Inspection · 2022-08-01
Date
2022-08-01
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
(804) 807-3278
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.
Yes
Areas Reviewed
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
Inspector Notes
An unannounced subsidy health and safety inspection (SHSI) was initiated and concluded on September 28, 2023. The licensing inspectors were on site from approximately 10:00am until 11:20am. There were nine nonresident children in care ( age range five months to two years of age) with one caregiver present. See violation notice for additional details. A monitoring inspection was also conducted on this date.
The information gathered during the inspection determined non-compliances with subsidy regulations, and violations were documented on the violation notice issued to the facility.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from the date of receipt. You should specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the stand(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).
If you have any questions about this inspection, please contact the licensing inspector at (804) 840-8260.
Lynn Powers
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 804-840-8260
lynn.powers@doe.virginia.gov
Violations
12Standard 8VAC20-790-170-D
Based on review of nine children?s records, the vendor did not ensure the required information was obtained for two children?s records.
Evidence:
The records for Child #1 (first day of attendance 04/12/2022) and Child #6 (first day of attendance 01/30/2023) 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 for the provision of medical treatment on religious or other grounds. The records did not contain a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so, requested by the vendor.
Evidence:
The records for Child #1 (first day of attendance 04/12/2022) and Child #6 (first day of attendance 01/30/2023) 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 for the provision of medical treatment on religious or other grounds. The records did not contain a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so, requested by the vendor.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-190-B
Based on review of nine children?s records, the vendor did not ensure the required information was obtained for two children?s records.
Evidence:
The records for Child #1 (first day of attendance 04/12/2022) and Child #6 (first day of attendance 01/30/2023) 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 for the provision of medical treatment on religious or other grounds. The records did not contain a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so, requested by the vendor.
Evidence:
The records for Child #1 (first day of attendance 04/12/2022) and Child #6 (first day of attendance 01/30/2023) 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 for the provision of medical treatment on religious or other grounds. The records did not contain a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so, requested by the vendor.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-210-B
Based on review of one caregiver?s record and interview, the vendor did not ensure one caregiver received Tuberculosis (TB) screenings at least every two years from the date of the initial screening.
Evidence:
1. The record of Caregiver #1 contained documentation of a TB screening dated 06/15/2020.
2. Caregiver #1 stated an updated TB screening has not been obtained as of 09/28/2023.
Evidence:
1. The record of Caregiver #1 contained documentation of a TB screening dated 06/15/2020.
2. Caregiver #1 stated an updated TB screening has not been obtained as of 09/28/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-F
Based on record review and interview, the vendor did not ensure one caregiver who works directly with children, obtain annually at least 16 hours of training, to include the department?s health and safety update course.
Evidence:
1. The record of Caregiver #1 did not have documentation of 16 hours of annual training and the department?s health and safety update course.
2. Caregiver #1 stated the required 16 hours of annual training has not been obtained.
Evidence:
1. The record of Caregiver #1 did not have documentation of 16 hours of annual training and the department?s health and safety update course.
2. Caregiver #1 stated the required 16 hours of annual training has not been obtained.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-260-K
Based on observation and interview, the vendor did not ensure stairs were not accessible to children less than two years of age.
Evidence:
1. The stair way leading to the second floor was located in the children?s play area. Nine children were present in the play area, ranging from six months to two years of age. A safety gate was not placed on the stairway and the stairway was accessible to the children in care.
2. The provider stated the gate for the stairway was broken.
Evidence:
1. The stair way leading to the second floor was located in the children?s play area. Nine children were present in the play area, ranging from six months to two years of age. A safety gate was not placed on the stairway and the stairway was accessible to the children in care.
2. The provider stated the gate for the stairway was broken.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-270-A
Based on observation, the vendor did not ensure potentially poisonous substances such as cleaning agents and disinfectants were stored in areas inaccessible to children.
Evidence:
Two household cleaning products were located sitting on the hallway floor, an area accessible to the children in care.
Evidence:
Two household cleaning products were located sitting on the hallway floor, an area accessible to the children in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-300-E
Based on observation, documentation review and interview, the vendor did not ensure an additional caregiver was present, using the required point system.
Evidence:
1. Nine nonresident children were present during the inspection. The children in care ranged from six months to two years of age for a total of 27 points.
2. Additional providers are required when the total number of points assigned to the children in care is 17 points or more.
Evidence:
1. Nine nonresident children were present during the inspection. The children in care ranged from six months to two years of age for a total of 27 points.
2. Additional providers are required when the total number of points assigned to the children in care is 17 points or more.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-390-A
Based on observation, the vendor did not ensure children?s hands were washed with soap and running water after toileting.
Evidence:
1. Caregiver #1 was observed changing the diaper of Child #2 during the inspection.
2. Immediately after the diaper change, Child #2 was placed in the childcare area.
3. Caregiver #1 did not wash the hands of Child #2.
4. Caregivers #1 returned to the childcare area and began interacting with children without washing her hands.
Evidence:
1. Caregiver #1 was observed changing the diaper of Child #2 during the inspection.
2. Immediately after the diaper change, Child #2 was placed in the childcare area.
3. Caregiver #1 did not wash the hands of Child #2.
4. Caregivers #1 returned to the childcare area and began interacting with children without washing her hands.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-420-B-6
Based on record review, the vendor did not ensure the family day home?s emergency preparedness plan contained all required procedural components.
Evidence:
1. The emergency plan did not contain the following procedural component: plan review and update.
2. The emergency preparedness plan was documented as being reviewed on 12/2/2020.
Evidence:
1. The emergency plan did not contain the following procedural component: plan review and update.
2. The emergency preparedness plan was documented as being reviewed on 12/2/2020.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-430-A-1
Based on documentation review, the vendor did not ensure evacuation procedures were practiced at least monthly.
Evidence:
1. The documented emergency drills indicated the last evacuation drill was completed on 08/01/2022.
2. The Caregiver #1 stated she had not practiced evacuation drills on a monthly basis with the children.
Evidence:
1. The documented emergency drills indicated the last evacuation drill was completed on 08/01/2022.
2. The Caregiver #1 stated she had not practiced evacuation drills on a monthly basis with the children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-430-A-2
Based on documentation review and interview, the vendor did not ensure a shelter-in-place procedures were practiced at least twice a year.
Evidence:
1. The drill log did not indicate shelter-in-place drills had been practiced within the last 12 months.
2. The Caregiver #1 stated she had not practiced shelter-in-place drills with the children.
Evidence:
1. The drill log did not indicate shelter-in-place drills had been practiced within the last 12 months.
2. The Caregiver #1 stated she had not practiced shelter-in-place drills with the children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-430-A-3
Based on documentation review and interview, the vendor did not ensure a lockdown procedure was practiced at least annually.
Evidence:
1. The drill log did not indicate a lockdown drill had been practiced within the last 12 months.
2. Caregiver #1 stated she had not practiced a lockdown drill with the children.
Evidence:
1. The drill log did not indicate a lockdown drill had been practiced within the last 12 months.
2. Caregiver #1 stated she had not practiced a lockdown drill with the children.
Plan of Correction: Not available online. Contact Inspector for more information.