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Angela Ferebee

Inspection · 2022-11-09

Date
2022-11-09
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
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 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
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced monitoring inspection was conducted on November 9, 2022. This was the 60 day inspection as it is currently a conditional license. The inspector arrived at 11am and departed at approximately 12:50pm. Present in the home were 5 children, totaling 12 points, and one provider. Children and staff interactions were observed throughout the entire inspection. Children were observed during handwriting, free play, handwashing, and lunch. First Aid kits and emergency preparedness documents were observed. A sample size of five children's records were reviewed. It was reported that no medication has been administered to children in care and no children's injuries were reported. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the family day home and were reviewed with the provider at the exit interview.

Violations

4
Standard 8VAC20-800-100-A
Based on record review and interview, it was determined that the provider did not ensure that they 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:
1. Child #3 (date of enrollment 6/20/2022) did not have documentation of a physical examination in his record.
2. Staff #1 confirmed that there was no physical examination to Child #3?s record.
Plan of Correction: The provider responded with the following: Staff #1 will obtain the Child #3?s physical examination and place the documentation to his record.
Standard 8VAC20-800-350-E
Based on observation and interview, the provider did not ensure that the hot water at taps available to children shall be maintained within a range of 105?F to 120?F.
Evidence:
1. The sink in the children?s bathroom has a water temperature reading of 126 degrees which is above the range.
2. Staff #1 observed the temperature reading of 126 degrees and confirmed it was above the required range.
Plan of Correction: The provider responded with the following: During the inspection, Staff #1 turned down the water heater temperature and will re-measure the water temperature in the morning. Staff #1 will ensure that the water temperature is in appropriate range.
Standard 8VAC20-800-60-B
Based on record review and interview, it was determined that the provider did not ensure that a child's record contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.
Evidence:
1. Two of the five children?s records observed did not have the addresses of two emergency contacts if the parent cannot be reached.
a. Child #1 (date of enrollment 4/18/22) did not have the addresses for their emergency contacts.
b. Child #2 (date of enrollment 4/18/22) did not have the addresses for their emergency contacts.
2. Staff #1 confirmed that Child #1 and Child #2 did not have the addresses for their emergency contacts to their record.
Plan of Correction: The provider responded with the following: Staff #1 will obtain the emergency contacts for both Child #1 and Child #2 and place it to the children?s records.
Standard 8VAC20-800-830-C
Based on record review and interview, it was determined that the provider did not ensure that documentation be maintained of emergency evacuation and shelter-in- place drills.
Evidence:
1. The family day home did not have documentation of the completed emergency evacuation drills and shelter-in-place drills.
2. Staff #1 confirmed that the emergency evacuation and shelter-in-place drills were not documented.
Plan of Correction: The provider responded with the following: The drills were practiced by not documented on the model form. Moving forward, all drills will be documented monthly.
View original record on Virginia Department of Social Services