Inspection · 2024-09-25
Licensing Inspector
Kristy Atanackovic
(804) 629-5032
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated completed on September 25, 2024 as a part of the licensure period. The on-site inspection began at 9:45am and ended at 11:45am. The inspector reviewed compliance in the areas listed above. There were 2 children present and 1 caregiver; the point total was 5. The inspector reviewed 3 children's records and 1 caregiver/provider record and 4 household member record on-site. The inspection included document review, tour of the home 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 not ice. 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 October 4, 2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.036-B-3
The family day home must request a search of the central registry for all household members 14 years and older.
Household member #1did not have a central registry search requested.
Plan of Correction: I am working on it. I will mail it tomorrow. I will send my inspector the results when they are received.
Standard 8VAC20-800-330-A
A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate.
The provider does not have a landline phone.
Plan of Correction: I already have a new number, they will be here next week to install it.
Standard 8VAC20-800-430-A
Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.
The stairs in the hallway, leading to the upstairs are accessible to children at the top and bottom of the stairs.
Plan of Correction: I am putting the gate on downstairs. I will not allow the children to sleep upstairs, so there is no need for a gate on the top of the stairs.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.
A written record of children in attendance each day was not being recorded by the family day home.
Plan of Correction: It has been updated
Standard 8VAC20-800-680-A
Caregivers shall wash their hands with liquid soap and warm running water before serving snack or after diapering.
The provider did not wash their hands after diapering child #1 and #2 or before serving child #2 snack.
Plan of Correction: I always wash my hands, I don't know how i neglected to wash them while you were here. I will continue to wash my hands when required.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering.
Provider did not ensure child #1 hands were washed after diapering.
Plan of Correction: I will make sure to wash hands after diaper changes.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each with a solution of use warm soap and water, pat to dry and spray or dipped with a solution of bleach and water and allowed to air dry.
The diapering surface was not cleaned and sanitized after each use for child #1 or child #2.
Plan of Correction: I began using the correct clean and sanitize procedure.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing the emergency preparedness plan.
The record for child #1 and #2 did not include documentation of the emergency preparedness plan.
Plan of Correction: It has been updated.
Standard 8VAC20-800-750-A
When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, the product must be labeled with the child's name.
Two diaper creams were observed on the diapering table not labeled with a child's name.
Plan of Correction: I labeled the diaper cream and will make sure all topicals are labeled.
Standard 8VAC20-800-80-A
Within seven business days of the child's first day of attendance at the family day home, the provider shall obtain from the parent. proof of the child's identity.
The record for child #2 and #3 does not contain documentation that the provider saw proof of the child's identity.
Plan of Correction: It has been updated.
Standard 8VAC20-800-800-B
REPEAT VIOLATION
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.
The emergency plan was not reviewed annually by the provider. The last review documented was 10/1/2022.
Plan of Correction: The update has been completed.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.
Emergency evacuation procedures have not been practiced for the past 9 months.
Plan of Correction: The record was there but it was hidden. I will make sure to have it available during the inspection.