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Marina Graetzer

Inspection · 2022-07-07

Date
2022-07-07
Complaint Related
No
Licensing Inspector
Alyssa Simons
(571) 423-6392
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
8VAC20-820 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 monitoring inspection was conducted ton 07/07/2022 from approximately 10:05 a.m. to 11:25 a.m. There were 4 children present with the Provider, within the ages of 4- 5 years, for a total of 7 points within the supervision guidelines. The children were observed doing morning exercises, eating a snack and participating in free play. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, fire drill log, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please e-mail me at tameika.king@doe.virginia.gov.

Violations

9
Standard 22.1-289.036-A
Based on record review, every applicant for licensure as a family day home and adult living in such family day home underwent background checks every five years.

Evidence:
1. Caregiver #1?s most recent central registry search was dated 06/01/2017.
2. Household Member #1?s most recent central registry search was dated 06/01/2017.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

Evidence: Household Member #1 had a TB screening form dated 01/08/2020.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-320-A
Based on observation, not all small electrical appliances were unplugged while not being used by the caregiver or with children under close supervision.

Evidence:
1. In the basement kitchen, a kettle was plugged in while not being used.
2. In the upstairs kitchen, a toaster and toaster oven were plugged in while not being used.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-800-320-G
Based on caregiver interview, the wood burning fireplace was not inspected annually by a knowledgeable inspector to verify that the device is properly installed, maintained and cleaned as needed.

Evidence: Caregiver #1 stated that the wood burning fireplace had not been inspected.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-750-A
Based on observation and record review, when topical skin products were used, not all requirements were met.

Evidence:
1. Written parent authorization was not obtained for Child #1?s insect repellant.
2. The written parent authorization form for Child #2?s sunscreen was dated 05/26/2021.
3. There were two bottles of sunscreen that were not labeled with the child?s name. Caregiver #1 stated that she just received them and forgot to label them.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-750-B
Based on observation, not all topical skin products were inaccessible to children.

Evidence: There were two bottles of insect repellant and three bottles of sunscreen located at the bottom of the cubbies, within reach of children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Based on record review, the provider did not obtain the parent?s signed acknowledgement of the review of the emergency contact information for each child.

Evidence:
1. The parent?s signed acknowledgement of the review of the emergency contact information for Child #2 was dated 03/16/2021.
2. The parent?s signed acknowledgement of the review of the emergency contact information for Child #4 was dated 07/28/2020.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
Based on record review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care.

Evidence: The most recent emergency evacuation was dated 05/27/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-920
Based on observation and caregiver interview, a menu for the current one-week period was not given to parents, posted or placed in an area accessible to parents when meals or snacks were provided by the family day home.

Evidence: Caregiver #1 stated that she does not have a menu for the current one-week period.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services