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Nichole Hickman

Inspection · 2024-02-08

Date
2024-02-08
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted on Thursday, February 8, 2024, to determine the provider?s compliance with licensing standards. The inspector was on site from approximately 9:55am until 11:40am. During the inspection, there were a total of 11 children in care, totaling 30 points, in the direct care of three caregivers. The children were observed during free-play, dancing, singing, and watching television. All areas used for childcare were inspected. The family day home has age and stage appropriate materials and supplies. The caregivers were observed having positive interactions with the children in care. The first aid kit and non-emergency supplies were inspected and found complete. Per the provider, medication is not administered and transportation is not provided at this time. Three caregivers' records and five children's records were reviewed.

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.

Violations

4
Standard 22.1-289.035-B-2
Based on a review of three caregivers' records and interviews, the provider did not obtain the satisfactory results of a national fingerprint-based criminal record search for one caregiver prior to employment.

Evidence: The national fingerprint-based criminal record search in the record of Caregiver #3,
employed on 10/10/23, was completed on 10/18/23.

During interview, Caregiver #1 confirmed the fingerprint-based criminal record search for Caregiver #3 was not received prior to employment.
Plan of Correction: Corrected. Future caregivers will be required to have fingerprint results prior to employment.
Standard 8VAC20-800-100-A
(Repeat Violation) Based on a review of five children?s records and interviews, the provider did not obtain documentation of a physical examination by or under the direction of a physician for two children prior to the children?s attendance or within 30 days after the first day of attendance.

Evidence: The record of Child #4, date of attendance 04/04/23, and the record of Child #5, date of attendance 04/04/23, did not contain documentation of a physical examination.

During interview, Caregiver #1 confirmed Child #4 and Child #5 do not have documentation of a physical examination on file.
Plan of Correction: Requested.
Standard 8VAC20-800-60-B
(Repeat Violation) Based on a review of five children?s records and interview, the provider did not ensure four children?s records contained the required information.

Evidence: 1. The record of Child #1, date of attendance 03/17/23, was missing proof of the child's age and identity.

2. The record of Child #3, date of attendance 09/11/23, was missing the parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70 regarding whether or not there is liability insurance on the family day home operation.

3. The record of Child #4, date of attendance 04/04/23, and the record of Child #5, date of attendance 04/04/23, did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

4. During interview, Caregiver #1 confirmed the required information was missing from the children's records.
Plan of Correction: The missing information will be obtained for each child as soon as possible.
Standard 8VAC20-800-90-A
Based on a review of five children's records and interview, the provider did not obtain documentation that two children had 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 the children attended the family day home.

Evidence: 1. The immunizations in the record of Child #4, date of attendance 04/04/23, were dated 04/05/23.

2. The immunizations in the record of Child #5, date of attendance 04/04/23, were dated 04/05/23.

3. During interview, Caregiver #1 acknowledged the immunizations for Child #4 and Child #5 were obtained after they attended the family day home.
Plan of Correction: Corrected. In the future, immunizations will be obtained prior to attendance.
View original record on Virginia Department of Social Services