Sign in
Back
Mary Almy

Inspection · 2024-11-25

Date
2024-11-25
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on and completed on 11/25/2024, as a part of licensure period. The on-site inspection began at 9:15am and ended at 11am. The inspector reviewed compliance in the areas listed above. There were 4 children present and 1 caregiver; the point total was 10. The inspector reviewed 4 children?s records and 3 caregiver/household member(s) records on-site. This inspection included document review, 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 1/20/2025. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.035-B-2
The family day home is required to have employees and household members undergo a background check every five years. The most recent central registry check for staff #1, #2 and #3 was overdue. The most recent checks available were dated 2017.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Documentation that two or more references as to character and reputation as well as competency for assistance are required to be checked before employment. There was only one reference available in the record for staff #3 who has been employed for over 7 seven years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-3
The provider shall have current certification in cardiopulmonary resuscitation (CPR), certification issued within the past two years. The provider?s CPR certification expired in 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-4
The provider shall have current certification in first aid issued within the past three years. The provider?s first aid certification expired in 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-230-A
The provider shall maintain written documentation of each caregiver?s
applicable education and training. There is not any documentation of the required training for staff #2 or #3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
Areas and furnishings of the family day home, inside and outside, shall be maintained in safe condition. Multiple areas of the family day have unsafe conditions including dangling cords, overloaded outlets and areas of unsafe appliances and furnishings accessible to children
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Potentially poisonous substances, materials shall be stored away from food in areas inaccessible to children. There are hazardous chemicals stored in areas accessible to children in the kitchen and garage.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-690-D
The diapering surface shall be: Separate from the kitchen, food preparation areas, or surfaces used for children?s activities. The diapering surface was stacked with household items and items for children so much so that children?s diapers were being changed while standing up in front of the toilet.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-750-B
Topical skin products do not need to be kept locked but shall be inaccessible to children. There were diaper ointments and rubbing alcohol accessible to children in care on the diaper changing table.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
The provider shall annually review emergency contact information with parents. Four out of four children?s records reviewed did not have parent signatures indicating annual review.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-C
Shelter-in-place procedures shall be practiced a minimum of twice per year. There was not any documentation of practiced shelter-in-place drills available.
Plan of Correction: Not available online. Contact Inspector for more information.