Inspection · 2024-08-06
Licensing Inspector
Leslie Perez
(703) 537-6013
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
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site health and safety inspection occurred on 8/6/2024. The on-site inspection began at 10:30am and ended at 11:40am. The inspector reviewed compliance in the areas listed above. There were 2 children present including vendor's grandchild and 1 caregivers; the point total was 4. The inspector reviewed 1 child?s record, 1 caregiver record, 5 household members records and 2 pet records on-site on 8/6/24. This inspection included document review of policies and procedures, emergency drill logs and authorization forms), tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Standard 22.1-289.040-A
Based on record review and interview, the vendor did not obtain Central Registry Request within 30 days for a 14 year-old residing in the home.
Evidence:
1. No report or request provided to inspector.
2. Vendor stated she was unaware of this requirement.
Plan of Correction: Vendor to submit CRS clearance form.
Standard 8VAC20-790-180-B
Based on record review and 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: The vendor did not document time of arrival and departure for children as it occurred.
Plan of Correction: Vendor will begin recording time of arrival and departure for children as it occurs.
Standard 8VAC20-790-190-B
REPEAT VIOLATION
Based on record review, not all children's records contained required information.
Evidence:
1 Child #1's record was missing permission for field trips. Vendor and child were away from the home on a walk when inspector arrived.
Plan of Correction: Vendor to request permission slips from parents 8/6/24.
Standard 8VAC20-790-280-A-4
Based on observation, each bathroom area provided for children was not equipped with soap, toilet paper, and disposable towels or an air dryer within reach of the children.
Evidence: No disposable towels were in bathroom used by children.
Plan of Correction: Vendor corrected during visit and provided paper towels in bathroom. Vendor will routinely check bathroom for disposable towels and refill as needed.
Standard 8VAC20-790-390-E
Based on observation, the diapering surface was not nonabsorbent and washable.
Evidence: there were four holes in the diaper pad, making it not nonabsorbent.
Plan of Correction: Vendor will purchase a new changing pad.
Standard 8VAC20-790-420-B-6
Based on documentation review, the vendor did not review or update emergency procedures.
Evidence: No review of emergency procedure was documented.
Plan of Correction: Vendor to review emergency plan on 8/6/24 and annually in August.
Standard 8VAC20-790-430-A-1
Based on documentation and interview, the vendor has not practiced evacuation procedures at least monthly.
Evidence: Date of most recent evacuation drill 1/16/2024.
Plan of Correction: Vendor to conduct emergency evacuation drill 86/224 and monthly thereafter.
Standard 8VAC20-790-430-A-2
Based on documentation and interview, the vendor did not practice Shelter-in-place procedures twice a year.
Evidence:
1. No documentation of a Shelter in place drill in the past 12 months.
2. Provider stated they had not practiced a shelter in place drill in the past 12 months.
Plan of Correction: Vendor will conduct and document lock down drill before 12/2024 and annually thereafter.
Standard 8VAC20-790-430-A-3
Based on documentation and interview, the vendor did not practice lock down procedure at least annually.
Evidence:
1. No documentation o lock down drill in the past 12 months
2. Provider stated they had not practiced a lock down drill.
Plan of Correction: Not available online. Contact Inspector for more information.