Inspection · 2024-06-14
Date
2024-06-14
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
(703) 397-3827
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 House
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 monitoring inspection was conducted on June 14, 2024, from approximately 12:50pm-1:50pm. At the time of the inspection, the inspector observed 19 children (32 points) were in care with 2 caregivers present. The inspector reviewed 2 children?s records and 2 staff records. Children were observed sleeping and one child was observed playing on an ipad.
Based on requirements of Sections 22.1-289.02 and 22.1-289.011 of the Code of Virginia and interviews and observations made on June 14, 2024, this provider is determined to be operating illegally as a child day center (13 or more children at any location).
Areas of non-compliance are identified on the violation notice. Repeat violations were found and are identified within this report.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use staff names; list staff by positions only.
Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website.
If you have any questions about this inspection, please contact the Licensing Inspector, Leah Pagala at leah.pagala@doe.virginia.gov.
Violations
24Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical exam within 30 days of the first date of attendance.
Evidence: Child 7 entered into care in August 2023 and does not have a physical on file.
Evidence: Child 7 entered into care in August 2023 and does not have a physical on file.
Plan of Correction: Parent of child 7 has been asked to bring a copy of the child?s latest physical for filling. Received copy of physical on 27-Jun-24
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each caregiver a current report of tuberculosis screening form every two years from the most recent screening.
Evidence: Caregiver B had a tuberculosis screening/test last conducted in November 2021.
Evidence: Caregiver B had a tuberculosis screening/test last conducted in November 2021.
Plan of Correction: Doctors appointments have been made to ensure all caregivers get their tuberculosis records filed.
Standard 8VAC20-800-260-B
Based on observation, the outdoor play area was within 30 feet of an above ground pool and did not have a non-climbable barrier at least four feet high.
Evidence: The above ground pool was located adjacent to a plastic play structure. The above ground pool has no fence or barrier preventing access to children.
Evidence: The above ground pool was located adjacent to a plastic play structure. The above ground pool has no fence or barrier preventing access to children.
Plan of Correction: The above ground pool was removed as of 6/15/2024. The pool will not be rebuilt in the property in the future.
Standard 8VAC20-800-280
Based on observation, cleaning products were not stored away from food in areas inaccessible to children.
Evidence:
1) In the kitchen area, 2 cleaning products were kept next to bananas and accessible to children.
2) In the entrance area, two deodorizers and aerosol cleaners were observed on shelves accessible to children.
3) An opened bottle of floor cleaner was observed next to the bouncer where an infant was sleeping.
Evidence:
1) In the kitchen area, 2 cleaning products were kept next to bananas and accessible to children.
2) In the entrance area, two deodorizers and aerosol cleaners were observed on shelves accessible to children.
3) An opened bottle of floor cleaner was observed next to the bouncer where an infant was sleeping.
Plan of Correction: All cleaning products have been moved into a secure space away from any food and not accessible to children.
Standard 8VAC20-800-290
SYSTEMIC DEFICIENCY
Based on observation, sharp objects were accessible to children.
Evidence:
1) In the kitchen area, a box cutter and blade were on a bar height counter accessible to children.
2) There was no gate preventing access to the kitchen where knives and other sharp kitchen utensils are stored.
Based on observation, sharp objects were accessible to children.
Evidence:
1) In the kitchen area, a box cutter and blade were on a bar height counter accessible to children.
2) There was no gate preventing access to the kitchen where knives and other sharp kitchen utensils are stored.
Plan of Correction: Any and all sharp objects were removed from bar height and/or areas accessible to children. Gate has been reinstalled at the kitchen area to follow proper safety regulations for the family day home.
Standard 8VAC20-800-340-C
Based on observation, the bathroom did not meet all requirements.
Evidence: The bathroom did not have liquid soap and paper towels.
Evidence: The bathroom did not have liquid soap and paper towels.
Plan of Correction: My assistant and I will keep a more constant check to refill the required soap and paper towels.
Standard 8VAC20-800-40-A
REPEAT VIOLATION
SYSTEMIC VIOLATION
Based on observation, the provider exceeded the maximum licensed capacity of the home.
Evidence: The provider is licensed for 7 children. During the inspection, there were 19 children in care.
SYSTEMIC VIOLATION
Based on observation, the provider exceeded the maximum licensed capacity of the home.
Evidence: The provider is licensed for 7 children. During the inspection, there were 19 children in care.
Plan of Correction: I have spoken with all the parents about the inspection and have declined caring for any children exceeding the licensed limit under any circumstance moving forward.
Standard 8VAC20-800-430-A
Based on observation, children under 2 years of age had access to stairs.
Evidence: There was no gate at the stairs to prevent access to one child under two years of age.
Evidence: There was no gate at the stairs to prevent access to one child under two years of age.
Plan of Correction: Stairs have been blocked off from entry. A gate will remain in the entry way to the stairs.
Standard 8VAC20-800-460-D
Based on record review and interview, the provider did not have documentation of the current rabies vaccination.
Evidence: The provider did not have documentation of the current rabies vaccination for the dog.
Evidence: The provider did not have documentation of the current rabies vaccination for the dog.
Plan of Correction: Requests for vaccination records were sent to the vet. Dog will not be allowed in premise until records are obtained.
Standard 8VAC20-800-460-I
Based on observation, animal food dishes and water dishes were accessible to children.
Evidence: The dog's food bowl and water bowl were placed on a pee pad. The pee pad was in front of the changing table accessible to children.
Evidence: The dog's food bowl and water bowl were placed on a pee pad. The pee pad was in front of the changing table accessible to children.
Plan of Correction: Dog bowls and pee pad have been removed from family day home vicinity. Moving forward these items will not be placed in area accessible to children.
Standard 8VAC20-800-460-J
Based on observation, all animal excrement was not removed promptly.
Evidence: The dog's pee pad was soiled with urine (dried) and not removed promptly.
Evidence: The dog's pee pad was soiled with urine (dried) and not removed promptly.
Plan of Correction: Dog pee pads have been discarded and will not be placed in the vicinity of the family day home
Standard 8VAC20-800-480-B
Based on observation, the provider did ensure all equipment used by children was age and size appropriate for the children.
Evidence: Child 18 (2 yrs old) was placed in a bouncer to sleep.
Evidence: Child 18 (2 yrs old) was placed in a bouncer to sleep.
Plan of Correction: Moving forward I will ensure all equipment used by children is age and size appropriate.
Standard 8VAC20-800-50-A
REPEAT VIOLATION
SYSTEMIC DEFICIENCY
Based on record review and interview, the provider did not keep a written record of children in attendance each day.
Evidence: The attendance sheet was inaccurate. There were 7 children listed on the attendance sheet but only 6 of those children were present because Child 5 on the attendance sheet was not listed. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18. 19, and 20 were not listed on the attendance sheet.
SYSTEMIC DEFICIENCY
Based on record review and interview, the provider did not keep a written record of children in attendance each day.
Evidence: The attendance sheet was inaccurate. There were 7 children listed on the attendance sheet but only 6 of those children were present because Child 5 on the attendance sheet was not listed. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18. 19, and 20 were not listed on the attendance sheet.
Plan of Correction: An accurate attendance log will be created and filled out on a daily basis as required by the Fairfax County. As children enter the family day home, I will mark them as preset and will mark absent for children who do not attend the day care that day.
Standard 8VAC20-800-510-A
SYSTEMIC DEFICIENCY
Based on observation, children were not provided with an individual cot or rest mat for resting.
Evidence: There were 3 children sleeping on the floor with no mat or cot. There were 2 children sleeping on bean bag chairs.
Based on observation, children were not provided with an individual cot or rest mat for resting.
Evidence: There were 3 children sleeping on the floor with no mat or cot. There were 2 children sleeping on bean bag chairs.
Plan of Correction: Extra children have been dismissed as of 6/14/2024, in doing so all children within the permitted 7 have the proper bedding and individual cot.
Standard 8VAC20-800-530-A
SYSTEMIC DEFICIENCY
Based on observation, children napping did not have a top and bottom cover.
Evidence: There were 4 children observed sleeping on a cot or the floor with no bottom cover.
Based on observation, children napping did not have a top and bottom cover.
Evidence: There were 4 children observed sleeping on a cot or the floor with no bottom cover.
Plan of Correction: All extra children have been dismissed as of 6/14/2024, in doing so the proper number of top and bottom covers are available for the 7 children allowed by license.
Standard 8VAC20-800-540-A
Based on observation, an infant in a bouncer was not securely fastened with safety straps.
Evidence: Child 7 (11 mos) was swaddled in a blanket, placed in a bouncer and was not securely fastened with the safety straps.
Evidence: Child 7 (11 mos) was swaddled in a blanket, placed in a bouncer and was not securely fastened with the safety straps.
Plan of Correction: My assistant and I will be taking a child care training course through Fairfax County Licensing. This course will refresh our knowledge on correct child care procedures and help us improve our day to day practices.
Standard 8VAC20-800-560-A
Based on observation, the caregiver did not provide direct care and supervision of each child while sleeping.
Evidence: Child 7 (11 mos) was asleep in a bedroom with the door closed. Caregivers did not check the room every 15 minutes to conduct an in-person observation.
Evidence: Child 7 (11 mos) was asleep in a bedroom with the door closed. Caregivers did not check the room every 15 minutes to conduct an in-person observation.
Plan of Correction: Children will not sleep in a secondary room without the presence of a care taker. My assistant and I will be taking a child care training course through Fairfax County Licensing. This course will refresh our knowledge on correct child care procedures and help us improve our day to day practices.
Standard 8VAC20-800-590-B
Based on observation, an infant who falls asleep in a space other than their own crib or mat was not moved promptly to their designated sleeping space.
Evidence: Child 7 (11 mos) was swaddled and sleeping in a bouncer and not in their designated crib.
Evidence: Child 7 (11 mos) was swaddled and sleeping in a bouncer and not in their designated crib.
Plan of Correction: My assistant and I will be taking a child care training course through Fairfax County Licensing. This course will refresh our knowledge on correct child care procedures and help us improve our day to day practices. Infants will be moved promptly to their designated sleeping space.
Standard 8VAC20-800-60-A
REPEAT VIOLATION
SYSTEMIC DEFICIENCY
Based on record review and interview, the provider did not maintain a record for each enrolled child.
Evidence: There were 19 children present. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 19, and 20 did not have a file at the family day home. A total of 12 children did not have a record.
SYSTEMIC DEFICIENCY
Based on record review and interview, the provider did not maintain a record for each enrolled child.
Evidence: There were 19 children present. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 19, and 20 did not have a file at the family day home. A total of 12 children did not have a record.
Plan of Correction: Any and all children above the licensed limit have been dismissed as of 6/14/2024. All enrolled children will have an updated record.
Standard 8VAC20-800-730-D
Based on observation, medications for the caregiver and household members were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1) Two adult medications were stored on the kitchen counter accessible to children.
2) One adult medication was stored in the refrigerator accessible to children.
Evidence:
1) Two adult medications were stored on the kitchen counter accessible to children.
2) One adult medication was stored in the refrigerator accessible to children.
Plan of Correction: All medication has been placed in locked cabinets that meet the policy and follow the safe locking method.
Standard 8VAC20-800-750-A
Based on observation and interview, a topical skin product did not meet all requirements.
Evidence: A diaper cream utilized did not have a permission by the parents and was not labeled.
Evidence: A diaper cream utilized did not have a permission by the parents and was not labeled.
Plan of Correction: Proper labeling on cream was made and placed on bottle. In the future, caregivers will not accept diaper creams or other like products from parents unless labeled with their written permission.
Standard 8VAC20-800-750-B
Based on observation, a topical cream was accessible to children.
Evidence: One diaper cream was kept on a low shelf of the changing table accessible to children.
Evidence: One diaper cream was kept on a low shelf of the changing table accessible to children.
Plan of Correction: Topical cream has been removed from areas accessible to children.
Standard 8VAC20-800-830-A
Based on observation and interview, emergency evacuation procedures were not practiced monthly.
Evidence: There was no documentation for an April and May 2024 drill. The provider confirmed no drills were conducted in those months.
Evidence: There was no documentation for an April and May 2024 drill. The provider confirmed no drills were conducted in those months.
Plan of Correction: Evacuation drills will be practiced and documented on a monthly basis to ensure both staff and children understand propprocedures for emergency evacuations. We practiced an documented a drill on 24-Jun-24 for the month of June.
Standard 8VAC20-800-90-C
Based on 2 records reviewed, the family day home did not obtain documentation of additional immunizations for a child every 6 months.
Evidence: Child 7 did not have an updated immunization every 6 months. The last immunization record collected was 10/30/2023.
Evidence: Child 7 did not have an updated immunization every 6 months. The last immunization record collected was 10/30/2023.
Plan of Correction: Updated immunization records for child 7, has been requested from the parents. Record was received on 27-June-24. Moving forward I will request updated records every 6 months.