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Dana Smith-Washington

Inspection · 2022-06-16

Date
2022-06-16
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
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
8VAC20-800 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

A monitoring inspection was initiated and concluded on 6/16/2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 6 children present, ranging in ages from 1 year to 5 years, with the Licensee supervising. 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 2 child records and 4 caregiver / household 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

5
Standard 8VAC20-800-100-A
Based on a review of records and interview, the licensee was unable to demonstrate that documentation of a physical examination by or under the direction of a physician was obtained prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
Two children's records were reviewed.
The record for child #2 (enrolled 12/21/2022) did not contain the results of a physical examination.
The licensee confirmed that this documentation was not in the file and she was unable to provide this documentation during the inspection.
Plan of Correction: The licensee stated that she had requested this documentation from the parent and thought she had received it.
The licensee will contact the parent this week and ask that the documentation be provided within 2 weeks.
The parent has already stated to the licensee that child #2 has a scheduled appointment in the near future before he may start kindergarten in the fall.
Standard 8VAC20-800-210-A
Based on a review of records and interview, the licensee was unable to demonstrate that each caregiver in the family day home obtains a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
Four Provider / Assistant / Household member records were reviewed.
The record for Assistant Caregiver #3 did not contain documentation of annual training for the current year.
The licensee confirmed that Caregiver #3 occasionally cares for children but only rarely when attendance warrants it.
The licensee was unable to provide documentation of annual training for Caregiver #3 during the inspection.
Plan of Correction: The licensee will speak with caregiver #3 and request that training be started immediately with the goal of having 16 hours within 30 days.
The licensee has requested a link to the Virginia preservice training which would constitute 10 of the 16 required annual training hours if completed. This training will be shared with caregiver #3 this week.
Standard 8VAC20-800-320-G
Based on a review of documentation and interview, the licensee was not able to demonstrate that wood burning stoves and fireplaces and associated chimneys are inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. .
Evidence:
The licensee conformed that her fireplace was wood burning.
When asked if an inspection of the fireplace and chimney(s) had been conducted within the past 12 months, the licensee stated that it had not been.
Plan of Correction: The licensee stated that she was not aware that the fireplace required an annual inspection. She stated that she would call this week and schedule an inspection for the earliest available appointment date.
Standard 8VAC20-800-690-D
Based on observation, the licensee did not ensure that the surface used for changing children's diapers was Separate from surfaces used for any child's activities.
Evidence:
The licensee was observed changing a toddler's diaper on a cot.
The cot was also used by the child for rest time after the diaper was changed.
Plan of Correction: The licensee stated that she does have a dedicated diapering mat to be used for changing diapers.
Diapers will only be changed on this dedicated diapering mat which will then be cleaned and sanitized after use.
Equipment used by children will not be used as a diapering surface.
Standard 8VAC20-800-90-A
Based on a review of records and interview, the licensee was unable to demonstrate that documentation that the child is adequately immunized is obtained before the child may attend the family day home.
Evidence:
Two children's records were reviewed.
The record for child #2 (enrolled 12/21/2021) did not contain any documentation of the child's immunizations.
The licensee confirmed that this information was not contained in the record and was unable to provide documentation of adequate immunizations during the inspection.
Plan of Correction: The licensee stated that she had requested this documentation from the parent and thought she had received it.
The licensee will contact the parent this week and ask that the documentation be provided within 2 weeks.
The parent has already stated to the licensee that child #2 has a scheduled appointment in the near future before he may start kindergarten in the fall.
View original record on Virginia Department of Social Services