Inspection · 2024-03-14
Date
2024-03-14
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
(571) 835-0386
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
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 renewal inspection was conducted today from 9:08am-10:49am with the provider on site. There were 12 children (31 points) present with 3 caregivers. The provider is licensed for 7 children and was therefore over capacity.. A sample of 7 children's files and 2 caregiver/household files were reviewed. The children were engaged in the following: sitting in high chairs watching tv, eating, playing with puzzles, singing in circle time, listing to the caregiver read a book and washing hands. The physical space, attendance records, drill record, menu and the Emergency Preparedness Plan were reviewed. There were no medications on site. Areas of non-compliance are identified in the violation notice.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use caregiver names; list caregivers by positions only.
Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website.
Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.
Violations
16Standard 22.1-289.011-F
Based on observation, the Violation Notice required by the Superintendent to be posted in
a conspicuous place on the licensed premises was not posted.
Evidence:
1. The complaint inspection and subsidy inspection dated 7/11/2023 was posted, however the monitoring inspection from 7/11/2023 was not posted.
a conspicuous place on the licensed premises was not posted.
Evidence:
1. The complaint inspection and subsidy inspection dated 7/11/2023 was posted, however the monitoring inspection from 7/11/2023 was not posted.
Plan of Correction: From now on I'll make sure to post the monitoring inspection.
Standard 22.1-289.035-B-2
Repeat Violation
Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire.
Evidence:
1. Caregiver #3 (hire date 2/29/2024) did not have fingerprint results and did not have evidence of a past appointment. .
Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire.
Evidence:
1. Caregiver #3 (hire date 2/29/2024) did not have fingerprint results and did not have evidence of a past appointment. .
Plan of Correction: From now on I'll have the fingerprint if another person will be present at the daycare.
Standard 8VAC20-770-60-B
Repeat Violation
Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed.
Evidence:
1. Caregiver #3 (Date of hire 2/29/2024) did not have a sworn statement on file with the provider.
2. Caregiver #2 (Date of hire12/18/2023) had a sworn statement on file that was missing the question-"Have you lived outside of Virginia in the past five years? If yes, what state(s) have you lived in."
Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed.
Evidence:
1. Caregiver #3 (Date of hire 2/29/2024) did not have a sworn statement on file with the provider.
2. Caregiver #2 (Date of hire12/18/2023) had a sworn statement on file that was missing the question-"Have you lived outside of Virginia in the past five years? If yes, what state(s) have you lived in."
Plan of Correction: I already printed and filled out the sworn disclosure. Attached you will find the new form signed and dated.
Standard 8VAC20-800-110-B
Repeat violation
Based on review of children's records, the provider obtained a report of an immunization record for a child that was not signed by a licensed physician, the physician's designee, or an official of a local health department.
Evidence:
1. Child #7 (start date 3/04/2024) had a immunization record, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.
Based on review of children's records, the provider obtained a report of an immunization record for a child that was not signed by a licensed physician, the physician's designee, or an official of a local health department.
Evidence:
1. Child #7 (start date 3/04/2024) had a immunization record, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction: From now on I'll make sure the immunization report is signed by a licensed physician.
Standard 8VAC20-800-120-A
Repeat Violation
Based on interview, the provider did not maintain a record for each caregiver.
Evidence:
1. Caregiver #3 (start date 2/29/2024) did not have a record at the family day home.
Based on interview, the provider did not maintain a record for each caregiver.
Evidence:
1. Caregiver #3 (start date 2/29/2024) did not have a record at the family day home.
Plan of Correction: From now on, I'll make sure to have a record if another person will be present at the daycare.
Standard 8VAC20-800-170-A
Based on observation and interview, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.
Evidence:
1. Caregiver #3 (start date 2/29/2024) did not have a tuberculosis screening form on file with the provider and was in the room caring for children.
2. The provider stated Caregiver #3 works once a week cleaning and preparing food for the children.
Evidence:
1. Caregiver #3 (start date 2/29/2024) did not have a tuberculosis screening form on file with the provider and was in the room caring for children.
2. The provider stated Caregiver #3 works once a week cleaning and preparing food for the children.
Plan of Correction: From now on, I'll make sure if another person will be present at the daycare to have the TB test.
Standard 8VAC20-800-200-A
Based on interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities.
Evidence:
1. Caregiver #3 (start date 2/29/2024) did not have an orientation.
Evidence:
1. Caregiver #3 (start date 2/29/2024) did not have an orientation.
Plan of Correction: From now on I'll give the proper orientation in a new person will be working at the daycare.
Standard 8VAC20-800-40-A
Repeat violation
Based on observation, interview and review of attendance record, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.
Evidence:
1. The license capacity is 7 children. At approximately 9:10am, the provider had 12 children in care with 3 caregivers.
2. The provider was over capacity beginning at approximately 8:00am and continued to be over capacity until approximately 10:45am.
-Child #1 arrived at approximately 5:30am.
-Child #10, 11 and 12 arrived at approximately 7:00am
-Child #3 arrived at approximately 7:21am
-Child #4 arrived at approximately 7:40am
-Child #5 arrived at approximately 7:51am
-Child #2 arrived at approximately 8:00am over capacity with 8 children
-Child #6 arrived at approximately 8:00am-over capacity with 9 children
-Child #7 arrived at approximately 8:30am-over capacity with 10 children
-Child #8 arrived at approximately 8:40am-over capacity with 11 children
-Child #9 arrived at approximately 8:45am-over capacity with 12 children
-Child #10, 11 and 12 departed at approximately 9:20am-over capacity-9 children
-Child #8 departed at approximately 10:09am-over capacity 8 children
-Child #9 departed at approximately 10:45am-at capacity now with 7 children.
Based on observation, interview and review of attendance record, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.
Evidence:
1. The license capacity is 7 children. At approximately 9:10am, the provider had 12 children in care with 3 caregivers.
2. The provider was over capacity beginning at approximately 8:00am and continued to be over capacity until approximately 10:45am.
-Child #1 arrived at approximately 5:30am.
-Child #10, 11 and 12 arrived at approximately 7:00am
-Child #3 arrived at approximately 7:21am
-Child #4 arrived at approximately 7:40am
-Child #5 arrived at approximately 7:51am
-Child #2 arrived at approximately 8:00am over capacity with 8 children
-Child #6 arrived at approximately 8:00am-over capacity with 9 children
-Child #7 arrived at approximately 8:30am-over capacity with 10 children
-Child #8 arrived at approximately 8:40am-over capacity with 11 children
-Child #9 arrived at approximately 8:45am-over capacity with 12 children
-Child #10, 11 and 12 departed at approximately 9:20am-over capacity-9 children
-Child #8 departed at approximately 10:09am-over capacity 8 children
-Child #9 departed at approximately 10:45am-at capacity now with 7 children.
Plan of Correction: From now on I'll make sure to care for 7 children only. I'll not exceed the maximum licensed capacity.
Standard 8VAC20-800-50-A
Repeat Violation
Based on review of the attendance record, the family day home did not keep a written record of children in attendance each day.
Evidence:
1. On March 14, 2024, 12 children were present. There were only 5 children that were listed on the written record of children in attendance.
Based on review of the attendance record, the family day home did not keep a written record of children in attendance each day.
Evidence:
1. On March 14, 2024, 12 children were present. There were only 5 children that were listed on the written record of children in attendance.
Plan of Correction: From now on I'll make sure the attendance record sheet is signed each day by a parent of each child.
Standard 8VAC20-800-540-A
Based on observation, high chairs were not being used to the manufacturer's instructions and when occupied by a child, a safety strap was not being used and securely fastened.
Evidence:
1. At approximately 9:10am, three children (Ages: 2 years, 2 years and 18 months) were observed in high chairs without the safety strap fastened.
Evidence:
1. At approximately 9:10am, three children (Ages: 2 years, 2 years and 18 months) were observed in high chairs without the safety strap fastened.
Plan of Correction: I'll make sure each high chair is properly secured with the safety strap fastened.
Standard 8VAC20-800-60-A
Repeat Violation
Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child.
Evidence:
1. The provider stated she did not have a file for 5 children present today. The provider stated 2 of the children were visiting.
Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child.
Evidence:
1. The provider stated she did not have a file for 5 children present today. The provider stated 2 of the children were visiting.
Plan of Correction: From now on I'll make sure every parent signed the attendance record.
Standard 8VAC20-800-60-B
Repeat Violation
Based on review of children's records, the records did not contain all required information.
Evidence:
1. Child #7's file (start date 3/04/2024) did not have one parent's work phone number.
Based on review of children's records, the records did not contain all required information.
Evidence:
1. Child #7's file (start date 3/04/2024) did not have one parent's work phone number.
Plan of Correction: I'll make sure to review the parents contact number. Attached you will find the fathers work phone number of child #7..
Standard 8VAC20-800-600-B
Based on observation, the provider failed to ensure that infants not spend more than 30 minutes of consecutive time during waking hours confined in a confining piece of equipment.
Evidence:
1. Child #7 (8 weeks old-) was observed awake while sitting in an infant seat from approximately 9:10am to approximately 10:30am..
Evidence:
1. Child #7 (8 weeks old-) was observed awake while sitting in an infant seat from approximately 9:10am to approximately 10:30am..
Plan of Correction: I'll make sure to spend time cuddling and holding the baby.
Standard 8VAC20-800-70-A
Based on interview, the provider did not provide in writing to the parents the required information in this section before the child's first day of attendance,
Evidence:
1. The provider stated she did not give the required information to the parents of Child #8, 9, 10, 11, 12. All 5 children were present and in care.
Evidence:
1. The provider stated she did not give the required information to the parents of Child #8, 9, 10, 11, 12. All 5 children were present and in care.
Plan of Correction: From now on I'll make sure to provide the required information to parents for children first day of attendance.
Standard 8VAC20-800-800-B
Repeat Violation
Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review.
Evidence:
1. The provider's emergency plan was last updated on 5/03/2022.
Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review.
Evidence:
1. The provider's emergency plan was last updated on 5/03/2022.
Plan of Correction: From now on I'll make sure the emergency plan is review and updated annually.
Standard 8VAC20-800-90-A
Repeat Violation
Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home.
Evidence:
1. The provider stated she did not have a file for Child #8, Child #9, Child #10, Child #11 and Child #12. All 5 children were in care during the inspection.
Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home.
Evidence:
1. The provider stated she did not have a file for Child #8, Child #9, Child #10, Child #11 and Child #12. All 5 children were in care during the inspection.
Plan of Correction: From now on I'll make sure to have a record if a new child start daycare Immunituties up to date.