Inspection · 2024-06-06
Date
2024-06-06
Complaint Related
No
Licensing Inspector
Morgan Bryson
(540) 270-0057
(540) 270-0057
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
8VAC20-800 Transportation
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted from 1:30 - 2:30 pm with the provider and her assistant. There were six children in care, ranging from two years to six years of age, for a total of eight points. Children were observed resting during the inspection. Six child records, three caregiver/household member records, the daily attendance, emergency drill log and required posted information were all reviewed. The provider is not currently certified in Medication Administration Training (MAT) and cannot administer medication to children in care. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Violations
11Standard 22.1-289.035-B-2
Based on review of three caregiver records, not all caregivers had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to employment as required. Evidence: the record for caregiver #3, who was observed supervising children, did not contain an OBI fingerprint determination letter.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on review of three caregiver records, not all caregivers had a sworn statement prior to their first day of employment. Evidence: the record for caregiver #3, who was observed supervising children, did not contain a sworn statement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Based on review of six child records, the provider did not obtain documentation of a physical exam by or under the direction of a physician before the child's attendance or within 30 days after the first attendance. Evidence: the record for child #4 (date of first attendance: (4/15/2024) did not contain documentation of a physical.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Based on review of three caregiver records, the provider did not maintain a record for all caregivers with all required information. Evidence: the record for caregiver #2 and caregiver #3 did not contain the name, address, verification of age, job title, date of employment or volunteering, or the name, address and phone number of a person to be notified in an emergency.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Based on review of three caregiver records, not all caregivers had a Tuberculosis (TB) test/screening at the time of hire. Evidence: the record for caregiver #3, who was observed supervising children, did not have a TB test/screening.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
Based on review of three caregiver records, not all caregivers had a Tuberculosis (TB) test/screening every two years as required. Evidence: the record for caregiver #1 had a TB test/screening dated: 2/22/2022; the record for caregiver #2 had a TB test/screening dated: 5/20/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-A
Based on review of three caregiver records, it was determined that not all caregivers had orientation training by the end of their first week of assuming job responsibilities. Evidence: the record for caregiver #2 and caregiver #3 did not contain documentation of orientation training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-260-B
Based on observation, there was no barrier surrounding the inground swimming pool. Evidence: the childcare entrance, and play area, is at the back of the home within a fenced in yard. There is no fence or barrier directly surrounding the pool that prevents access which is a drowning hazard.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
Based on observation, and interview, the provider did not keep a written record of attendance that accurately included all children in care. Evidence: there was no written record of attendance for the six children in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on review of six child records, the provider did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #3 (date of first attendance: 5/30/2024) did not have documentation of immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-940-B
(Repeat Violation) Based on observation and interview, the home did not have an operable thermometer available to monitor the refrigerator and freezer temperatures. Evidence: no thermometers were observed in the childcare area refrigerator.
Plan of Correction: Not available online. Contact Inspector for more information.