Inspection · 2022-04-11
Date
2022-04-11
Complaint Related
No
Licensing Inspector
Whitney Mcgrath
(571) 835-4717
(571) 835-4717
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 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced renewal inspection was conducted today between 2:30pm and 4pm. There were 10 children present with 2 assistant for a total of 26 points within the supervision guidelines. The provider arrived at approximately 3pm. The children were observed doing puzzles, waking up from nap, eating snack and playing outside. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, attendance and emergency procedures were observed during this inspection. Violations were found during today's inspection and can be reviewed on the violation notice.
Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.
Violations
11Standard 22.1-289.035-B-2
Based on record review and interview, each caregiver has not submitted fingerprint results prior to the first day of employment.
Evidence: Caregiver #3's record does not contain fingerprint results. Caregiver #3 was observed working with the children during today's inspection.
Evidence: Caregiver #3's record does not contain fingerprint results. Caregiver #3 was observed working with the children during today's inspection.
Plan of Correction: Any employee will not be able to start until the process is complete. Caregiver #3 has their fingerprints now.
Standard 22.1-289.035-B-4
Based on record review and interview, the provider did not obtain an out-of-state sex offender registry search for each employee that has resided outside of the state of Virginia within the last 5 years.
Evidence: Caregiver #2's sworn disclosure statement documents that they have resided in Maryland within the last five years. The caregiver #2's record does not contain the results of a Maryland sex offender registry search. The provider confirmed that they have not completed a Maryland sex offender registry search for caregiver #2.
Evidence: Caregiver #2's sworn disclosure statement documents that they have resided in Maryland within the last five years. The caregiver #2's record does not contain the results of a Maryland sex offender registry search. The provider confirmed that they have not completed a Maryland sex offender registry search for caregiver #2.
Plan of Correction: I am attaching the checklist to each employee file to have better control. Caregiver #2 has Maryland sex offender.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance.
Evidence: Child #3 (date of enrollment: 1/21/2022) record does not contain a physical exam.
Evidence: Child #3 (date of enrollment: 1/21/2022) record does not contain a physical exam.
Plan of Correction: I already talked to all parents asking them to bring the last physical exams and also added this to my packet of forms.
Standard 8VAC20-800-120-B
Based on record review and interview, assistant records did not contain all required information.
Evidence: Caregiver #3's record does not contain two references or the name and phone number of someone to be contacted in case of an emergency.
Evidence: Caregiver #3's record does not contain two references or the name and phone number of someone to be contacted in case of an emergency.
Plan of Correction: I am working on it and creating a file where each employee has all necessary information.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances, such as cleaning agents, were not stored inaccessible to children.
Evidence: There is a cleaning disinfectant that is stored in a cup holder attached to the infant changing table. A child was observed having their diaper changed with the disinfectant attached to the table.
Evidence: There is a cleaning disinfectant that is stored in a cup holder attached to the infant changing table. A child was observed having their diaper changed with the disinfectant attached to the table.
Plan of Correction: We have already removed all the substances that children have access to.
Standard 8VAC20-800-30-A
Based on observation, the provider did not ensure compliance with the terms of the current license issued by the department and with relevant federal, state or local laws.
Evidence: The provider currently has a capacity to care for a maximum of 7 enrolled children at once. There were 10 children observed at the family day home during today's inspection.
Evidence: The provider currently has a capacity to care for a maximum of 7 enrolled children at once. There were 10 children observed at the family day home during today's inspection.
Plan of Correction: I am working very hard to be able to have my special permit with a capacity for 12. I will not accept more children.
Standard 8VAC20-800-60-A
Based on interview, the provider did not maintain a record for each enrolled child.
Evidence: The provider did not have a record for Child #4 and Child #5 during today's inspection.
Evidence: The provider did not have a record for Child #4 and Child #5 during today's inspection.
Plan of Correction: I have already asked the parents to fill out the forms and have a file.
Standard 8VAC20-800-680-B
Based on observation, hand washing requirements were not met.
Evidence: Children were observed waking up from nap, sitting down at the table and being served snack. The children's hands were not washed prior to eating.
Evidence: Children were observed waking up from nap, sitting down at the table and being served snack. The children's hands were not washed prior to eating.
Plan of Correction: I had a meeting with them to talk about what happened and they said they were nervous, but it's still not an excuse and it's important to wash hands.
Standard 8VAC20-800-70-A
Based on record review, parents were not provided with all required information before each child's first day of attendance.
Evidence: 5 out of 5 children's records do not contain documentation that the parents were informed of the providers medication policies and whether or not the provider has liability insurance.
Evidence: 5 out of 5 children's records do not contain documentation that the parents were informed of the providers medication policies and whether or not the provider has liability insurance.
Plan of Correction: I am creating a package that contains all the forms that are needed before starting the program.
Standard 8VAC20-800-800-A
Based on interview, the family day home does not have a written emergency preparedness and response plan.
Evidence: When asked for the providers emergency preparedness plan, the provider confirmed that they had not yet established a plan.
Evidence: When asked for the providers emergency preparedness plan, the provider confirmed that they had not yet established a plan.
Plan of Correction: I do have a plan that I gave to the parents and I did not keep it on file. Already sent to the parents the new form to keep this in each child's file.
Standard 8VAC20-800-920
Based on observation and interview, a menu was not available.
Evidence: The children were observed being served and eating an afternoon snack. The provider confirmed that they do not have an established weekly menu.
Evidence: The children were observed being served and eating an afternoon snack. The provider confirmed that they do not have an established weekly menu.
Plan of Correction: I created two different menus that are updated every week.