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Ms. Sarah Sheets

Inspection · 2022-08-18

Date
2022-08-18
Complaint Related
Yes
Licensing Inspector
Angela Farmer
(276) 608-2283
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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Inspector Notes

A complaint inspection was initiated on 8/18/2022 and concluded on 9/22/2022. There were eight children present with a provider and assistant supervising. Interviews were conducted with staff and children relating to the allegation of inappropriate discipline. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, medication, special care and emergencies and nutrition.
The complaint is determined to be "not valid".

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 complete the columns for Plan of Correction and Date to Be Corrected for each violation cited and then return a signed and dated copy within 5 business days. If you have any questions please let me know.

Violations

7
Standard 8VAC20-800-240-A
Based on observation the provider failed to ensure that the areas of the family day home, inside and outside, shall be maintained n a clean condition.
Evidence:
The laundry room had dog urine in the floor. The gate to this area was open.
Plan of Correction: Was cleaned the evening of 08/18/2022
Standard 8VAC20-800-260-F
Based on observations the provider failed to ensure that hot tubs shall be covered with safety covers while children are in care.
Evidence:
The hot tub in the back yard was full of water and the cover was off. There were eight children in care.
Plan of Correction: Hot tub has drained and covered
Standard 8VAC20-800-290
Based on observation the provider failed to ensure that sharp kitchen utensils and other sharp objects shall be inaccessible to children, unless under close supervision.
Evidence:
Located on the counter in the kitchen was a sharp knife. The gate to the kitchen was open and a child could access this area.
Plan of Correction: Removed 08/18/2022
Standard 8VAC20-800-50-A
Based on observation and interviews the provider failed to ensure that a written record of children in attendance is kept daily.
Evidence:
The LI was present during the departure of children on 8/18/22. Staff #1 was not able to provide a written record of the children in attendance that day or any day for that week.
Plan of Correction: Found the record the evening of 08/18/2022 and shall know where it is at all times of the day
Standard 8VAC20-800-500-F
Based on observations and interviews the provider failed to ensure that trampolines are not used during the hours children are in care.
Evidence:
On 8/18/22 the LI observed a small trampoline on the deck. This deck is used by the children. Staff #1 stated that the children in care use this trampoline.
Plan of Correction: Removed 08/18/2022
Standard 8VAC20-800-520-A
Based on observation and interviews the provider failed to ensure that cribs are provided for children from birth through 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed.
Evidence:
On 8/17/22 child #1 (18 months old) was sleeping in a crib, staff # 1 & 2 verified this. The provider did not state the child was in the crib for developmental reasons.
Plan of Correction: Was unaware of this but going forward will make sure I have the correct documentation needed
Standard 8VAC20-800-730-D
Based on observation and interviews the provider failed to ensure that medications shall be kept in a locked place using a safe locking methods that prevents access by children.
Evidence:
1. Located in a bedroom used for napping was a six cube storage organizer that stood approximately three feet tall.
2. On top of this cube storage was two clear containers that had approximately 12 prescription medications.
3. An 18 month old was in this crib and was able to maneuver out of the crib. This child was alone and unsupervised.
Plan of Correction: Was corrected the evening of 08/18/2022 as assistant left to go home
View original record on Virginia Department of Social Services