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Laura Marshall-Norris

Inspection · 2024-08-12

Date
2024-08-12
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
8VAC20-800 Transportation
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, on-site renewal inspection was initiated and completed on 8/12/2024. The on-site inspection began at 9:55am and ended at 11:25am. The inspector reviewed compliance in the areas listed above. There were (7) children present and (2) caregivers; the point total was (18). The inspector reviewed (7) children?s records and (2) caregiver records on-site on 8/12/2024. This inspection included document review, policies and procedures, emergency drill logs, emergency plan, tour of the facility and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/19/2024. A POC submitted after this date will not appear on the public website

Violations

7
Standard 22.1-289.011-F
Based on observation, the violation notice from the last inspection was not posted in a conspicuous place on the licensed premises.
Evidence:
1. The provider had the summary report from the 1/10/2024 inspection, but did not have the violation notice posted.
Plan of Correction: Violation notice was being review and was reposted.
Standard 8VAC20-800-210-A
Based on interview, two caregivers did not obtain a minimum of sixteen clock hours of training annually.
Evidence:
1. The provider stated that both caregiver #1 and caregiver #2 had not completed the 16 hours of training.
Plan of Correction: Training in progress.
Standard 8VAC20-800-240-A
Based on observation, areas of the family day home inside were not maintained in a safe condition.
Evidence:
1. The paint/drywall was chipping in the kitchen near the entry way door.
Plan of Correction: The two areas that were worn away from daily use of safety gate will be repaired.
Standard 8VAC20-800-570-A
Based on observation, the provider did not ensure that a caregiver did not exceed 16 points by using the point system to determine if an additional caregiver is needed.
Evidence:
1. The caregiver had 18 points from approximately 10:00am to 10:10am until one child left at approximately 10:10am.
Plan of Correction: Parent and Assistant will be reminded to arrive by 10:00am.
Standard 8VAC20-800-60-B
Repeat Violation
Based on review of seven children's records, the provider did not maintain complete children's records.
Evidence:
1. Child 1's file. was missing one emergency contact name, address and phone number.
2. Child #3's file was missing documentation of the review of the child's emergency contact information annually.
3. Child #4's file was missing the names and addresses of previously attended child day care and schools.
4. Child #5's file was missing the policy number of the child's medical insurance.
Plan of Correction: #1 child record has been updated.
#3 child record has been updated.
#4 No previous school was noted.
#5 Now has insurance and form has been updated.
Standard 8VAC20-800-80-C
Repeat Violation
Based on review of children's records, the provider did not document in the child's record
the names and locations of the previous child care programs and schools the
child attended.
Evidence:
1. Child #4 (start date 4/04/2022) did not have the names and locations of the
previous child care programs and schools the child attended.
Plan of Correction: #4 No previous school was noted.
Standard 8VAC20-800-800-B
Based on review, the provider did not review the emergency plan at least annually and
update the plan as needed and document in writing each review and update to the
emergency plan.
Evidence:
1. The provider's emergency plan was last updated on 6/30/2023.
Plan of Correction: Emergency plan has been updated.
View original record on Virginia Department of Social Services