Inspection · 2024-04-09
Date
2024-04-09
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
(757) 404-2601
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
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect
Inspector Notes
A renewal inspection was conducted on April 9, 2024, from 2:15pm- 4:00pm. There were seven children present and one provider. The children ranged in age from two to four years old and counted for a total of 14 points. The inspector reviewed three children?s records, a pet?s record, one provider record, and a household member. Children were observed during play activities, music and movement, snack, handwashing and diapering. Required postings, emergency items, and emergency evacuation drills were also reviewed. The provider reports that children are transported and that there is not any medication being administered. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit meeting.
Violations
13Standard 8VAC20-800-240-A
Based on observation and interview the provider did not ensure that areas of the family day home are maintained in a safe condition.
Evidence:
1. A vertical plank on the wooden fence was broken, leaving an area of splitting, jagged edge accessible to children in care.
2. The provider confirmed that the vertical plank had an area of broken wood that was accessible to children.
Evidence:
1. A vertical plank on the wooden fence was broken, leaving an area of splitting, jagged edge accessible to children in care.
2. The provider confirmed that the vertical plank had an area of broken wood that was accessible to children.
Plan of Correction: the wooding fence is now fix with adding wood and drill in to cover the whole 4/11/24
Standard 8VAC20-800-390-A
Based on observation and interview the provider failed to ensure that each child has access to an individual location to keep belongings.
Evidence:
There was a pile of coats and items stacked near the front door of the home. As children left the provider retrieved children?s personal items from the pile.
Evidence:
There was a pile of coats and items stacked near the front door of the home. As children left the provider retrieved children?s personal items from the pile.
Plan of Correction: Children items are place in their own individual cubbyhole 4/10/2024
Standard 8VAC20-800-560-A
Based on observation the provider failed to ensure that a caregiver is physically present, provide direct care, supervise, and be near, aware, and responsible for each child in care.
Evidence:
1. Upon arrival the provider was outside the home getting car seats from the vehicle while seven children were inside the home alone.
a. The provider was the only caregiver present during the entire inspection.
2. Child #1 began to climb out the high chair. The high chair tripped and fell over with the child hanging from the side of the chair.
a. The provider was not present in the child care room when this occurred.
Evidence:
1. Upon arrival the provider was outside the home getting car seats from the vehicle while seven children were inside the home alone.
a. The provider was the only caregiver present during the entire inspection.
2. Child #1 began to climb out the high chair. The high chair tripped and fell over with the child hanging from the side of the chair.
a. The provider was not present in the child care room when this occurred.
Plan of Correction: Provider have instructed for parents to leave car seat on porch at arrival. Even With or without assistant present.
Provider will no longer be using highchairs. Minimum age in care 12 months no highchairs are needed at this age.
If no assistant that day. Provider will also prepare meals in the same area with children (kitchen) to be present with all children.
Provider will no longer be using highchairs. Minimum age in care 12 months no highchairs are needed at this age.
If no assistant that day. Provider will also prepare meals in the same area with children (kitchen) to be present with all children.
Standard 8VAC20-800-60-B
Based on record review the provider did not ensure children?s records contained all the required information.
Evidence:
1. The record for Child #1 did not contain one of two required emergency contacts information.
2. The record for Child #2 did not contain one parent work number, medical insurance number, one of two required emergency contacts or documentation of annual update.
3. The record for Child #3 did not contain the telephone number and address of the child?s physician or persons authorized to pick-up.
Evidence:
1. The record for Child #1 did not contain one of two required emergency contacts information.
2. The record for Child #2 did not contain one parent work number, medical insurance number, one of two required emergency contacts or documentation of annual update.
3. The record for Child #3 did not contain the telephone number and address of the child?s physician or persons authorized to pick-up.
Plan of Correction: Child #1 Parent add the 2nd emergency contact 4/15/24 Child#2 Parent add work Phone number and medical inc number, and annual update/sign records 4/18/24
Standard 8VAC20-800-680-B
Based on observation the provider failed to ensure that children wash their hands when their hands are dirty.
Evidence:
Children did not wash their hands after eating finger food for snack and were observed using their fingers to self-feed cling peaches during snack.
Evidence:
Children did not wash their hands after eating finger food for snack and were observed using their fingers to self-feed cling peaches during snack.
Plan of Correction: B Ensure to was each child Hands IMMEDIATELY after for at least 20 sec even if use if utensil 4/10/24
Standard 8VAC20-800-690-D
Based on observation the provider failed to ensure that the diapering surface is a nonabsorbent surface.
Evidence:
The provider used absorbent quilted under pads to change each child?s diaper on the floor of the bathroom.
Evidence:
The provider used absorbent quilted under pads to change each child?s diaper on the floor of the bathroom.
Plan of Correction: Provider have a washable changing pad, along with using a disposable absorbent pads. Which is place on top of the washable change padding.
Standard 8VAC20-800-70-A
Based on record review, the provider did not ensure that parents are provided all required written information before the child?s first day of attendance.
Evidence:
1. The record for Child #1 did not contain any documentation that any of the required written parent information was provided to the parent.
2. The record for Child #3 did not contain documentation of policies for medication administration.
Evidence:
1. The record for Child #1 did not contain any documentation that any of the required written parent information was provided to the parent.
2. The record for Child #3 did not contain documentation of policies for medication administration.
Plan of Correction: Child #1 now have a sign & dated parent info paper in child folder record along with copy given to parent. Child #2 parent info paper was in child folder records sign & dated 6/26/23
Standard 8VAC20-800-870-G
Based on observation the provider failed to ensure that tables and high chair trays are cleaned after each use.
Evidence:
The tables and high chair trays were not cleaned after p.m. snack. Immediately following the snack, children engaged in play activities on the tables. The tables and trays were never cleaned during the inspection.
Evidence:
The tables and high chair trays were not cleaned after p.m. snack. Immediately following the snack, children engaged in play activities on the tables. The tables and trays were never cleaned during the inspection.
Plan of Correction: Ensure cleaning table and trays IMMEDIATELY after each Feeding 4/10/24
Standard 8VAC20-800-880
Based on observation the provider failed to ensure that children were allowed second helpings of food listed in the child care food program patterns.
Evidence:
1. Children were offered one additional cling peach section when they finished their first helping and requested a second helping. A single cling peach section does not equal a helping in the child care food program patterns.
Evidence:
1. Children were offered one additional cling peach section when they finished their first helping and requested a second helping. A single cling peach section does not equal a helping in the child care food program patterns.
Plan of Correction: Ensure if serving second helping of snack it's equal amount of the first serving.4/10/2024
Standard 8VAC20-800-90-A
Based on record review the provider did not obtain required immunization documentation prior to the child?s first day of attendance.
Evidence:
1.Child #3 (enrollment date 4/4/24) did not have immunization documentation in their record.
a.The child was in care during the inspection.
Evidence:
1.Child #3 (enrollment date 4/4/24) did not have immunization documentation in their record.
a.The child was in care during the inspection.
Plan of Correction: A Ensure all documents are sign/Availability prior to first day attending daycare, child(ren) will not be allow to attend- also intensive screen will be in place prior to first day. This child was terminate by me at the end of the business day due to child needing one on one care
4/09/24
4/09/24
Standard 8VAC20-800-920
Based on observation and interview the provider did not ensure that when snacks are provided the menu list any substituted food.
Evidence:
1. The children were served pretzels and peaches for pm snack. However, the posted menu listed American cheese and wheat crackers for the pm snack.
2. The provider confirmed that the pm snack given was not listed as a substitution on the menu provided to parents.
Evidence:
1. The children were served pretzels and peaches for pm snack. However, the posted menu listed American cheese and wheat crackers for the pm snack.
2. The provider confirmed that the pm snack given was not listed as a substitution on the menu provided to parents.
Plan of Correction: If meals need to substitute provider will make changes prior to opening for the changes is visual for parent to see the changes.4/10/24
Standard 8VAC20-800-960-C
Based on observation the provider failed to ensure that high chairs are used for children under 12 months and the safety straps are fastened when in use.
Evidence:
1. Three two-year-old children were sitting in high chairs without the safety straps fastened.
a. The label on the back of the three high chairs used for children in care today clearly states ?stay near and watch child during use.?
Evidence:
1. Three two-year-old children were sitting in high chairs without the safety straps fastened.
a. The label on the back of the three high chairs used for children in care today clearly states ?stay near and watch child during use.?
Plan of Correction: Provider is requesting 12 months & up no highchairs are needed. Children 12 months & up will sit at age-appropriate chairs & tables. Provider is no longer using highchairs as of 4/10/24
Standard 8VAC20-800-980-A
Based on record review the provider failed to obtain general written permission to take children off the premises of the family day home.
Evidence:
1. The records for Child #2 and Child #3 did not contain written general permission to take children off the premises of the family day home.
2. The provider stated that she does transport children regularly.
Evidence:
1. The records for Child #2 and Child #3 did not contain written general permission to take children off the premises of the family day home.
2. The provider stated that she does transport children regularly.
Plan of Correction: Child # 3 Terminated, However going forward provider will perform intensive screening/ interview with parent & child (ren) to ensure I can provide the type of care parent is requesting, such as if child needing special care or any previous behavior problems. and to also ensure each document is sign and date and child records prior to first day, if all documentation is not available, I will refuse for child to enroll. For present child(ren) that are enroll I will check child(ren) records every 30 day to ensure documentation have not expire, such as of child physical & immunization and to update annal enroll if needed
Child # 2 general permission slip was in child folder records sign & dated 01/08/24
Child # 2 general permission slip was in child folder records sign & dated 01/08/24