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Melissa McKensie

Inspection · 2023-07-25

Date
2023-07-25
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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 on Tuesday, July 25, 2023 and concluded on Friday, July 28, 2023. On July 25, 2023, the inspector was on site from approximately 10:15am until 12:30pm. There were two non-resident children present during the inspection. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and programming. A total of four children?s records, one caregiver's records, and three household members' records were reviewed. Additional documentation was reviewed electronically.

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.

Please complete the `plan of correction? and `date to be corrected? for each violation cited on the violation notice and returned it to me within five business days from today. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(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).

Violations

5
Standard 8VAC20-790-230-A
Based on a review of four children?s records and interview, the vendor did not obtain documentation that one child has been immunized according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations before the child attended the family day home.

Evidence: 1) The record of Child #2, date of attendance 01/16/23, did not contain documentation of the child?s immunization record.

2) During interview, Caregiver #1 confirmed the immunization record for Child #2 had not been obtained to date.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-D-1
Based on a review of one caregiver?s record and interview, the vendor did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1) The record of Caregiver #1 did not contain documentation that the caregiver has current certification in CPR.

2) During interview, Caregiver #1 acknowledged she does not have a current certification in CPR appropriate to the ages of children in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-D-2
Based on a review of one caregiver?s record and interview, the vendor did not have current certification in in first aid appropriate to the ages of children in care. However, a caregiver who is a registered nurse or licensed practical nurse with a current license from the Board of Nursing shall not be required to obtain first aid certification.

Evidence: 1) The record of Caregiver #1 did not contain documentation that the caregiver has current certification in first aid.

2) During interview, Caregiver #1 acknowledged she does not have a current certification in first aid appropriate to the ages of children in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-F
Based on a review of one caregiver?s record and interview, the vendor did not complete the department?s health and safety update course annually.

Evidence: 1) The health and safety update course in the record of Caregiver #1 was completed on 07/28/23.

2) During interview, Caregiver #1 reported she did not have documentation that the health and safety update course was taken prior to 07/28/23. The family day home was approved as a subsidy vendor 11/30/21, therefore, the course should have been completed no later than 11/30/22.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-260-C-2
Based on observations, the vendor did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

Evidence: During the inspection, the inspector observed four electrical outlets without protective covers. Two 2-year-old children were observed playing near the electrical outlets.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services