Inspection · 2023-04-25
Date
2023-04-25
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
(571) 835-0386
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
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 today from 9:22am-10:540am with the provider on site. There were 7 children with 3 caregivers. A sample of 2 children's files and 2 caregivers/household member's files were reviewed. The children were engaged in the following: toy play, eating snack. The site was clean. The physical space, menu and attendance records were reviewed. The four cribs were reviewed for compliance dates. Two were in compliance. There were no medications on site. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.
Violations
11Standard 8VAC20-800-120-B
Based on review of assistant's records, the provider did not have complete records.
Evidence:
1. Caregiver #2's records did not contain the following: Address, Verification of age, Job title, Date of employment, Name address and telephone number of a person to be notified in an
emergency; two or more references (only had one) as to character and reputation as well as competency were checked before employment. documentation of the education and training as required applicable education and programmatic experience and orientation,
2. Caregiver #3''s records did not contain the following: Address, Job title, Date of employment, Name address and telephone number of a person to be notified in an
emergency; documentation of the education and training as required and programmatic experience and orientation,
Evidence:
1. Caregiver #2's records did not contain the following: Address, Verification of age, Job title, Date of employment, Name address and telephone number of a person to be notified in an
emergency; two or more references (only had one) as to character and reputation as well as competency were checked before employment. documentation of the education and training as required applicable education and programmatic experience and orientation,
2. Caregiver #3''s records did not contain the following: Address, Job title, Date of employment, Name address and telephone number of a person to be notified in an
emergency; documentation of the education and training as required and programmatic experience and orientation,
Plan of Correction: To fix and fill out required documentations listed for each caregiver.
Standard 8VAC20-800-200-A
Based on review of caregiver records, the provider did not orient the assistants by the end of their first week of assuming job responsibilities.
Evidence:
1. Caregiver #2 and Caregiver #3 did not have documentation of completing orientation by their first week of employment. The provider stated they began February 2023.
Evidence:
1. Caregiver #2 and Caregiver #3 did not have documentation of completing orientation by their first week of employment. The provider stated they began February 2023.
Plan of Correction: Provide thorough orientation for each assistant/sub provider.
Standard 8VAC20-800-280
Based on observation, Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away inaccessible to children.
Evidence:
1. The provider had an air freshener spray on the bathroom sink that children use and had another air freshener and a poo pourri spray on the changing table within reach of children.
Evidence:
1. The provider had an air freshener spray on the bathroom sink that children use and had another air freshener and a poo pourri spray on the changing table within reach of children.
Plan of Correction: To safely store all hazardous products out of reach of children within child-locked cabinets.
Standard 8VAC20-800-750-A
Based on review, the provider did not meet all requirements when topical skin products are used.
Evidence:
1. The provider had 5 children's topical skin products, but did not have written parent authorization and one of the products was not labeled with the child's name.
Evidence:
1. The provider had 5 children's topical skin products, but did not have written parent authorization and one of the products was not labeled with the child's name.
Plan of Correction: Have written consent of parent/guardian and labeling all creams.
Standard 8VAC20-800-750-B
Based on observation, the provider had topical skin products that were accessible to children.
Evidence:
1. The provider had 5 topical skin products in containers under the diaper changing table that were accessible to children.
Evidence:
1. The provider had 5 topical skin products in containers under the diaper changing table that were accessible to children.
Plan of Correction: Safely store all products in a locked cabinet.
Standard 8VAC20-800-790
Based on observation, the provider did not have posted the responsible person for emergency backup care as required which Includes provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.
Evidence:
1. The provider did not have the emergency backup care person posted with their name, address and phone number.
Evidence:
1. The provider did not have the emergency backup care person posted with their name, address and phone number.
Plan of Correction: Post up the emergency backup contact's info.
Standard 8VAC20-800-80-A
Based on review of children's records, the provider did not obtain verification of the identity and age of the child; and Name and location of previous day care programs and schools the child has attended.
Evidence:
1. Child #1 and Child #2 both had start dates listed 2/15/2023 and the provider did not have documentation that the identity of the children had been verified and did not document the previous day care programs.
Evidence:
1. Child #1 and Child #2 both had start dates listed 2/15/2023 and the provider did not have documentation that the identity of the children had been verified and did not document the previous day care programs.
Plan of Correction: Ask all the child(ren)'s parent/guardian to provide missing information.
Standard 8VAC20-800-800-C
Based on review of caregiver records, the provider did not ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities.
Evidence:
1. Caregiver #2 and Caregiver #3 did not have documentation that they received emergency training.
Evidence:
1. Caregiver #2 and Caregiver #3 did not have documentation that they received emergency training.
Plan of Correction: To receive all emergency procedure training.
Standard 8VAC20-800-830-A
Based on interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children.
Evidence:
1. The provider stated they could not find the drill record.
Evidence:
1. The provider stated they could not find the drill record.
Plan of Correction: Preparing to practice drills the upcoming week.
Standard 8VAC20-800-880
Based on review of the menu, the family day home provides meals and snacks and did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
Evidence:
1. The Thursday lunch menu lists: macaroni and cheese, apple slices and milk and did not meet the USDA requirements.
Evidence:
1. The Thursday lunch menu lists: macaroni and cheese, apple slices and milk and did not meet the USDA requirements.
Plan of Correction: Modify Thursdays lunch menu to meet USDA requirements.
Standard 8VAC20-820-120-E-2
Based on observation, the findings of the most recent inspection of the facility was not posted.
Evidence:
1. The summary dated 1/12/2023 from the initial inspection was not posted for others to view.
Evidence:
1. The summary dated 1/12/2023 from the initial inspection was not posted for others to view.
Plan of Correction: Post recent inspection summary.