After changing a child's diaper, the vendor put the soiled diaper in a trash can during which she had to touch the outside surface of the storage system in order to open it.
Evidence:
1. After changing a child's diaper, the vendor put the soiled diaper in a trash can during which she had to touch the outside surface of the storage system in order to open it.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-430-A-1
Based on record review of the evacuation drill log, evacuation procedures were not practiced at least monthly.
Evidence:
1. Evacuation drills were not practiced for the months of September 2023, October 2023, November 2023, and December 2023.
Evidence:
1. Evacuation drills were not practiced for the months of September 2023, October 2023, November 2023, and December 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-430-A-2
Based on record review, shelter in place procedures were not practiced twice a year.
Evidence:
1. No shelter in place drills were completed in 2023.
Evidence:
1. No shelter in place drills were completed in 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-430-A-3
Based on record review, lockdown procedures were not practiced at least annually.
Evidence:
1. A lockdown drill was not completed in 2023.
Evidence:
1. A lockdown drill was not completed in 2023.
Plan of Correction: Not available online. Contact Inspector for more information.