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Inspection · 2024-07-01

Date

2024-07-01

Complaint Related

Licensing Inspector

Alyssa Simons
(571) 423-6392

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
8VAC20-770 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 renewal inspection was conducted July 1, 2024, between the hours of 9:40am - 11:25am. There were 6 children (14 points) directly supervised by 3 caregivers. The home, 3 caregiver records, 3 children?s records, emergency supplies and policies were inspected. Children were observed playing with caregivers and playing outside. There was an assortment of age-appropriate materials for children. Areas of non-compliance are identified in the Violation Notice. Please submit your plan of correction within five business days in order for it to be included on the public website. 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

Standard 22.1-289.035-B-2

Based on record review and interview, the family day home did not ensure that all caregivers have the result of a fingerprint based national criminal history search prior to the first date of employment.
Evidence:
1. The record for caregiver #3 (date of hire: 06/17/2024) had documentation of a fingerprint based national criminal history search dated 06/20/2024.
2. Caregiver #1 acknowledged that Caregiver #3 did not have documentation of a fingerprint based national criminal history search prior to the first date of employment.

Plan of Correction: Caregiver 3 was hired directly from FCPS on 6/15 and began their training on 6/17. Caregiver 3 obtained their background checks on their first day of training on 6/17 and continued training through 6/21 during which was not left alone with any children.
Results were obtained on 6/21on their 4th day of training. LSP LLC will ensure that prior to training all employees will have completely obtained results.

Standard 8VAC20-800-120-B

Based on observation and interview, caregiver records did not contain all required information.
Evidence:
1. Caregiver # 3's (date of hire: 06/17/2024) record did not contain documentation of verification of age.
2. Caregiver # 3's record did not contain documentation that two or more references as to character and reputation as well as competency were checked prior to employment.
3. Caregiver #1 acknowledged that Caregiver #3 was missing documentation of age verification and documentation of two references.

Plan of Correction: Caregiver 3 was hired directly from FCPS for work over the summer. Caregiver 1 completed several verbal references 6/10-6/14 with prior supervisors at the school prior to employment as well as verified caregiver 3s driver license on 6/15 prior to first day of training to assist in scheduling background checks. Caregiver 1 will ensure all employees have copies of age verification and references on file going forward.

Standard 8VAC20-800-170-B

Based on record review and interview the family day home did not obtain from each caregiver a tuberculosis screening dated within the last 30 days prior to date of hire.
Evidence:
1. Caregiver #3 (date of hire: 06/17/2024) had documentation of a negative tuberculosis (TB) test dated 08/14/2023.
2. Caregiver #1 acknowledged that Caregiver #3's TB test was older than 30 days prior to date of hire.

Plan of Correction: Caregiver 3 worked for FCPS prior to employment with LSP LLC and had a TB test from 8/14/2023. Caregiver 1 did not know it had to be withing 30 days prior to hire. but believed it had to be every 2 yrs as it is once they have one completed. Licensing reoriented caregiver 1 on the regulations so that all caregivers will have TB screenings completed within 30 days prior to hire.

Standard 8VAC20-800-200-A

Based on record review and interview, the provider did not orient the assistant provider by the end of their first week of assuming job responsibilities.
Evidence:
1. Caregiver #3's (date of hire: 06/17/2024) record did contain documentation of orientation.
2. Caregiver #1 acknowledged that Caregiver #3 did not receive orientation training.

Plan of Correction: Caregiver 1 actually did complete caregiver 3's orientation between the dates 6/17-6/21. Caregiver 1 forgot to have caregiver 3 sign the document stating that orientation had taken place. Caregiver 3 signed the document on 7/1/24 once it was brought to caregiver 1s attention upon inspection.

Standard 8VAC20-800-780-B

REPEAT VIOLATION:

Based on record review, all childrens records did not contain parents signed acknowledgement that the emergency contact information was reviewed annually.
Evidence:
1. Child #2's (date of enrollment: 10/23/2021) last annual emergency information contact review was dated 8/11/2022.

Plan of Correction: LSP, LLC will have all parents complete annual reviews at the same time to ensure no files are missed. All annual reviews will be completed in July.

Standard 8VAC20-800-830-A

Based on record review and interview, emergency evacuation procedures were not practiced monthly with all caregivers and children in care.
Evidence:
1. There was no documentation of emergency evacuation procedures being practiced available for review.
2. Caregiver #1 acknowledged that emergency evacuation procedures had not been practiced monthly.

Plan of Correction: Emergency Drills document was printed on 7/1 after licensing visit and a drill was completed on 7/2.

View original record on Virginia Department of Social Services