Inspection · 2023-02-21
Date
2023-02-21
Complaint Related
No
Licensing Inspector
Jessica Eason
(804) 629-7489
(804) 629-7489
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
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
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
Inspector Notes
An unannounced renewal inspection was conducted on February 21, 2023 between 8:14am and 11:15am. There were 7 children present with 2 caregivers supervising for a total of 16 points, within the supervision guidelines. The children were observed eating breakfast, story-time, hand washing, toileting and diapering routines, snack time and playing with age-appropriate toys. Positive interactions were observed during this inspection. The inspector reviewed compliance in the areas administration, physical plant, staffing and supervision, programing, medication, fire drill log, menu, first aid supplies, attendance, child and caregiver records, emergency procedures and required posted documents. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the programs. If you have any questions regarding this inspection, contact sheila.nelson@ doe.virginia.gov
Thank you for your cooperation.
Sheila Nelson
License Inspector
Virginia Department of Education
Office of Child Care Health & Safety
Division of Early Childhood Care & Education
Violations
20Standard 8VAC20-770-60-C-2
Based on record review, the central registry finding was not received by the 30th day of employment.
Evidence:
1.Caregiver #2 (DOH 08/2022) did not have central registry results within the 30th day of employment.
Evidence:
1.Caregiver #2 (DOH 08/2022) did not have central registry results within the 30th day of employment.
Plan of Correction: I will have her submit it today.
Standard 8VAC20-800-120-A
Based on record review and interview, the provider did not maintain a record for each caregiver.
Evidence:
1. A record for Caregiver #2 was not available to review.
2.The provider acknowledged there was not a record for Caregiver #2.
Evidence:
1. A record for Caregiver #2 was not available to review.
2.The provider acknowledged there was not a record for Caregiver #2.
Plan of Correction: I will make a record for her today.
Standard 8VAC20-800-200-A
Based on record review and interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities.
Evidence:
1. No records were available to review for Caregiver #2.
2. The provider stated Caregiver #2 date of employment was August 2022.
3. The provider acknowledged Caregiver #2 had not been given orientation.
Evidence:
1. No records were available to review for Caregiver #2.
2. The provider stated Caregiver #2 date of employment was August 2022.
3. The provider acknowledged Caregiver #2 had not been given orientation.
Plan of Correction: I will do the orientation with her this week and
get her to sign and date the form.
get her to sign and date the form.
Standard 8VAC20-800-230-A
Based on record review, the provider did not maintain a written documentation of each caregiver?s applicable education and programmatic experience.
Evidence: Caregiver #2 does not have a record to review.
Evidence: Caregiver #2 does not have a record to review.
Plan of Correction: I will get this by Friday.
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.Three (3) electrical outlets in the main area (library center and on the left wall) did not have child-resistant protective covers.
2. Three (3) electrical outlets in the room with the cots (one behind play area and one behind the cots) did not have protective covers.
3. Three electrical outlets in the room with the cribs (two behind the crib and one on the left wall) did not have protective covers.
Evidence:
1.Three (3) electrical outlets in the main area (library center and on the left wall) did not have child-resistant protective covers.
2. Three (3) electrical outlets in the room with the cots (one behind play area and one behind the cots) did not have protective covers.
3. Three electrical outlets in the room with the cribs (two behind the crib and one on the left wall) did not have protective covers.
Plan of Correction: I will buy the covers today and put them on.
Standard 8VAC20-800-330-A
Based on observation and interview, a landline telephone, excluding a cordless or cell phone, was not available, operable, and accessible during the family day home?s hours of operation.
Evidence:
1.There was no landline telephone available
2.The provider confirmed there was no landline telephone and the cordless phone was not working.,
Evidence:
1.There was no landline telephone available
2.The provider confirmed there was no landline telephone and the cordless phone was not working.,
Plan of Correction: I will buy a new phone today.
Standard 8VAC20-800-50-A
Based on record review and interview with the provider, the family day home did not keep a written record of children in attendance each day.
Evidence:
1.No documentation of a written attendance was available to review.
2.The provider acknowledged she did not have a written record of children in attendance each day and had not completed one in several weeks.
3.The provider stated she throws the attendance sheets in the trash weekly.
Evidence:
1.No documentation of a written attendance was available to review.
2.The provider acknowledged she did not have a written record of children in attendance each day and had not completed one in several weeks.
3.The provider stated she throws the attendance sheets in the trash weekly.
Plan of Correction: I will start keeping a daily attendance record and keep it on file.
Standard 8VAC20-800-60-A
Based on record review and interview, the provider did not maintain individual record for each child enrolled in care.
Evidence:
1.Child #2, Child #7 and Child #8 do not have required documentation on file to review.
2. There is no documentation of parent?s name, home address or place of employment.
3. There is no emergency contacts and phone numbers.
4. Documentation of any known or suspected allergies are not listed.
5. There is no documentation of the name of the parent?s hospitalization plan and number or medical assistance plan.
6. There is no parent?s signed authorization for the child?s emergency medical treatment and written consent for giving of medications to the child.
7. There are no results of the health examination for Child #2 and Child #7.
8. There is no written agreement between the family day provider and the natural parent for each child in care (hours of care per day, week or month, cost of care, frequency and amount of payment and any special services to be provided by either party).
Evidence:
1.Child #2, Child #7 and Child #8 do not have required documentation on file to review.
2. There is no documentation of parent?s name, home address or place of employment.
3. There is no emergency contacts and phone numbers.
4. Documentation of any known or suspected allergies are not listed.
5. There is no documentation of the name of the parent?s hospitalization plan and number or medical assistance plan.
6. There is no parent?s signed authorization for the child?s emergency medical treatment and written consent for giving of medications to the child.
7. There are no results of the health examination for Child #2 and Child #7.
8. There is no written agreement between the family day provider and the natural parent for each child in care (hours of care per day, week or month, cost of care, frequency and amount of payment and any special services to be provided by either party).
Plan of Correction: I will print and complete the required forms and will give to the parents today. I will set up a file for each child enrolled.
Standard 8VAC20-800-680-A
Based on observation, the caregiver did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding.
Evidence:
Caregiver #2 did not wash her hands before feeding or helping Child #2 and Child #4 with their breakfast.
Evidence:
Caregiver #2 did not wash her hands before feeding or helping Child #2 and Child #4 with their breakfast.
Plan of Correction: I will tell her to be sure to wash her hands before feeding or helping with the food.
Standard 8VAC20-800-680-B
Based on observation, the caregiver did not ensure that children?s hands are washed with liquid soap and warm running water.
Evidence:
Caregiver #2 did not ensure Child #2 and Child #4 washed their hands before eating their breakfast.
Evidence:
Caregiver #2 did not ensure Child #2 and Child #4 washed their hands before eating their breakfast.
Plan of Correction: I will remind her to wash their hands before eating.
Standard 8VAC20-800-690-D
Based on observation and interview, the diapering surface was not cleaned and sanitized after each use.
Evidence:
1. Caregiver #2 wiped the diapering surface with a Clorox wipe after changing Child #2.
2.There is no bleach solution available to sanitize the diapering surface.
3. There is no soap & water available to clean the diapering surface.
4. The provider acknowledge they were only using the Clorox wipes to clean the diapering surface.
Evidence:
1. Caregiver #2 wiped the diapering surface with a Clorox wipe after changing Child #2.
2.There is no bleach solution available to sanitize the diapering surface.
3. There is no soap & water available to clean the diapering surface.
4. The provider acknowledge they were only using the Clorox wipes to clean the diapering surface.
Plan of Correction: I will start using soap and water to clean the diapering surface and the bleach solution to sanitize it.
Standard 8VAC20-800-780-B
Based on record review, 7 of 10 children?s files indicated that annually, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60B-2 to ensure the information is correct and obtain the parent?s signed acknowledgement of the review.
Evidence:
1.Records for Child #1, #2, #6, #7, #8, #9, and #10 did not have documentation of an annual update.
2. The provider confirmed the annual review and/or update had not been completed.
Evidence:
1.Records for Child #1, #2, #6, #7, #8, #9, and #10 did not have documentation of an annual update.
2. The provider confirmed the annual review and/or update had not been completed.
Plan of Correction: I will have all the parents review the emergency contact information and sign the acknowledgement of the review.
Standard 8VAC20-800-790
Based on observation, the 911 or local dial number for police, fire and emergency medical responders was not posted in a visible area close to the telephone.
Evidence:
Posted telephone numbers of 911 or for the police, fire and emergency medical responders were not posted in a visible area.
Evidence:
Posted telephone numbers of 911 or for the police, fire and emergency medical responders were not posted in a visible area.
Plan of Correction: I will get the numbers posted.
Standard 8VAC20-800-80-A
Based on record review and interview, within seven business days of the child?s first day of attendance at the family day home, the provider did not obtain from the parent verification of the identity and age of the child.
Evidence:
1.Child #1, Child #3, and Child #10 did not have documentation on file of verification of their identity and age.
2.The provider acknowledge verification of the identity and age of the children was not completed.
Evidence:
1.Child #1, Child #3, and Child #10 did not have documentation on file of verification of their identity and age.
2.The provider acknowledge verification of the identity and age of the children was not completed.
Plan of Correction: I will tell the parents they must bring in birth certificate for me to review by Friday.
Standard 8VAC20-800-800-B
Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed.
Evidence:
1.The last documented review of the emergency preparedness plan is dated 02/01/2020.
2.The shelter-in-place designated location in the plan is no longer useable because it is used as a storage closet.
3. The provider acknowledged the emergency preparedness plan had not been reviewed and updated.
Evidence:
1.The last documented review of the emergency preparedness plan is dated 02/01/2020.
2.The shelter-in-place designated location in the plan is no longer useable because it is used as a storage closet.
3. The provider acknowledged the emergency preparedness plan had not been reviewed and updated.
Plan of Correction: I will update my emergency plan and I will give a copy to my parents too.
Standard 8VAC20-800-830-A
Based on record review and interview, the emergency evacuation procedures were not practiced monthly with all childgivers and children in care during all shifts that children are in care.
Evidence: 1. There is no documentation of emergency evacuation and shelter-in-place drills to review.
2. The provider acknowledge the drills had not been conducted in several months.
Evidence: 1. There is no documentation of emergency evacuation and shelter-in-place drills to review.
2. The provider acknowledge the drills had not been conducted in several months.
Plan of Correction: I will print the evacuation drill log sheet and I will start conducting the drills this month.
Standard 8VAC20-800-870-E
Based on observation, food was not served in a clean and sanitary way.
Evidence:
1.Caregiver #2 served the morning snack of goldfish crackers on one plate and placed in the center of the table for all the children to eat from the same plate.
2. Five children were eating from the same plate of goldfish crackers.
Evidence:
1.Caregiver #2 served the morning snack of goldfish crackers on one plate and placed in the center of the table for all the children to eat from the same plate.
2. Five children were eating from the same plate of goldfish crackers.
Plan of Correction: I will ensure this does not happen again. The provider told the caregiver to set up separate servings of goldfish crackers for each child.
The violation was corrected during the inspection.
The violation was corrected during the inspection.
Standard 8VAC20-800-90-A
Based on record review, before a child may attend the family day home, the provider did not obtain documentation that the child has been adequately immunized.
Evidence:
1.Child #4 (DOE 11/18/22) did not have documentation of immunization at the time of inspection (2/21/23).
2.Child #7 did not have documentation of immunizations at the time of inspection (2/21/23)
Evidence:
1.Child #4 (DOE 11/18/22) did not have documentation of immunization at the time of inspection (2/21/23).
2.Child #7 did not have documentation of immunizations at the time of inspection (2/21/23)
Plan of Correction: I will tell the parents I need the immunization records by Friday.
Standard 8VAC20-800-920
Based on observation and interview, when meals or snacks are provided by the family day home, the menu for the current one-week was not given to parents or posted or placed in an area accessible to parents.
Evidence:
1. Menu was not posted in the facility.
2. The provider acknowledge she did not have menu for the week. She confirmed she does not give the menu to parents or post the menu in an area accessible to parents.
Evidence:
1. Menu was not posted in the facility.
2. The provider acknowledge she did not have menu for the week. She confirmed she does not give the menu to parents or post the menu in an area accessible to parents.
Plan of Correction: I will write up the menu each week and post so parents can see it.
Standard 8VAC20-820-120-E-2
Based on observation and interview, certain documents related to the terms of the license were not posted as required on the premises of each facility. The findings of the most recent inspection were not posted in the facility.
Evidence: The most recent inspection (9/13/22) was not posted in the facility.
2. The provider acknowledged the inspection report was not posted.
Evidence: The most recent inspection (9/13/22) was not posted in the facility.
2. The provider acknowledged the inspection report was not posted.
Plan of Correction: I will post the inspection reports.