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Katrina Nelson

Inspection · 2022-09-15

Date
2022-09-15
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
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 House
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.
8VAC20-820 HEARINGS PROCEDURES.
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 initiated on September 15, 2022 and concluded on September 16, 2022. The inspector was on site from approximately 3:00 pm until 4:50 pm. There were eight children present with two caregivers supervising for a value of 22 points. Children were observed having snack, playing with the kitchen set and coloring. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of four child records and three caregiver records were reviewed. The inspector interacted with caregivers and children in care.

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. If you have any questions regarding this inspection, please contact the licensing inspector.

Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov

Violations

6
Standard 8VAC20-800-180-A
Based on review of caregiver records, the provider did not obtain for each caregiver a current tuberculosis screening every two years from the date of the first screening.

Evidence:

The record of caregiver #2 contained documentation of a tuberculosis screening dated 10/20/2019, exceeding two years.
Plan of Correction: Per the provider: I scheduled caregiver #2 to have an updated TB completed today. Results will be ready tomorrow.
Standard 8VAC20-800-210-A
Based on review of caregiver records and interview, the provider did not ensure in addition to first aid and CPR training, caregivers obtained a minimum of 16 hours of training annually.

Evidence:

1. The provider had documentation of three hours of training completed during the training period. The provider stated she could not locate her own record containing her remaining training hours for the year of September 17, 2021 through September 16, 2022. A total of 13 hours was missing.
2. The record of caregiver #2 contained documentation of 3 hours of annual training for the period 03/03/2021- 03/02/2022. A total of 13 hours was missing.
Plan of Correction: Per the provider: We are signed up for some classes and are waiting on certificates from some as well. I will look for my training in my record.
Standard 8VAC20-800-280
Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers were stored in area inaccessible to children.

Evidence:

Two canisters of cleaning agents were observed under the bathroom sink in the unlocked cabinet. The bathroom is used by children in care.
Plan of Correction: The provider removed all the cleaning agents from under the sink and relocated them out of reach of children in care.
Standard 8VAC20-800-320-B
Based on observation, the provider did not ensure child-resistant protective covers were installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

Evidence:

Two electrical outlets located in the living room where children were in care did not have protective covers installed.
Plan of Correction: Per the provider: Outlet covers were installed today.
Standard 8VAC20-800-330-A
Based on interview, the provider did not have a landline telephone available, operable, and accessible during the family day home?s hours of operation.

Evidence:

The provider stated she did not have a telephone in the home but did have service for one.
Plan of Correction: per the provider: I have ordered a new phone. It will arrive on Saturday.
Standard 8VAC20-800-90-A
Based on review of four children?s records, the provider did not obtain documentation that a child had been adequately immunized before a child attended the family day home.

Evidence:

1. The record of child #1, enrolled 05/23/2022, contained documentation of immunizations dated 05/25/2022, exceeding the first day of enrollment.
2. The record of child #2, enrolled 08/15/2022, contained documentation of immunizations dated 08/23/2022, exceeding the first day of enrollment
3. The record of child #3, enrolled 09/06/2022, contained documentation of immunizations dated 09/12/2022, exceeding the first day of enrollment
Plan of Correction: Per the provider: I will ask parents to provide the immunizations at the time of enrollment.
View original record on Virginia Department of Social Services