Inspection · 2023-05-16
Date
2023-05-16
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
20 Access to minor?s 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 conducted from 12:30 pm to 2:20pm. At the time of entrance, 8 children totaling were in care with the substitute provider and assistant provider. The record sample size consisted of 5 children's records and the provider's record and 3 assistant's records. The children in care were observed engaging with the substitute ad assistant providers, participating in free play, and nap. There have been no injuries since the last inspection and no medications are being administered at this time. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.
Violations
11Standard 8VAC20-800-100-A
Based on record review and interview it was determined the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for child #4 (enrolled 3/20/23) did not contain documentation of a physical exam.
2. The record for child #5 (enrolled 3/6/23) did not contain documentation of a physical exam
3. Provider confirmed that child #4 and #5 were in care during this inspection and their records did not contain documentation of a physical exam.
Evidence:
1. The record for child #4 (enrolled 3/20/23) did not contain documentation of a physical exam.
2. The record for child #5 (enrolled 3/6/23) did not contain documentation of a physical exam
3. Provider confirmed that child #4 and #5 were in care during this inspection and their records did not contain documentation of a physical exam.
Plan of Correction: Inspect each file and get completed updated children's records.
Standard 8VAC20-800-120-B
Based on record review and interview it was determined the provider did not ensure that caregiver records contained all the required information.
Evidence:
1. The record for assistant #1 (hired 4/21/23) did not contain:
a. Documentation that two or more references as to character and reputation as well as competency were checked before employment
b. Documentation of the education and training as required by 8VAC20-800-230
2. The record for assistant #2 (hired 12/22/22) did not contain:
a. Documentation of the education and training as required by 8VAC20-800-230
3. The record for assistant #3/Substitute (hired 11/1/22) did not contain:
a. Documentation that two or more references as to character and reputation as well as competency were checked before employment
b. Documentation of the education and training as required by 8VAC20-800-230
c. Documentation of the time of arrivals and departures as a substitute provider as required by 8VAC20-800-140 D
Evidence:
1. The record for assistant #1 (hired 4/21/23) did not contain:
a. Documentation that two or more references as to character and reputation as well as competency were checked before employment
b. Documentation of the education and training as required by 8VAC20-800-230
2. The record for assistant #2 (hired 12/22/22) did not contain:
a. Documentation of the education and training as required by 8VAC20-800-230
3. The record for assistant #3/Substitute (hired 11/1/22) did not contain:
a. Documentation that two or more references as to character and reputation as well as competency were checked before employment
b. Documentation of the education and training as required by 8VAC20-800-230
c. Documentation of the time of arrivals and departures as a substitute provider as required by 8VAC20-800-140 D
Plan of Correction: All caregivers records are up to date and will inspect regularly to insure they
remain current.
Currently using substitute sign in when I take an hr break for lunch which I use
to run errands for daycare.
remain current.
Currently using substitute sign in when I take an hr break for lunch which I use
to run errands for daycare.
Standard 8VAC20-800-170-A
Based on record review and interview it was determined the provider did not obtain a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form from each caregiver at time of hire.
Evidence:
1. The record for assistant #3 (hired 11/1/22) did not contain a TB screening.
2. Provider confirmed that there was no TB screening for assistant #3.
Evidence:
1. The record for assistant #3 (hired 11/1/22) did not contain a TB screening.
2. Provider confirmed that there was no TB screening for assistant #3.
Plan of Correction: Obtained current TB Screening for myself and assistant all corrected
Standard 8VAC20-800-210-A
Based on record review and interview it was determined the provider did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1. The record for the provider did not contain documentation of the required annual 16 clock hours of training.
2. Provider confirmed that she has not completed the required annual training hours.
Evidence:
1. The record for the provider did not contain documentation of the required annual 16 clock hours of training.
2. Provider confirmed that she has not completed the required annual training hours.
Plan of Correction: Do scheduled annual training for myself and other childcare providers
Standard 8VAC20-800-240-A
Based on observation it was determined the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.
Evidence:
1. In the bathroom used by the children in care there was exposed rust on the paper towel holder.
2. In the kitchenette area there were kitchen trash bags, adult scissors, and a chest style freezer unlocked and accessible to the children in care.
Evidence:
1. In the bathroom used by the children in care there was exposed rust on the paper towel holder.
2. In the kitchenette area there were kitchen trash bags, adult scissors, and a chest style freezer unlocked and accessible to the children in care.
Plan of Correction: Threw away paper towel holder before inspector left. Will replace with new
holder that does not rust.moved bags to locked cabinet, moved scissors to
upper cabinet, all corrected before inspector left. Put lock on freezer.
holder that does not rust.moved bags to locked cabinet, moved scissors to
upper cabinet, all corrected before inspector left. Put lock on freezer.
Standard 8VAC20-800-50-A
Based on record review and interview it was determined the center did not have a written record of children in attendance each day.
Evidence:
1. The attendance sheet was not dated or completed for 5/16/23.
2. At time of inspector's arrival 8 children were in care, 5 of the 3 were listed on the sign in sheet.
3. Staff confirmed that there were 8 children in care and only 5 were on the sign in sheet during this inspection.
Evidence:
1. The attendance sheet was not dated or completed for 5/16/23.
2. At time of inspector's arrival 8 children were in care, 5 of the 3 were listed on the sign in sheet.
3. Staff confirmed that there were 8 children in care and only 5 were on the sign in sheet during this inspection.
Plan of Correction: Will start writing date at top of attendance logs and check to make sure all parents sign children in and out.
Standard 8VAC20-800-530-A
Based on observation it was determined that the provider did not ensure that children had top cover and a bottom cover when napping.
Evidence:
1. 6 children were observed napping without bottom covers.
2. Provider confirmed that the children didn't have bottom covers.
Evidence:
1. 6 children were observed napping without bottom covers.
2. Provider confirmed that the children didn't have bottom covers.
Plan of Correction: provided bottom covers for all cots
Standard 8VAC20-800-60-A
Based on record review and interview it was determined the provider did not ensure the record for each child enrolled contained all of the required information.
Evidence:
1. The record for child #1 (enrolled 9/12/22) did not contain:
a. Name, address and telephone number of each custodial parent's place of
employment
b. Address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached
c. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
d. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
2. The record for child #2 (enrolled 6/7/22) did not contain:
a. Name, address and telephone number of each custodial parent's place of
employment
b. Address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached
c. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
d. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
3. The record for child #3 (enrolled 2/20/22) did not contain:
a. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
4. The record for child #4 (enrolled 3/20/23) did not contain:
a. Name and policy number of the child's medical insurance
b. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
c. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
5. The record for child #5 (enrolled 3/6/23) did not contain:
a. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
b. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
Evidence:
1. The record for child #1 (enrolled 9/12/22) did not contain:
a. Name, address and telephone number of each custodial parent's place of
employment
b. Address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached
c. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
d. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
2. The record for child #2 (enrolled 6/7/22) did not contain:
a. Name, address and telephone number of each custodial parent's place of
employment
b. Address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached
c. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
d. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
3. The record for child #3 (enrolled 2/20/22) did not contain:
a. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
4. The record for child #4 (enrolled 3/20/23) did not contain:
a. Name and policy number of the child's medical insurance
b. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
c. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
5. The record for child #5 (enrolled 3/6/23) did not contain:
a. Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80
b. Parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70
Plan of Correction: Request missing info to fill in missing info from each parent and going forward
inspect each file before first day to insure all required info is in each file.
inspect each file before first day to insure all required info is in each file.
Standard 8VAC20-800-830-A
Based on record review and interview it was determined the provider did not ensure monthly emergency evacuation procedures were practiced.
Evidence:
1. There was no evacuation drill documented for April 2023.
2. Staff confirmed that this was not completed in April 2023.
Evidence:
1. There was no evacuation drill documented for April 2023.
2. Staff confirmed that this was not completed in April 2023.
Plan of Correction: I forgot April's monthly emergency evac drill I now have a monthly checklist to refer to at the beginning of the month
Standard 8VAC20-800-90-A
Based on record review and interview it was determined the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attending.
Evidence:
1. Child #4's(enrolled 3/20/23) record did not contain documentation of immunizations.
2. Provider confirmed that child #4 was in care during this inspection and their record did not contain immunization documentation.
Evidence:
1. Child #4's(enrolled 3/20/23) record did not contain documentation of immunizations.
2. Provider confirmed that child #4 was in care during this inspection and their record did not contain immunization documentation.
Plan of Correction: required all parents to bring shot record if missing and updated if old
Standard 8VAC20-800-900-B
Based on observation it was determined the provider did not ensure that children are not allowed to drink while laying down.
Evidence:
1. Three infants/toddlers were laying down at nap time with bottles.
2. Two of the three was observed laying on their cot drinking from a bottle.
Evidence:
1. Three infants/toddlers were laying down at nap time with bottles.
2. Two of the three was observed laying on their cot drinking from a bottle.
Plan of Correction: Retrained asistants and substite providers.