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Rashida Barnes

Inspection · 2024-05-28

Date
2024-05-28
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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 House
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
8VAC20-770 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

The licensing inspector conducted an unannounced renewal inspection on Tuesday, May 28, 2024, to determine the provider's compliance with licensing standards. The inspector was on site from10:10am to approximately 12:30pm. During the inspection, there were a total of 12 children in care, totaling 35 points, in the direct care of three caregivers. Upon arrival, the children were observed in their designated areas of the family day home. All areas used for childcare were inspected. The family day home has age and stage appropriate materials and supplies. The caregivers were observed having positive interactions with the children in care. The first aid kit and non-emergency supplies were inspected and found complete. Per the provider, there are no pets in the home, transportation is not provided, and medication is not administered. Three caregivers' records and five children's records were reviewed. 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.

Violations

6
Standard 8VAC20-800-30-A
Based on observations, a review of documentation and interviews, the provider did not ensure compliance with these standards and the terms of the current license issued by the department.

Evidence: 1) The record of Child #4 indicates the child is five-months-old and began attending the family day home on 04/17/24, when the child was four-months-old. Child #4 was observed in care during the inspection on 05/28/24.

2) A review of the terms of the license indicates the family day home may serve children between the ages of 0years, 6 months through 12 years, 11 months.

3) During interview, Caregiver #1 acknowledged Child #4's age does not meet the terms of the current license.
Plan of Correction: The provider stated the child will no longer attend the family day home. To ensure future compliance, the provider will request for a change on the terms of the license to serve children younger than six months.
Standard 8VAC20-800-350-E
Based on the water temperature taken and interviews, the hot water taps available to children were not maintained within the range of 105 degrees F and 120 degrees F.

Evidence: 1) On 05/28/24, the inspector tested the hot water tap in the main bathroom sink used by children. The water registered 126 degrees F. 2) The inspector tested the hot water tap in the kitchen sink that is also used by children. The water registered 127 degrees F.

2) During interview, Caregiver #1 acknowledged the hot water temperature was not maintained within the required range.
Plan of Correction: The provider will contact the landlord to ensure the water temperature does not exceed the requirement.
Standard 8VAC20-800-530-B
Based on observations and interviews, the provider did not ensure cribs when being used by infants shall have a tight-fitting bottom cover.

Evidence: On 05/28/24, the inspector observed two occupied cribs that did not have a tight-fitting bottom cover.

During interview, Caregiver #1 acknowledged she did not have bottom covers for the cribs.
Plan of Correction: The provider will purchase tight-fitted bottom covers for the cribs.
Standard 8VAC20-800-570-A
Based on observations and interviews, the provider did not ensure that a caregiver does not exceed 16 points.

Evidence: On 05/28/24, from 10:10am to approximately 10:35am, the inspector observed 12 children, totaling 35 points, in the care of two caregivers. A third caregiver arrived at the family day home at approximately 10:35am.

During interview, Caregiver #1 acknowledged each caregiver exceeded 16 points until the third caregiver arrived.
Plan of Correction: Corrected. The provider will be mindful of each point assigned to each child to ensure each caregiver does not exceed 16 points each.
Standard 8VAC20-800-890
Based on observations and interviews, the provider did not ensure that when food is brought from home, the food container shall be clearly labeled in a way that identifies the owner.

Evidence: On 05/28/24, the inspector observed three lunch boxes that belonged to children in care. The lunch boxes were not labeled in a way that identified the owner.

During interviews, Caregiver #1 acknowledged the lunch boxes were not labeled.
Plan of Correction: Corrected during the inspection. The lunch boxes will be labeled moving forward.
Standard 8VAC20-800-960-E
Based on observations and interviews, the provider did not ensure that bottles shall be refrigerated and labeled with the child's full name and the date, if more than one infant is in care.

Evidence: On 05/28/24, the inspector observed infant bottles that were not labeled with children's full name and the date.

During interview, Caregiver #1 acknowledged the bottles were not labeled and confirmed there were four infants in care during the inspection.
Plan of Correction: Corrected during the inspection. The bottles will be labeled moving forward.
View original record on Virginia Department of Social Services