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Esther Babatunde

Inspection · 2024-09-18

Date
2024-09-18
Complaint Related
No
Licensing Inspector
Angela Farmer
(276) 608-2283
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on 9/18/2024. The on-site inspection began at 9:45 am and ended at 12:25 pm. The inspector reviewed compliance in the areas listed above. There were seven children present and one caregiver; the point total was 19. The inspector reviewed eight children?s records and three staff records on-site. This inspection included, document review, tour of the facility, and interviews.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 9/26/24. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Caregiver #3, who had been employed for a week and a half, did not have a completed national criminal background check.
Plan of Correction: Caregiver #3 completed her criminal background check today.
Standard 8VAC20-800-100-A
The provider shall 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.

The record for Child #2 & 4 was missing a physical examination. Child #4 has been in care for six months and child 2 & 4 was in care during the inspection.
Plan of Correction: The physical examination records for both child 2 and 4 have been received and kept on file.
Standard 8VAC20-800-200-A
The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

Caregiver #3 had not received the required orientation by the end of their first week of assuming job responsibilities.
Plan of Correction: Caregiver #3 completed her orientation during the first week of hire. Orientation form-filled and signed now on file.
Standard 8VAC20-800-200-C
Documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant.

There was no documentation in caregiver #3 file, regarding orientation.
Plan of Correction: Orientation documentation for caregiver #3 have been signed and dated and is now on file.
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points.

Caregiver #1 had a total of 19 points during the inspection on 9/18/2024.
Plan of Correction: Two full time caregivers on ground in the facility.
Standard 8VAC20-800-60-A
The provider shall maintain an up-to-date record at the family day home for each enrolled child.
Enrolled child #5 did not have a record at the family day home. Child #5, has been in care for one year.
Plan of Correction: This information for child 5 was kept in another folder at the time of inspection.
Standard 8VAC20-800-60-B
Children's records are required to contain two emergency contacts, first days of attendance, medication plan and liability insurance.
The record for Child #1 was missing the medication policy and liability insurance information. The child was present during the inspection and had been for nine months.
The record for Child #2 was missing two emergency contacts name and information, fist date of attendance and liability insurance information. The child was present during the inspection.
The record for Child #3 was missing the addresses for the emergency contacts listed and liability insurance information. The child was present during the inspection and had been in care for five months.
The record for Child #4 was missing the first day of attendance and insurance liability information.
Plan of Correction: Caregiver #1 have noted this, corrected the error by contacting the parent of child #1. The be sent by doctor. The two (2) emergency contacts for child #2 are now available on records. The day 1 attendance of the child was on record at the time of inspection (Sept 18, 2024). The missing information for child 3 and 4 are now on file. Child #3 was not on ground. He was at his primary school during inspection.
Standard 8VAC20-800-680-A
Caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

Caregiver #1, changed three diapers and did not wash hands after each change.
Plan of Correction: Points raised/noted here are noted. Instructions fully followed and corrected after.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water before eating and after toileting or diapering.

Caregiver #1, filled a wash basin container with soapy water and washed all of the children's hands before eating lunch.
Caregiver #1, did not wash children's hands after diapering.
Plan of Correction: All Caregivers have been informed about this and are now following this corrections to the letter.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each use.

Caregiver #1, changed three diapers, and did not clean and sanitize the diapering surface after each use.
Plan of Correction: Caregiver #1 noted the corrections and implemented them immediately.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

The record for Child # 2 & 4 was missing an immunization record. Child #4 has been in care for six months and was present during the inspection.
Plan of Correction: The immunization records for both child 2 and 4 have been received and kept on file.
View original record on Virginia Department of Social Services