Inspection · 2022-05-31
Date
2022-05-31
Complaint Related
No
Licensing Inspector
Arlene Agustin
(804) 629-7519
(804) 629-7519
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
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on 5/31/2022 from 10:10 AM until 11:45 AM. There were 6 children present, totaling 11 points, with the provider supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 6 children's records and the provider record 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.
Violations
8Standard 8VAC20-800-140-B-3
Based upon staff interview, the provider has not ensured cardiopulmonary resuscitation (CPR) certification is maintained.
Evidence:
The provider was unable to provide documentation of her current CPR certification.
Evidence:
The provider was unable to provide documentation of her current CPR certification.
Plan of Correction: The provider responded with the following:
CPR and first aid certification was obtained. Documentation will be obtained verifying the certification.
CPR and first aid certification was obtained. Documentation will be obtained verifying the certification.
Standard 8VAC20-800-140-B-4
Based upon staff interview, the provider has not ensured first aid certification is maintained.
Evidence:
The provider was unable to provide documentation of her current first aid certification. .
Evidence:
The provider was unable to provide documentation of her current first aid certification. .
Plan of Correction: The provider responded with the following:
CPR and first aid certification was obtained. Documentation will be obtained verifying the certification.
CPR and first aid certification was obtained. Documentation will be obtained verifying the certification.
Standard 8VAC20-800-210-A
Based upon review of certificates/documentation, the provider has not obtained the required minimum of sixteen clock hours of annual training.
Evidence:
There was documentation that the provider obtained only 3 hours of annual training in 2021.
Evidence:
There was documentation that the provider obtained only 3 hours of annual training in 2021.
Plan of Correction: The provider responded with the following:
An additional 13 hours of training as required for 2021 will be obtained in addition to the required 16 hours of annual training for 2022.
An additional 13 hours of training as required for 2021 will be obtained in addition to the required 16 hours of annual training for 2022.
Standard 8VAC20-800-280
Based upon observation and provider interview, the provider has not ensured that potentially poisonous substances such as cleaning agents are stored in area inaccessible to the children.
Evidence:
1. There were two containers of cleaning fluid on the floor of the closet in the front hall by the stairs. The closet did not have a child proof latch nor was locked. This closet is accessible to children using the bathroom as the gate needs repair.
2. The provider acknowledged that the gate was broken and the closet was not locked.
Evidence:
1. There were two containers of cleaning fluid on the floor of the closet in the front hall by the stairs. The closet did not have a child proof latch nor was locked. This closet is accessible to children using the bathroom as the gate needs repair.
2. The provider acknowledged that the gate was broken and the closet was not locked.
Plan of Correction: The provider responded with the following:
The front closet will be kept locked. A gate will be positioned so that children cannot access the front closet or the stairway when using the bathroom.
The front closet will be kept locked. A gate will be positioned so that children cannot access the front closet or the stairway when using the bathroom.
Standard 8VAC20-800-60-B
Based upon review of 6 children's records and provider interview, the provider has not ensured that each child's record includes the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached.
Evidence:
1. The record provided for child 2 was missing the street address for one of the two emergency contact persons.
2. The provider acknowledged that the record for child 2 did not have the street address for one of the two emergency contact persons.
Evidence:
1. The record provided for child 2 was missing the street address for one of the two emergency contact persons.
2. The provider acknowledged that the record for child 2 did not have the street address for one of the two emergency contact persons.
Plan of Correction: The provider responded with the following:
The parent will be required to enter the address of the emergency contact person.
The parent will be required to enter the address of the emergency contact person.
Standard 8VAC20-800-70-A
Based upon review of 6 children's records and provider interview, the provider has not ensured that before the child's first day of attendance, parents are provided with information regarding liability insurance and the provider's decision regarding the administration of medication.
Evidence:
1. The record for child 6, who began attending 10/22/21, did not include documentation that the parent was provided information regarding liability insurance.
2. The record provided for child 2, who began attending 7/19/21, had a medication form indicating that prescription medication would be administered by the provider. The provider no longer administers any medication, however the form had not been updated with the parent.
3. The provider acknowledged that the record for child 6 did not included the liability insurance statement and the decision to administer medication form in the record for child 2 had not been updated.
Evidence:
1. The record for child 6, who began attending 10/22/21, did not include documentation that the parent was provided information regarding liability insurance.
2. The record provided for child 2, who began attending 7/19/21, had a medication form indicating that prescription medication would be administered by the provider. The provider no longer administers any medication, however the form had not been updated with the parent.
3. The provider acknowledged that the record for child 6 did not included the liability insurance statement and the decision to administer medication form in the record for child 2 had not been updated.
Plan of Correction: The provider responded with the following:
A liability insurance document will be provided to the parent who will sign the document and it will be placed in the child's record.
The decision to administer medication form will be updated in all children's files to indicate that no medication is administered to the children.
A liability insurance document will be provided to the parent who will sign the document and it will be placed in the child's record.
The decision to administer medication form will be updated in all children's files to indicate that no medication is administered to the children.
Standard 8VAC20-800-830-A
Based upon review of the documentation of emergency evacuation drills and provider interview, the provider has not ensured that emergency evacuation procedures are practiced monthly.
Evidence:
1. There was no documentation of an emergency evacuation drill being conducted in April 2022.
2. The provider confirmed that an evacuation drill was not documented for April 2022.
Evidence:
1. There was no documentation of an emergency evacuation drill being conducted in April 2022.
2. The provider confirmed that an evacuation drill was not documented for April 2022.
Plan of Correction: The provider responded with the following:
Emergency evacuation drills will be practiced and documented at least monthly.
Emergency evacuation drills will be practiced and documented at least monthly.
Standard 8VAC20-820-120-E-2
Based upon observation and provider interview, the provider has not ensured that the findings of the most recent inspection at the family day home are posted.
Evidence:
1. The findings of the most recent inspection were not posted in the family day home.
2. The provider acknowledged that previous inspections were posted, but the most recent inspection was not posted.
Evidence:
1. The findings of the most recent inspection were not posted in the family day home.
2. The provider acknowledged that previous inspections were posted, but the most recent inspection was not posted.
Plan of Correction: The provider responded with the following:
The results of today's inspection will be posted when received.
The results of today's inspection will be posted when received.