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James Smith

Inspection · 2022-11-03

Date
2022-11-03
Complaint Related
No
Licensing Inspector
Charles Perkins
(703) 309-3963
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

8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC 20-820 THE LICENSE.
8 VAC 20-820 THE LICENSING PROCESS.
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Inspector Notes

This monitoring inspection was initiated by licensing staff and concluded on 11/03/2022, between the hours of 10 am to 12 pm. There was 1 preschool child present (2 points) with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 6 children records, 2 staff records, and 3 household records were reviewed.

Information gathered during the inspection determined that there were (7) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations

7
Standard 8VAC20-800-100-A
Based on review, 3 of 6 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician within 30 days after the first day of attendance.

Evidence -
1. On the date of inspection (11/03/2022), the following children did not have documentation of a physical available for review: Child #3, Child #5, and Child #6.
2. These are their start dates: Child #3 (12/27/2018), Child #5 (09/11/2020), and Child #6 (08/09/2017).
Plan of Correction: All areas will be corrected.
Standard 8VAC20-800-240-A
Based on observation, areas of the family day home (FDH), inside, were not maintain in a safe condition.

Evidence -
1. On the date of inspection (11/03/2022), a corned of the room, beside a closet within the childcare area, showed signs of the wall (drywall) chipping. This was previously cited during an inspection conducted on 06/01/2022.
2. In addition, the curtain rod above the window in the childcare area was hanging down off of its wall anchors. The rod with the curtains were lopsided and leaning down to the right.
Plan of Correction: All areas will be corrected.
Standard 8VAC20-800-60-A
Based on review and interview, 1 of 6 children files was not available for review.

Evidence -
1. On the date of inspection (11/03/2022), an up-to-date record for Child #4 was not available for review.
2. Child #4 was in attendance on the date of inspection.
3. The Provider stated (during an interview conducted on the date of inspection) that this documentation was given to the parent to complete, but has yet to be returned to the FDH.
Plan of Correction: All areas will be corrected.
Standard 8VAC20-800-60-B
Based on review, 3 of 6 children files indicated that not all of the required documentation / information was contained within each child's file.

Evidence -
The following children were missing the following documentation / information:
1. For Child #3: Information for Parents form (Page 2), Authorization for Emergency Care
2. For Child #5: Policy # for the listed medical insurance.
3. For Child #6: Policy # for the listed medical insurance, had only 1 of 2 emergency contacts listed.
Plan of Correction: All areas will be corrected.
Standard 8VAC20-800-70-A
Based on review, 1 of 6 children files indicated that not all of the required documentation has been signed of by the child's parent.

Evidence -
1. On the date of inspection (11/03/2022), Child #3 did not have available the following completed documentation: Policy for the Administration of Medications form (page 2 was not available), and the Provisional form of the Emergency Preparedness and Response Plan.
2. The start date for Child #3 was listed as 03/26/2018.
Plan of Correction: All areas will be corrected.
Standard 8VAC20-800-780-B
Based on review, the review of the emergency information on file for each child was not conducted and verified by the child's parent each year.

Evidence -
1. On the date of inspection (11/03/2022), the following children's reviews were outdated: Child #5, and Child #6.
2. The last documented review for Child #5 was listed as 09/17/2020, and the last documented review for Child #6 was listed as 09/23/2017.
Plan of Correction: All areas will be corrected.
Standard 8VAC20-800-830-C
Based on interview, documentation of the emergency drills conducted by the family day home (FDH) was not available for review.

Evidence -
1. The Provider stated on the date of inspection (11/04/2022) that drills had been conducted (to include both all fire drills and a shelter-in-place drill) for over the past 6 months.
2. However, this documentation was not available for review. This same standard was cited during previous inspection conducted on 06/01/2022.
Plan of Correction: All areas will be corrected.
View original record on Virginia Department of Social Services