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Helena Narisson

Inspection · 2022-06-15

Date
2022-06-15
Complaint Related
No
Licensing Inspector
Margaret Allworth
(703) 209-3521
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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks

Inspector Notes

A 2 month monitoring inspection was initiated with another inspector on 6/15/2022 and concluded on 6/15/2022. There were no children except the providers own child in attendance. The provider states she has 3 children that come after school. The provider has not maintained a record for any of the 3 children. The provider showed the inspectors a record of attendance that show 3 children attending in the evening around 5:00 pm- 8:00 pm on several days in April, May and June.
The inspectors observed a bed in the room off of the kitchen, the provider stated she has a friend that is staying with her for a few months. The friends luggage and clothes were observed in the providers bedroom, an air mattress was on the floor in the providers bedroom. The provider said the friend arrived in May and was not sure how long she was staying, the provider gave the friend's first name but did know the friend's last name. Discussed obtaining background checks and TB screening for the friend if they will be staying long term.
Several repeat violations were cited. The provider did not show willingness to comply with the standards and law. The inspector discussed the importance of being in compliance with the standards and discussed other means of caring for children if the provider can not maintain compliance.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please contact me if you have any questions at Margaret.allworth@doe.virginia.gov or 703-209-3521.

Violations

11
Standard 8VAC20-800-100-A
Based on provider interview, the provider failed to obtain documentation of a physical examination within 30 days after the first day of attendance.
Evidence: There was no child record maintained. The provider stated that she did not obtain the physical examination for the 3 children enrolled in the program. Child #1, date of first attendance 4/18, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.
Plan of Correction: The provider will get the physical examination record from the parent.
Standard 8VAC20-800-240-A
Based on observation and provider interview, areas and furnishings of the family day home, inside, are not maintained in a clean, safe, and operable condition.
Evidence: An elliptical machine was observed in the corner of the play area, a child could very easily pull the elliptical on themselves.
Plan of Correction: The provider will move the elliptical out of the room used as the play area for childcare children.
Standard 8VAC20-800-280
Based on observation and provider interview, potentially poisonous substances, materials and supplies such as, cleaning agents, disinfectants, deodorizers, pesticides were not stored inaccessible to children
Evidence: Deodorizer spray was observed on the back of the toilet in the hallway bathroom.
Drain cleaner was observed on the floor in the hallway bathroom. These were accessible to children.
Plan of Correction: The provider will keep all chemicals and cleaners locked.
Standard 8VAC20-800-330-A
Based on observation and provider interview, a landline telephone, excluding a cordless or cell phone, was not operable, and accessible during the family day home's hours of operation.
Evidence: The provider purchased a landline phone, the phone was not operable. The phone was plugged into a wall jack but did not have a dial tone.
Plan of Correction: The provider will contact to a service that will provide a operable landline phone.
Standard 8VAC20-800-60-A
Based on record review and provider interview, the provider failed to maintain an up-to-date record at the family day home for each enrolled child.
Evidence: The attendance sheet showed that child #1 attended the daycare on 4/18, 4/29, 5/13, and 6/03
Child #2 attended the daycare on 4/22, 5/26, and 5/27.
Child #3 attended the daycare on 4/22, 5/26, and 5/27
There was no record maintained for child #1, #2 or #3.
Plan of Correction: Provider will have the parent complete the form.
Standard 8VAC20-800-70-A
Based on record review and provider interview, the provider failed to provided to parents in writing the information for parents to include; policies for medication administration, whether or not there is liability insurance, provisions of the emergency preparedness and response plan, requirements for the daycare to notify parents when the child becomes ill and requirements for the parent to inform the family day home within 24 hours of any reportable communicable disease.
Evidence: There was no child record maintained. The information for parents form was not completed for child #1, date of first attendance 4/8/2022, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.
Plan of Correction: Provider will have the parent complete the form.
Standard 8VAC20-800-80-A
Based on provider interview, the provider failed to obtain from the parents within seven business days of the child's first day of attendance at the family day home, proof of age and identity of each child.
Evidence: There was no child record maintained. The provider stated that she did not ask the parents for the proof of identity for the 3 children. Child #1, date of first attendance 4/18, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.
Plan of Correction: Provider will review the proof of identity and document the information on the form.
Standard 8VAC20-800-830-A
Based on provider interview, he emergency evacuation procedures have not been practiced monthly with all caregivers and children in care during all shifts that children are in care.
Evidence: There was no documentation of fire emergency drills. According to the attendance, children were in care the following dates; 4/18, 4/22, 5/13, 5/26, 5/27, 6/03.
The provider stated that she did not conduct drills with the childcare children.
Plan of Correction: The provider will conduct monthly drills and document on the emergency drill form.
Standard 8VAC20-800-90-A
Based on provider interview, before a child may attend the family day home, the provider failed to obtain documentation that the child has been adequately immunized
Evidence: There was no child record maintained. The provider stated that she did not obtain the immunization record for the 3 children enrolled in the program. Child #1, date of first attendance 4/18, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.
Plan of Correction: The provider will get the immunization record from the parent.
Standard 8VAC20-820-120-E-1
Based on observation and provider interview, the provider has not posted the most recently issued license.
Evidence: The license was issued to the provider on 4/15/2022. The license was not posted. The provider stated that she did not post the license.
Plan of Correction: The provider will post the license
Standard 8VAC20-820-120-E-2
Based on observation and provider interview, the provider has not posted the most recent inspection of the facility.
Evidence: The most recent inspection was dated 4/12/2022. The violation notice issued on 4/12/2022 was not posted. The provider stated that she did not post the last inspection.
Plan of Correction: The provider will post the most recent inspection.
View original record on Virginia Department of Social Services