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James Smith

Inspection · 2023-05-18

Date
2023-05-18
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 20-800 Transportation
8 VAC2 0-820 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 renewal inspection was initiated by licensing staff and concluded on 05/18/2023, between the hours of 10:30 am to 1 pm. There was 1 preschool-age 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 7 children records, 3 household records, and 2 staff records were reviewed.

Information gathered during the inspection determined that there were (5) 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

5
Standard 8VAC20-800-100-A
Based on review, 6 of 7 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. The following children were without documentation of a physical on file: Child #1 (start date - 06/08/2012), Child #2 (start date - 08/22/2014), Child #3 (start date - 12/27/2018), Child #5 (start date - 09/11/2020), Child #6 (start date - 08/09/2017), and Child #7 (start date - 01/19/2023).
2. These dates were review by the Licensing Inspector with the Provider on the date of inspection.
Plan of Correction: The missing physicals will be obtained.
Standard 8VAC20-800-210-A
Based on review, 0 of 2 staff files indicated that each caregiver obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Evidence -
1. On the date of inspection (05/18/2023, a total of 8 hours training for Staff #1, and a total of 8 hours of training for Staff #2 was obtained for the past annual training period.
2. These hours were calculated after review of certificates kept on file for each staff person of the past annual training period.
Plan of Correction: A total of 16 hours of annual training for each staff person will be obtained.
Standard 8VAC20-800-460-C
Based on observation and review, the shot record for the pet observed on site was not available.

Evidence -
1. On the date of inspection (05/18/2023), a dog (Mallo) was observed on site. The Provider stated that it belonged to a household member.
2. The vaccination record for this animal was not available for review on the date of the inspection.
3. The dog was separated; kept behind a barrier and upstairs from the daycare program located downstairs in the Family Day Home.
Plan of Correction: The shot record for the dog will be placed on file.
Standard 8VAC20-800-60-B
Based on review, 4 of 7 children files indicated that a written authorization for emergency medical care (should an emergency occur and the parent cannot be located immediately).

Evidence -
1. On the date of inspection (05/17/2023), the following children did not have a complete authorization for emergency medical care on file at the FDH: Child #1, Child #2, and Child #3. Page 2 of the Child's Record was not available.
2. The authorization for emergency medical care for Child #6 was missing the parent signature.
3. There was not a parent's written objection to the provision of medical treatment on religious or other grounds on file for any enrolled child.
Plan of Correction: The authorization for emergency medical care will be obtained for all children.
Standard 8VAC20-800-70-A
Based on review, 3 of 7 children files indicated that not all documentation was on file within each child's record.

Evidence -
1. On the date of inspection (05/18/2023), page 2 of the Parent Information Form was not available for: Child #1, Child #2, and Child #3.
2. On the date of inspection, page 2 of the Administration of Medication Policy Form was not available for: Child #1, Child #2, and Child #3.
Plan of Correction: The missing information/documentation will be completed and placed on file.
View original record on Virginia Department of Social Services