Inspection · 2022-11-10
Licensing Inspector
Anansa Archer-Hicks
(703) 537-6757
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 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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 11/10/22 from 11:15am to 12:15pm with the provider. There were two children in care, a six-month-old and a two-year-old, for a total of six points. Children were observed resting and having tummy time, as well as watching an educational show and building a tower with blocks. Two child records and the provider record were reviewed. The provider has current certification in CPR and First Aid. The provider does not administer medication and she is aware that she must obtain certification in Medication Administration Training in order to do so. The emergency drill log, attendance, and menu were also reviewed. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.
Standard 8VAC20-800-100-A
Based on review of child records and interview with the provider, the provider did not obtain documentation of a physical examination by a physician within 30 days after the first day of attendance for one child. Evidence: The record for Child A, with a start date of 8/1/22, did not contain documentation of a physical.
Plan of Correction: The parent took the form because they were going to the child?s doctor a few days ago. I will remind the parent that I need the form when they return from their trip.
Standard 8VAC20-800-50-A
Based on interview with the provider, the provider did not keep a written record of children in attendance each day. Evidence: The provider reported that there was no documentation of attendance for 11/10/22.
Plan of Correction: I will make sure I keep attendance each day.
Standard 8VAC20-800-60-B
Based on review of child records and interview with the provider, the provider did not obtain all of the required documentation for child records. Evidence: 1. There was no record for Child C, who was in care during the inspection on 11/10/22. 2. The record for Child A did not contain the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached. 3. The record for Child B did not contain the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached; or written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction: I obtained the information and signature on 11/13/22 from Child B?s parents. Child A?s parent is now out of the country for one month and I will obtain the information when they return. Child C is a drop-in child and I will obtain required documents before they return.
Standard 8VAC20-800-80-A
Based on review of child records and interview with the provider, the provider did not obtain verification of the identity and age of each child from parents within seven business days of the child?s first day of attendance. Evidence: There was no verification of identity and age on record for Child A, with a start date of 8/1/22, or Child B, with a start date of 10/17/22.
Plan of Correction: I obtained verification for Child B on 11/13/22. I will obtain it for the other two children before they return to care.
Standard 8VAC20-800-90-A
Based on review of child records and interview with the provider, the provider did not obtain documentation that children had been adequately immunized before attending the family day home. Evidence: There were no immunizations on record for Child A, with a start date of 8/1/22; Child B, with a start date of 10/17/22; or Child C, with a start date of 11/10/22.
Plan of Correction: I will request this from the parents right away.