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Davida Cole

Inspection · 2024-08-16

Date
2024-08-16
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
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 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 8/16/2024 and completed on 8/16/2024. The on-site inspection began at 9:50am and ended at 11:15am. The inspector reviewed compliance in the areas listed above. There were 6 children present and 2 staff. The inspector reviewed 4 children?s records and 2 staff records on-site. This inspection included document review tour of the facility, interviews 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 9/2/2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-B-4
Based on review of 2 caregiver records and staff interview, the provider did not obtain an out-of-state sex offender registry search and out-of-state child abuse and neglect search for each employee that has resided outside of the state of Virginia within the last 5 years.

Evidence: Caregiver A sworn disclosure statement documents that they have resided in Maryland within the last five years. Provider confirmed that they have not completed a Maryland sex offender registry search or Maryland child abuse and neglect search for Caregiver A.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Based on documentation review of 4 children?s, 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: There was no documentation of a physical examination observed for Child A ( Start Date: 8/21/2023).
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-A
Based on review of 2 Caregiver records and interview with the Provider, the Provider did not ensure they maintain a complete record for each caregiver.

Evidence: The file that was observed for Caregiver A did not have documentation of Caregiver A?s Job title, date of employment or volunteering, name address and telephone number of a person to be notified in an emergency and that two or more references were checked prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-C
Based on request and staff interview, provider did not have documentation of the orientation signed and dated by the provider and substitute provider or by the provider and assistant.

Evidence: Caregiver A (Start Date: 6/16/2024) did not have signed and dated documentation that they completed orientation. Provider stated orientation was given verbally but not documented.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Based on staff interview and documentation review, provider did not ensure caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Evidence: The provider only had documentation for 3 out of 16 hours completed for annual training. Provider stated the other 13 hours were not completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on review of 4 children?s records, the provider did not obtain all of the required documentation for child records.
Evidence:
1. The record for Child B did not contain the name, phone number and address for 1 emergency contact.
2. The record for Child C did not contain documentation of the review of the child?s emergency contact information annually. The last recorded documentation of the review of the child?s emergency contact information was on 7/23/2023.
3. The record for Child D did not contain documentation of the review of the child?s emergency contact information annually. The last recorded documentation of the review of the child?s emergency contact information was on 3/13/2023.
4. The record for Child A, did not contain documentation of address and telephone number of each custodial parent?s place of employment,
5. The record for Child A, did not contain the review of the child?s emergency contact information annually. The last recorded documentation of the review of the child?s emergency contact information was on 8/20/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-A
Based on documentation request and staff interview, the family day home did not have a written emergency preparedness and response.

Evidence: An emergency preparedness plan was not observed, the provider confirmed that she did not have it and needed to complete a new one.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services