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Laura Marshall-Norris

Inspection · 2024-01-10

Date
2024-01-10
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
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

An unannounced monitoring inspection was conducted today from 9:08am-10:45am with the provider on site. There were 7 children (19 points) present with 2 caregivers. A sample of 4 children's files and 2 caregiver/household files were reviewed. The children were engaged in the following: playing with toys, washing hands, eating snack, sleeping and working on an Abeka work sheet. The site was organized and contained an abundant supply of developmentally appropriate materials. Interactions between the children and caregivers were positive. The physical space, attendance records, drill record and the Emergency Preparedness Plan were reviewed. There were no medications on site. Areas of non-compliance are identified in the violation notice.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use caregiver names; list caregivers by positions only.

Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website.

Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations

8
Standard 8VAC20-800-100-A
Based on review of four children's records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1. Child #2 (start date 10/02/2023) did not have documentation of a physical in the child's file.
Plan of Correction: Parent provided documentation, but was
misfiled. Folder undated
Standard 8VAC20-800-460-D
Based on observation and interview, the provider did not maintain documentation of the current rabies vaccination for a dog in the home.
Evidence:
1. The provider stated she did not have documentation of the current rabies vaccination for the dog observed in the kitchen with children. The provide stated the dog was too old to have the vaccine.
Plan of Correction: Due to inspection, the senior 2 Ib. toothless,
miniature Chihuahua comfort dog
had to pass through the kitchen
while children were present to go outside.
Otherwise, no contact with the children.
Vet appointment will be scheduled.
However, an allowable variance is being
requested due to age, size, and breed.
Standard 8VAC20-800-50-A
Based on review of attendance records, the family day home did not keep written record of children in attendance each day.
Evidence:
1. The provider had attendance records for last week and on the 8th, but did not have attendance records for January 9th or 10th, 2024.
Plan of Correction: Printer trouble delayed 2024 attendance
sheet Didgital records were in the
process of being transferred to hard
copy
Standard 8VAC20-800-60-B
Based on review of four children's records, the provider did not maintain complete children's records.
Evidence:
1. Child #1's(start date 1/23/2023) record was missing the physician's address, the medical insurance policy number and previous childcares.
2. Child #2's (start date 10/02/2023) record was missing one emergency contact address and telephone number, immunization record and physical.
3. Child #3's (start date 4/24/2023) record was missing proof of identity documentation.
'
Plan of Correction: Child #1 Folder updated 1-12-2024
Child #2 Folder updated 1-12-2024
Child #3 Folder updated 1-12-2024
Standard 8VAC20-800-70-B
Based on review of children's records, the provider did not obtain the parent's written acknowledgement of the receipt of the information of the provisions of the emergency plan.
Evidence:
1. Child's #4 (start date 8/21/2023) did not have the parent's written acknowledgement of the receipt of the information of the provisions of the emergency plan in the file.
Plan of Correction: Folder updated
Standard 8VAC20-800-80-C
Based on review of children's records, the provider did not document in the child's record the method of verification of the child's age and identity and the names and locations of the previous child care programs and schools the child attended.
Evidence:
1. Child #1 (start date 1/23/2023) did not have the names and locations of the previous child care programs and schools the child attended.
2. Child #3 (start date 4/24/2023) did not have all required information to verify the child's age and identity. The provider signed as viewing a document and documented the place and birth date, but did not identity which document was viewed and when it was viewed.
Plan of Correction: Child #1 No previous
Folder updated

Child #3 Folder updated
Standard 8VAC20-800-830-C
Based on review of drill records and interview, documentation was not maintained of emergency evacuation drills that included required information.
Evidence:
1. The evacuation drills were not recorded for May, June, September, October, November and December-2023. The provider stated the drills were practiced, but did not write them down and only wrote down the shelter in place drills or lock down drills that month.
Plan of Correction: Fire drill record was updated to include
12 drills, 2 shelter-in-place and 1 lock
down drill
Standard 8VAC20-800-90-A
Based on review of four children's records, the provider did not have immunization documentation that the child has been adequately immunized before the child attended the family day home.
Evidence:
1. Child #2 (start date 10/02/2023) did not have immunization documentation in the child's file.
Plan of Correction: Parent provided documentation, but was
misfiled. Folder updated
View original record on Virginia Department of Social Services