Inspection · 2023-03-14
Licensing Inspector
Cindy Horne
(804) 297-4469
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
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
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 60 day follow up inspection was conducted on March 14, 2023 from approximately 11:30 am to 12:45 pm. There were 5 children in attendance. 1 provider record, and 6 children?s records were reviewed. All areas of the home were observed and areas where the children are cared for were inspected.
Interviews were held with the provider throughout the inspection. The designated areas for childcare were deemed appropriate and are equipped with age appropriate toys to meet the needs of the children. Children were observed taking a nap, playing in the playroom, listening to music, and eating lunch, while the licensing inspector was at the home.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today, 03/28/2023. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).
Standard 8VAC20-800-280
Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as cleaning agents, are stored away in areas inaccessible to children. Evidence: There was an aerosol can of ?Pledge Dust Spray?
labeled ?Caution? and ?Keep out of reach of Children? on the back of the toilet in the bathroom. The children were observed going into the bathroom unattended.
Plan of Correction: Per the provider "the cleaning supplies are put back in the washroom and not in reach of the children."
Standard 8VAC20-800-290
Based on observation, and interview, the provider failed to ensure that sharp kitchen utensils and other sharp objects are inaccessible to children. Evidence: There was a knife holder containing knives on the kitchen counter. The provider acknowledged that the knives were on the counter and needed to be stored away.
Plan of Correction: Per the provider "all sharp objects are not down to where the children can reach them."
Standard 8VAC20-800-30-A
Based on observation, documentation review, and interview, the provider failed to ensure compliance with the terms of the current license. Evidence: The current license states that the capacity is 5 children. Documentation and records review indicated that child #5, date of enrollment 03/06/23, and a sibling of child #3, child #4, and child #6, regularly attends. The provider stated that child #5 was absent that day. The provider acknowledged that there were several days that there were more than 5 children in attendance.
Plan of Correction: Per the provider "as for the extra child I am now down to only 5."
Standard 8VAC20-800-340-C
Based on observation, and interview, the provider failed to ensure that the bathroom contains paper towels. Evidence: The bathroom that the children use did not contain paper towels. The children were observed washing their hands in the bathroom. The provider acknowledged that the bathroom did not contain paper towels.
Plan of Correction: Per the provider "I had just run out of paper towels in the bathroom that day. But I now keep extra on the top shelf in the bathroom that the children use."
Standard 8VAC20-800-510-A
Based on observation, and interview, the provider did not provide each child with an individual crib, cot, rest mat, or bed for resting or napping. Evidence: Child #4, and child #6, were observed sleeping on a blanket on the living room floor. When asked, the provider stated that she did not have enough rest mats for the two sleeping children.
Plan of Correction: Per the provider "as for the sleeping mats I ordered more so now everyone has one."
Standard 8VAC20-800-680-B
Based on observation, the provider did not ensure that children?s hands are washed before eating. Evidence: Child #4, and child #6, were sleeping in the living room. When they woke up the provider took them and placed them in chairs in the kitchen and fed them lunch. The provider did not ensure that their hands were washed prior to eating.
Plan of Correction: Per the provider "I make sure that everyone's hands are washed before meals, and after meals along with any other times."