Inspection · 2022-05-09
Date
2022-05-09
Complaint Related
No
Licensing Inspector
Shahana Green
(571) 423-6735
(571) 423-6735
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 Medication Administration
8VAC20-800 Emergencies
8VAC20-770 Background Checks
Inspector Notes
An unannounced monitoring inspection was conducted today. There were 3 children (10 points)/1 caregiver supervising. The home, children's records, attendance records, caregiver records, household member records, evacuation logs, emergency supplies and topical medications were reviewed. The children were observed playing floor games and the infant was sleeping. Areas of non-compliance were cited on the violation notice. If you have any questions, please call me at 571.423.6392 or email me at tanya.johnson@doe.virginia.gov.
Violations
11Standard 8VAC20-800-100-A
Based on review of child records, the provider failed to obtain documentation of a physical examination by the 30th day of attendance.
Evidence:
Child #1, Child #2 and Child #3's records do not contain documentation of physical examinations by the 30th day of attendance. Child #1's first day of attendance - 02/17/2020, Child #2's first day of attendance - 07/21/2021 and Child #3's first day of attendance - 03/21/2022.
Evidence:
Child #1, Child #2 and Child #3's records do not contain documentation of physical examinations by the 30th day of attendance. Child #1's first day of attendance - 02/17/2020, Child #2's first day of attendance - 07/21/2021 and Child #3's first day of attendance - 03/21/2022.
Plan of Correction: I will require a physical within 30 days of attendance.
Standard 8VAC20-800-210-B
Based on a review of caregiver records, the provider failed to obtain a minimum of 16 clock hours of training annually.
Evidence:
The provider did not obtain 16 hours of training annually.
Evidence:
The provider did not obtain 16 hours of training annually.
Plan of Correction: I will take online courses.
Standard 8VAC20-800-50-A
Based on observation, the provider failed to keep a written record of children in attendance each day.
Evidence:
The provider did not have documentation of attendance records for children present each day.
Evidence:
The provider did not have documentation of attendance records for children present each day.
Plan of Correction: I will keep an accurate record for attendance each day.
Standard 8VAC20-800-60-A
Based on a review of child records, the provider failed to obtain and/or maintain all required documentation for each child enrolled.
Evidence:
Child #1's record does not contain documentation of work phone numbers for parents.
Child #2s record does not contain documentation of parents work phone numbers.
Child #2's record does not contain documentation of a doctors address and phone number.
Child #3's record does not contain documentation of the names of persons other than parents, authorized to pick up the child.
Child #3's record does not contain documentation of written authorization for emergency medical care.
Evidence:
Child #1's record does not contain documentation of work phone numbers for parents.
Child #2s record does not contain documentation of parents work phone numbers.
Child #2's record does not contain documentation of a doctors address and phone number.
Child #3's record does not contain documentation of the names of persons other than parents, authorized to pick up the child.
Child #3's record does not contain documentation of written authorization for emergency medical care.
Plan of Correction: I will request this information from parents and place in children's records.
Standard 8VAC20-800-70-A
Based on a review of child records, before the first day of attendance, the provider failed to provide provisions of the family day home's emergency preparedness and response plan.
Plan of Correction: I will get the plan into the child's records,
Standard 8VAC20-800-750-A
Based on observation, the provider failed, when parent provided topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, to ensure that the products are labeled with the child's name.
Evidence:
There was a tube of Butt Paste that provider stated was brought in by the parent and it was not labeled.
Evidence:
There was a tube of Butt Paste that provider stated was brought in by the parent and it was not labeled.
Plan of Correction: I will insure that all products brought in by parents is labeled with the child's name.
Standard 8VAC20-800-760-A-1
Based on observation, the provider failed to ensure that the first aid kit contained all required supplies.
Evidence:
The first aid kit was missing, tweezers, adhesive tape and two triangular bandages.
Evidence:
The first aid kit was missing, tweezers, adhesive tape and two triangular bandages.
Plan of Correction: I will purchase required items.
Standard 8VAC20-800-770
Based on observation, the provider di not have a working battery operated radio.
Evidence:
The radio did not have batteries.
Evidence:
The radio did not have batteries.
Plan of Correction: I will place batteries in the radio.
Standard 8VAC20-800-80-B
Based on review of child records, the provider failed to verify the identity and age of a child by reviewing one of the approved for identification.
Plan of Correction: I will verify and document review of proof of identification documents.
Standard 8VAC20-800-830-A
Based on a review of evacuation logs, the provider failed to practice evacuation procedures each month.
Evidence:
The provider failed to conduct a practice evacuation drill for April 2022.
Evidence:
The provider failed to conduct a practice evacuation drill for April 2022.
Plan of Correction: I will remember to complete the evacuation drills and document them each month.
Standard 8VAC20-800-90-A
Based on a review of child records, the provider failed to obtain documentation of immunizations on the first day of attendance.
Evidence:
Child #1, #2 and #3's record do not contain documentation of immunizations on the first day of attendance. Child #1's first day of attendance - 02/17/2020, Child #2's first day of attendance - 07/21/2021 and Child #3's first day of attendance - 03/21/2022.
Evidence:
Child #1, #2 and #3's record do not contain documentation of immunizations on the first day of attendance. Child #1's first day of attendance - 02/17/2020, Child #2's first day of attendance - 07/21/2021 and Child #3's first day of attendance - 03/21/2022.
Plan of Correction: I will require proof of immunization on the first day of attendance.