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Nattaya Cleary

Inspection · 2024-03-14

Date
2024-03-14
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Inspector Notes

An unannounced renewal inspection was conducted today between the hours of 9:42am - 11:30pm. There were 7 children directly supervised by 2 caregivers. The home, 2 caregiver records, 5 children?s records, 1 household member record, evacuation drills, emergency supplies, and policies were inspected. Children were observed participating in circle time, playing with blocks, and writing 2 -3 letter words. There was an assortment of age-appropriate materials for children. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Alyssa Simons at alyssa.simons@doe.virginia.gov or 571-423-6392.

Violations

6
Standard 8VAC20-790-480-D
Based on observation, equipment used by children was not used in accordance with the manufacturer's instructions.
Evidence:
1) Child #1 was observed sitting in the Bumbo floor seat which was sitting on top of a table. The manufacturers instructions say that the Bumbo floor seat should be used on the floor.
2) The safety straps in a Bumbo floor seat were not buckled in while being used by Child #1.
Plan of Correction: The Bumbo seat will be kept on the ground and we will buckle children in when the seat is in use.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1) Child #2 (date of enrollment: 08/08/2022) record did not contain documentation of a physical exam.
Plan of Correction: I received a health form for child #2. I will find it.
Standard 8VAC20-800-240-A
Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe and operable condition.
Evidence:
1) The bridge to the outdoor play area has wood that is splintering.
2) The deck right outside the back door has wood that is splintering.
3) The wooden two person seat has deteriorating wood.
4) The wooden table is missing a plank and has wood that is deteriorating.
5) A bucket, located in the backyard has approximately 1 foot and 6 inches of standing water collected.
6) There is a plastic pot in the backyard that is cracked, exposing sharp pieces of plastic.
Plan of Correction: I will get someone to come out and move the deteriorated wooden items and repair the splintering wood on the deck and the bridge.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances were accessible to children.
Evidence:
1) A bottle of air deodorizer and topical ointments (keep out of reach of children) were located on the kitchen counter within reach of children.
Plan of Correction: I will move the products up high.
Standard 8VAC20-800-320-B
Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age.
Evidence:
1) In the dinning area occupied by one crib, 1 electrical outlet was observed not having protective covers.
2) In the infant nap room, 3 electrical outlets were observed not having protective covers.
Plan of Correction: Outlets have been covered and corrected during inspection.
Standard 8VAC20-800-90-C
Based on record review, the provider did not obtain documentation of additional immunizations every six months for children under the age of two years.
Evidence:
1) Child #2 (enrollment date: 08/08/2022) last immunization on record was dated 05/05/2022.
2) Child #4 (enrollment date: 08/21/2023) last immunization on record was dated 06/06/2023.
3) Child #5 (enrollment date: 07/26/2021) last immunization on record was dated 07/07/2021.
Plan of Correction: I will make sure to get the immunization records every 6 months for children under two years.
View original record on Virginia Department of Social Services