Inspection · 2023-09-28
Date
2023-09-28
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
(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 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
Inspector Notes
An unannounced Renewal inspection was conducted on 9/28/2023 beginning at 2:15 pm and concluding at 4:13 pm. At the time of entrance, 6 children, 9 months to 3 years old, for a total of 17 points were in care with I caregiver. The sample size consisted of 5 children?s records and 34 Provider / Assistant / Household Member records. Children were observed sleeping on cots during rest time, having afternoon snack and playing with a variety of toys. Handwashing and table sanitizing were observed. Repeat violations were found and are identified within this report. Areas of non-compliance are identified on the violation notice. Repeat violations were found and are identified within this report.
Violations
7Standard 8VAC20-800-180-A
***REPEAT VIOLATION***
Based on a review of records and interview, the licensee did not obtain for each adult household member a current report of Tuberculosis Screening every 2 years from the date fo the first screening.
Evidence:
The record for Household Member #2 contained the most recent Tuberculosis screening which was dated 1/16/2021. The licensee acknowledged that there was not a more recent screening available, during the inspection, for Household Member #2.
Based on a review of records and interview, the licensee did not obtain for each adult household member a current report of Tuberculosis Screening every 2 years from the date fo the first screening.
Evidence:
The record for Household Member #2 contained the most recent Tuberculosis screening which was dated 1/16/2021. The licensee acknowledged that there was not a more recent screening available, during the inspection, for Household Member #2.
Plan of Correction: The provider stated that the Household member likely has an updated Tuberculosis screening their full time employment. A copy will be obtained or a new screening conducted within 10 days.
Standard 8VAC20-800-320-B
Based on observation and interview child-resistant protective covers larger were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age.
Evidence:
There were 2 uncapped outlets located at about 12 inches from floor level in one of the two main childcare areas of the home.
Six children, ages 9 months old to 3 years old, were sleeping on cots in this area.
Evidence:
There were 2 uncapped outlets located at about 12 inches from floor level in one of the two main childcare areas of the home.
Six children, ages 9 months old to 3 years old, were sleeping on cots in this area.
Plan of Correction: The provider replaced the outlet covers at the time of inspection. The provider will purchase outlet covers that sit more flush to the outlet so that children are not able to remove them.
Standard 8VAC20-800-350-E
***REPEAT VIOLATION***
Based on measurements taken during the inspection, the hot water taps available to children are not maintained within a range of 105 to 120 degrees Fahrenheit.
Evidence:
The temperature of the hot water tap in the restroom used by children in care measured 128.7 degrees Fahrenheit when measured with a digital thermometer during the inspection.
Based on measurements taken during the inspection, the hot water taps available to children are not maintained within a range of 105 to 120 degrees Fahrenheit.
Evidence:
The temperature of the hot water tap in the restroom used by children in care measured 128.7 degrees Fahrenheit when measured with a digital thermometer during the inspection.
Plan of Correction: The hot water heater will be adjusted (again) to keep hot water at a safe temperature at or below 120 degrees Fahrenheit and will be periodically measured to ensure it is not too hot.
Standard 8VAC20-800-50-A
Based on a review of documentation and interview, the licensee did not ensure that a written record of attendance is kept each day.
Evidence:
The attendance binder contained a written record of attendance for the current week, but did not contain the attendance for any other period after March 2023.
The licensee confirmed that the attendance had not been recorded in April, May, June, July, August or most of September until the current week of 9/25/2023.
Evidence:
The attendance binder contained a written record of attendance for the current week, but did not contain the attendance for any other period after March 2023.
The licensee confirmed that the attendance had not been recorded in April, May, June, July, August or most of September until the current week of 9/25/2023.
Plan of Correction: Attendance sheets will be moved to an area near the entry so that it is convenient to check children in as they arrive in the morning and check them out as they leave. Attendance will be taken, documented and maintained as children arrive and leave each day.
Standard 8VAC20-800-570-A
Based on observation, record review and interview, the licensee did not ensure that the points total for children in care did not exceed 16 points without the presence of an additional caregiver.
Evidence:
There were six children in care (child #1, child #2, child #3, child #4, child #6 and child #7) for a total of 17 points.
The licensee was the only caregiver present with the children at the time of the inspection.
Evidence:
There were six children in care (child #1, child #2, child #3, child #4, child #6 and child #7) for a total of 17 points.
The licensee was the only caregiver present with the children at the time of the inspection.
Plan of Correction: The provider stated that she calculated her points incorrectly and will ensure that she has an additional caregiver available if all of the children are to be present.
Standard 8VAC20-800-60-B
Based on a review of records and interview, the licensee did not maintain enrolled children's records which contained all of the required information and documentation.
Evidence:
Five records were reviewed.
The records for child #1, child #2, child #3 child #4 and child #5 did not contain the name, phone number and address for two people to be contacted in an emergency if the child's parent cannot be reached.
The record for child #4 does not contain the name address and phone number and work place and phone number for the child's parents, the child's physician's name and phone number, documentation of any allergies or health problems for child #4, and previous or concurrent schools attended by the child.
Evidence:
Five records were reviewed.
The records for child #1, child #2, child #3 child #4 and child #5 did not contain the name, phone number and address for two people to be contacted in an emergency if the child's parent cannot be reached.
The record for child #4 does not contain the name address and phone number and work place and phone number for the child's parents, the child's physician's name and phone number, documentation of any allergies or health problems for child #4, and previous or concurrent schools attended by the child.
Plan of Correction: The provider gathered the incomplete and missing forms for these children and had them set out to be completed by the parents at pick-up today.
The provider will organize enrollment packets and staple them so that the parents can complete the necessary forms and bring all of them back as a packet.
Enrollment forms will be reviewed by the provider when they are submitted and parents will be asked to complete any blank spaces or incomplete information prior to the child attending the program.
The provider will organize enrollment packets and staple them so that the parents can complete the necessary forms and bring all of them back as a packet.
Enrollment forms will be reviewed by the provider when they are submitted and parents will be asked to complete any blank spaces or incomplete information prior to the child attending the program.
Standard 8VAC20-800-70-B
Based on a review of records and interview, the licensee did not alwaysobtain the parent's written acknowledgement of the receipt of the information required to be provided in writing to parents before the child's first day of attendance.
Evidence:
Five records were reviewed.
The records for child #1 and child #2 who began attending the family day home on 7/25/2023, did not contain a signed copy of the required parent agreements. The unsigned parent information form was located in the files.
Evidence:
Five records were reviewed.
The records for child #1 and child #2 who began attending the family day home on 7/25/2023, did not contain a signed copy of the required parent agreements. The unsigned parent information form was located in the files.
Plan of Correction: The provider will ask that a copy of the agreement be signed by the parent today at pick-up.
This agreement will be included in the stapled enrollment packet to ensure that it is included in the child's file. The provider will check to ensure it is has been signed by the parent.
This agreement will be included in the stapled enrollment packet to ensure that it is included in the child's file. The provider will check to ensure it is has been signed by the parent.