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Dionne Jordan

Inspection · 2022-10-28

Date
2022-10-28
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minors 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 renewal inspection was initiated and concluded on 10/28/2022. The inspector was on site from approximately 8:45 am-10:25 am. There were 12 children in care, ranging in age from three (3) months to seven (7) years, with two (2) caregivers supervising. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, care of children, emergencies, caregiver training, preventing the spread of disease and nutrition. A total of five (5) child records and two (2) caregiver records 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.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

7
Standard 8VAC20-800-100-B
Based on a review of five (5) children's records and interview, the provider did not ensure that the physical examination received prior to attendance was conducted within the required time frame for one (1) child.

Evidence:
1. The record of child #1 (date of attendance: 7/14/2022) contained a physical record dated 9/3/2021. The child was 14 months old at the time of enrollment. Physicals must be conducted within three (3) months prior to attendance for children age seven (7) months through 18 months. The physical was 10 months old.
2. The provider acknowledged that the physical was not conducted within the required time frame.
Plan of Correction: have been updated and received new physcial
Standard 8VAC20-800-140-B-3
Based on record review and interview, the provider did not ensure that the substitute provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

Evidence:
1. The record of caregiver #2 contained an expired CPR certification dated 12/16/2019.
2. The provider acknowledged that the substitute provider's certification had expired.
Plan of Correction: My substitute will have an updated cpr and first aid. Next week will be getting training. We will make sure it will stay up to date by the standards.
Standard 8VAC20-800-140-B-4
Based on record review and interview, the provider did not ensure that the substitute provider had current certification in First Aid.

Evidence:
1. The record of caregiver #2 contained an expired first aid certification dated 12/16/2019.
2. The provider acknowledged that the first aid certification was expired.
Plan of Correction: substitute will have training in this areas/The teacher was sick which is why it took so long.
Standard 8VAC20-800-350-E
Based on observation and interview, the provider did not ensure that hot water at taps available to children were maintained within a range of 105?F to 120?F.

Evidence:
1. On 10/28/2022, the hot water at the children's handwashing sink was measured at 145?F.
2. The provider acknowledged that the water temperature was not maintained within the required limits.
Plan of Correction: water thermometer was ordered and I will be checking water temp with the water thermometer daily to make sure water temperature will be at 105-120 standards.
Standard 8VAC20-800-570-A
Based on observation and interview, the provider did not ensure that a caregiver did not exceed 16 points by using the point system to determine if an additional caregiver was needed.

Evidence:
1. On 10/28/2022, at approximately 8:45 am, Nine (9) children were observed with one (1) caregiver. The caregiver had 20 points. The second caregiver did not arrive for over an hour.
2. The provider acknowledged she was over the 16 points.
Plan of Correction: I will make sure that both caregivers/daycare providers will be present at the same time so I will not go over the point system.
Standard 8VAC20-800-60-A
Based on a review of five (5) children's records and interview, the provider did not ensure to maintain an up-to-date record at the family day home for each enrolled child as required.

Evidence:
1. The record of child #2 (date of enrollment 10/3/2022) was missing emergency contact information, signed parental agreements, and written authorization for emergency medical care.
2. The provider acknowledged that the record was incomplete.
Plan of Correction: I have received up to date and complete records. I will ensure records are complete the first day of service.
Standard 8VAC20-800-940-B
Based on observation and interview, the provider did not ensure to have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

Evidence:
1. A thermometer was not present in the refrigerator and freezer during the inspection.
2. The provider acknowledged that they were not available.
Plan of Correction: new thermometer has been ordered so will be fixed to the standards so it wont happen again
View original record on Virginia Department of Social Services