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Ms. Diane Seward

Inspection · 2022-02-24

Date
2022-02-24
Complaint Related
No
Licensing Inspector
Adrianna Walden
(757) 404-2487
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors
63.2 Licensure and Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in-person tour of the family day home A monitoring inspection was initiated on 2/22/22 and concluded on 2/24/22. The provider was contacted by telephone to initiate the inspection. There were 6 children present and 2 caregivers. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 6 children?s records and 2 caregiver records, along with any requested program records submitted by the facility to determine if required documentation was complete. 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

5
Standard 8VAC20-800-140-B-3
Based on a review of two caregiver records, it was determined the provider did not ensure that there is a caregiver present with a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

Evidence:
1. The record for caregiver #1 contained a cardiopulmonary resuscitation (CPR) certification that was completed completely online and did not have an in-person component.
2. The record for caregiver #2 contained a cardiopulmonary resuscitation (CPR) certification that was completed completely online and did not have an in-person component.
3. Caregiver #1 confirmed there was no caregiver present with a current certification in cardiopulmonary resuscitation (CPR) that had an in-person component.
Plan of Correction: The provider responded: We complete a course for certification in cardiopulmonary resuscitation (CPR) that has an in-person component.
Standard 8VAC20-800-140-B-4
Based on a review of two caregiver records, it was determined the provider did not ensure that there is a caregiver present with a current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

Evidence:
1. The record for caregiver #1 contained a first aid certification that was completed completely online and did not have an in-person component.
2. The record for caregiver #2 contained a first aid certification that was completed completely online and did not have an in-person component.
3. Caregiver #1 confirmed there was no caregiver present with a current certification in first aid where there was an in-person component.
Plan of Correction: The provider responded: We complete a course for certification in first aid that has an in-person component.
Standard 8VAC20-800-210-A
Based on a review of documentation and interview, it was determined that the provider did not insure that all caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

Evidence:
1. The record for caregiver #1 did not include documentation to demonstrate completion of the required 16 hours of annual training.
2. The record for caregiver #2 did not include documentation to demonstrate completion of the required 16 hours of annual training.
3. Caregiver #1 confirmed that they had not completed all of the 16 hours of training required annually.
Plan of Correction: The provider responded: We will ensure going forward that we complete the require 16 hours of annual training.
Standard 8VAC20-800-760-A
Based on a review of the family day home's first aid kits, it was determined that the provider did not ensure that all first kits contain all of the required items.

Evidence:
1. The first aid kit for the family day home did not include gauze.
2. Caregiver #1 confirmed there was no gauze in the first aid kit for the family day home.
Plan of Correction: The provider responded: We will purchase gauze and add it to the first aid kit.
Standard 8VAC20-800-830-C
Based on a review of the emergency drill log and interview, it was determined that the provider did not ensure that the center shall maintain a record of the dates of the practice drills for one year.

Evidence:
1. The emergency drill log did not have documentation to indicate shelter-in-place drills was completed during 2021.
2. Caregiver #1 stated that shelter-in-place drills were completed during 2021, but that she had forgot to document it on the emergency drill log.
Plan of Correction: The provider responded: We will ensure that we document all shelter-in-place drills on the emergency log.
View original record on Virginia Department of Social Services