Inspection · 2024-05-02
(571) 835-0386
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
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 conducted today from 9:35am-11:23am with the provider on site. There were 2 children in care and 1 resident child (8 points) present with 1 caregiver. A sample of 2 children's files and 2 caregiver/household files were reviewed. The children were engaged in the following: playing with various toys. The physical space, attendance records, drill record, menu and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Repeat violations were found and are identified within this report.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use caregiver names; list caregivers by positions only.
Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website.
Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.
Violations
16Evidence:
1. The last inspection from March 18, 2024 was not posted to include the summary and violation notice.
Evidence:
1. The provider did not have a carbon monoxide detector and the home was build before 2015.
Evidence:
1. Visible broken glass was in the grass near the large tree swing in the backyard..
Evidence:
1. Multiple head phone wires with long cords were hanging on the wall near the crib in the playroom.
Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away and kept inaccessible to children.
Evidence:
1. A wheel and tire cleaner and armor all car wash was under the kitchen sink in an unlocked cabinet.
2.A container of Tide laundry soap, scrubbing bubbles and Windex were under the sink in an unlocked lower bathroom cabinet. The bathroom is used by children.
3. A bag of miracle grow was on the deck where the children play outside.
Based on observation, the provider did not ensure that unused electrical outlets accessible
to children have child-resistant protective covers.
Evidence:
1. Two unused outlets in the kitchen, 1 unused outlet in the family and 1 unused outlet in the playroom were not covered with protective covers.
Evidence:
1. The provider had a cordless telephone, but could not find her phone that did not require electricity to operate.
Evidence:
1. On the deck, a child protective gate was attached to the rails by the stairs with zip ties and was not attached correctly allowing the gate door to open easily and give children access to the stairs.
Evidence:
1. The swing seat in the backyard was made of wood and did not have flexible seats of rubber, canvas or nylon.
Based on review of two children's records and interview, the records did not contain all required information.
Evidence:
1. Child #1's file (start date 8/21/2023) was missing two emergency contact addresses, written authorization for emergency medical care and written authorization to go off premises. The provider stated she takes the children off premises.
2. Child #2's file (start date 8/21/2023) was missing one emergency contact address and phone number, written authorization for emergency medical care and written authorization to go off premises.
Evidence:
1. Child #1's file (start date 8/21/2023) did not have the following forms signed:
Information for Parent's form, the liability insurance declaration and the policy for administering medication form.
2. Child #2's file (start date 8/21/2023) did not have the following forms signed:
The policy for administering medication form, the liability insurance declaration and provisions of the emergency plan
Based on observation, the facility did not ensure that prescription medications are kept
in a locked place using a safe locking method that prevents access by children.
Evidence:
1. A household member's prescription ointment was observed on a low shelf on the kitchen island, accessible to children.
Evidence:
1. The provider had a first aid kit that was missing the first aid instructional manual and assorted size bandages.
Based on observation, the facility did not ensure that they had a working battery operated weather band radio, and extra batteries.
Evidence:
1. Observed that the provider had a portable weather band radio, but the provider did not have batteries in the radio to demonstrate that it was working.
Based on interview, the provider did not ensure that the emergency evacuation drill documentation included the minimum information.
Evidence:
1. The provider stated she completed an emergency evacuation drill in April, but did not document the required information
Based on review of the provider's menu, it did not include all required information.
Evidence:
1. The provider's menu was not dated for the current week.