Inspection · 2022-06-02
Licensing Inspector
Lynette A Storr
(703) 309-9153
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
Inspector Notes
A monitoring inspection was conducted on 6/2/2022 between approximately 9:30am and 11:30am. There were a total of 7 children (17 points) observed with 2 caregivers present. The children were engaged in the following activities: playing on the outside playground, lining up to come in, and free play. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 3 children's records and 2 caregiver records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please contact me if you have any questions at Mark.Davis@doe.virginia.gov or 804-629-7103.
Standard 22.1-289.035-B-2
Based on file review, caregiver #2 had not submitted fingerprints to obtain criminal history record before first day of employment.
Evidence: Caregiver #2 did not have a eligible fingerprint record search before their first day of employment.
Plan of Correction: Provider will have all caregivers complete criminal background checks by submitting fingerprints through the central criminal records exchange before the first day of employment.
Standard 8VAC20-770-60-C-2
Based on review of two caregivers records, one record did not have results of a central registry search within 30 days of employment.
Evidence: Caregiver #2 did not have a central registry finding within 30 days of employment.
Plan of Correction: Provider will have caregiver #2 complete the central registry search and keep findings on file.
Standard 8VAC20-800-210-A
Based on file review, caregivers did not maintain 16 clock hours of training annually in areas relevant to their job responsibilities.
Evidence: Caregiver #1 did not have any annual training hours documented for 2021. Caregiver #2 only had 14 hours of annual training documented for 2021.
Plan of Correction: Provider will ensure all caregivers obtain 16 hours of clock hours of training for this and future years.
Standard 8VAC20-800-240-A
Based on observation, areas of the family day home were not maintained in a safe and operable condition.
Evidence: A section of fence contained a broken gate that was not mounted to the fence.
Plan of Correction: Provider will have the fence repaired to safe and operable condition.
Standard 8VAC20-800-50-A
Based on interview with provider, the family day home was not keeping written record of children in attendance each day.
Evidence: No written record of children?s attendance was produced by provider.
Plan of Correction: Provider will keep written records of children?s attendance daily.
Standard 8VAC20-800-500-C
Based on observation, outdoor playground equipment was installed over a hard surface.
Evidence: Playground equipment was installed on top of compacted sand.
Plan of Correction: Provider will install resilient surfacing under playground equipment.
Standard 8VAC20-800-510-A
Based on observation, children were not provided with an individual crib, cot, rest mat or bed for resting or napping.
Evidence: Cots were not labeled for each child?s use.
Plan of Correction: Provider will label cots for each child.
Standard 8VAC20-800-540-A
Based on observation, high chairs were not used according to the manufacturer?s instructions.
Evidence:
Safety straps should be used whenever a child in placed in a highchair. There were three high chairs that did not have the safety straps available for use.
Plan of Correction: Provider will not use the 3 high chairs unless the safety straps are installed.
Standard 8VAC20-800-690-E
Based on observation of diapering, soiled disposable diapers were not disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in a way that neither the caregiver?s hand nor the soiled diaper touches the exterior surface of the storage system during disposal.
Evidence: The trashcan used for disposing disposable diapers did not have a functioning footpedal
Plan of Correction: Provider replaced broken trashcan with foot operated trashcan.
Standard 8VAC20-800-800-B
Based on file review, the provider did not review the emergency plan annually.
Evidence: There was no written documentation that the emergency plan had been reviewed since 2017.
Plan of Correction: Provider will review emergency plan and document in writing this review as future reviews at least annually.
Standard 8VAC20-800-920
Based on review of menu, the provider did not list any substituted food.
Evidence: Menu was not updated with food substitutes.
Plan of Correction: Provider will update menu with any substituted food.
Standard 8VAC20-820-120-E-2
Based on observation, the findings of the most recent inspection were not posted at the facility.
Evidence: The most recent inspection from 8/31/2021 was not posted at the facility.
Plan of Correction: Provider will post the most recent inspection at the family day home