Inspection · 2022-03-17
Date
2022-03-17
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
(757) 404-2601
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
22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes
22VAC40-665 General qualifications
22VAC40-665 Building or home maintenance.
22VAC40-665 Supervision and ratio requirements
22VAC40-665 Programs
22VAC40-665 Special Care Provisions & Emergencies
22VAC40-665 Special Services
Inspector Notes
An initial subsidy inspection was initiated on March 17th and concluded on March 18, 2022. There were three children in care ranging in age from 12 months through four years old. There were a total of seven points present with the vendor on March 17th. Violations were observed, discussed with the vendor and appear on violation notice.
Violations
7Standard 22VAC4-665-340-I
Based on observation the vendor failed to ensure that children under two years of age do not have pillows and filled comforters.
Evidence:
Child 1 was observed sleeping with a pillow and several blankets piled up to create a soft sleep space.
Evidence:
Child 1 was observed sleeping with a pillow and several blankets piled up to create a soft sleep space.
Plan of Correction: The children were sleeping on soft blankets with pillows provided by parents but I will change to sleeping mats for children under the age of 2. Parents we?re notified and mats are in place. Pillows will not be in use as of 3/18/3022.
Standard 22VAC40-665-250-A
Based on observation the vendor failed to ensure that potentially poisonous substances are stored in areas inaccessible to children.
Evidence:
In the bathroom used by children in care, in an unlock and accessible cabinet under the sink, there are more than 15 containers of household cleaners, health and beauty aids.
Evidence:
In the bathroom used by children in care, in an unlock and accessible cabinet under the sink, there are more than 15 containers of household cleaners, health and beauty aids.
Plan of Correction: stated to the inspector that I am in sight and sound of the three children in care while children are in restroom but I have secured the restroom cabinet doors with child proof locks . Was fixed on 3/20/ 2022.
Standard 22VAC40-665-370-A-3
Based on observation the vendor failed to ensure that caregivers hands are washed before and after each diaper change.
Evidence:
1, The vendor did not wash her hands before or after changing the diaper of child 1.
2. The provider stated that she put gloves on first.
Evidence:
1, The vendor did not wash her hands before or after changing the diaper of child 1.
2. The provider stated that she put gloves on first.
Plan of Correction: Before putting on gloves I will make sure to wash my hands before I put them on. I did take the other children to the restroom and wash my hands there . I will make sure hand washing procedures are done according to what the inspectors instructions. I know it is critical to keeping my hands clean while caring for the children to prevent any illness or the spread of germs. I do know the importance of keeping our hands clean. This was corrected as of 3/ 17/ 2022.
Standard 22VAC40-665-370-E
Based on observation the vendor failed to ensure that diapers are changed on a nonabsorbent surface.
Evidence:
The vendor was observed changing the diaper of child 1 on the bedding the child had been napping on and under.
Evidence:
The vendor was observed changing the diaper of child 1 on the bedding the child had been napping on and under.
Plan of Correction: As of 3/20/3022, I ordered an Non- Absorbent diaper mat from Amazon , for the changing of babies in my care. I will make sure I sanitize it after each use. This make perfect sense to put the children on non absorbent mats for cleaning. This was corrected as of 03/20/2022.
Standard 22VAC40-665-390-B-2
Based on observation the vendor failed to ensure that there was a working battery operated radio.
Evidence:
There was a battery operated radio available in the home during the inspection.
Evidence:
There was a battery operated radio available in the home during the inspection.
Plan of Correction: I never thought of the importance of having a battery operated radio , because I have many blue tooth radios. but it makes perfect sense, thanks for explaining it to me. I did have a battery operated radio, just couldn?t locate it at the time , but I will make sure it stays in sight. This was corrected as of 3/22/2022.
Standard 22VAC40-665-400-A
Based on observation the vendor did not have a written emergency preparedness plan as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-230-A
Based on record review the vendor failed to obtain documentation of immunizations before the child may attend the family day home.
Evidence:
Child 1 was present for care. However, there was not any documentation of immunizations on file for the child.
Evidence:
Child 1 was present for care. However, there was not any documentation of immunizations on file for the child.
Plan of Correction: I have corrected the immunization record for the child in question . It is now in her file. It was given to me on 3/19/ 2022