Inspection · 2024-05-29
Date
2024-05-29
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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
8VAC20-770 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 renewal inspection was initiated on 05/29/2024 at 10:30 am and completed on 05/29/2024 at 12:55 pm.
At the time of entrance there were 9 children in care with three caregivers. The ages of the children counted for a total of 25 points. Children were observed playing in the child care room. Lunch and infant napping was additionally reviewed. The inspector reviewed the entire home to include the backyard play area. Records were reviewed for four caregivers and 7 children in care.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the family day home. These violations were reviewed with the provider at the conclusion of the inspection.
Violations
12Standard 22.1-289.011-F
Repeat Violation
Based on observation, the provider failed to ensure that the findings of the most recent inspection of the home were posted in a conspicuous place on the licensed premises.
Evidence:
1. The findings from the most recent inspection, conducted on 01/29/2024, were not posted.
2. The provider confirmed that she had not posted the most recent inspection documents.
Based on observation, the provider failed to ensure that the findings of the most recent inspection of the home were posted in a conspicuous place on the licensed premises.
Evidence:
1. The findings from the most recent inspection, conducted on 01/29/2024, were not posted.
2. The provider confirmed that she had not posted the most recent inspection documents.
Plan of Correction: The most recent inspection documents will be posted.
Standard 8VAC20-800-170-A
Based on record review and interview, the provider failed to obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.
Evidence:
1. The results of a TB screening was not on file for caregiver 1 who has a hire date of 05/13/2024.
a. Caregiver 1 was observed caring for children in the FDH during the inspection.
2. The provider confirmed that the results of a TB screening was not on file for caregiver 1.
Evidence:
1. The results of a TB screening was not on file for caregiver 1 who has a hire date of 05/13/2024.
a. Caregiver 1 was observed caring for children in the FDH during the inspection.
2. The provider confirmed that the results of a TB screening was not on file for caregiver 1.
Plan of Correction: The provider stated that a TB test had been completed and that caregiver 1 would obtain the results within 48 hours.
Standard 8VAC20-800-200-A
Based on record review, the provider failed to orient the assistant by the end of their first week of assuming job responsibilities.
Evidence:
1. There was no documentation that caregiver 1, hire date 05/13/2024, had received orientation training with all of the information outlined in 8VAC20-800-200.B.
2. The provider confirmed that caregiver 1 had not been provided with the required orientation training.
Evidence:
1. There was no documentation that caregiver 1, hire date 05/13/2024, had received orientation training with all of the information outlined in 8VAC20-800-200.B.
2. The provider confirmed that caregiver 1 had not been provided with the required orientation training.
Plan of Correction: The provider stated the caregiver 1 would be provided with orientation training.
Standard 8VAC20-800-280
Repeat Violation
Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, shall be stored away from food in areas inaccessible to children.
Evidence:
1. An 80-count container of sanitizing wipes were observed in an unlocked cabinet in the children's bathroom.
a. The location of the cabinet doors were within easy reach for the height and ages of most of the children in care.
b. The manufacturer label for this product indicated the contents as hazardous.
Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, shall be stored away from food in areas inaccessible to children.
Evidence:
1. An 80-count container of sanitizing wipes were observed in an unlocked cabinet in the children's bathroom.
a. The location of the cabinet doors were within easy reach for the height and ages of most of the children in care.
b. The manufacturer label for this product indicated the contents as hazardous.
Plan of Correction: The sanitizing wipes were locked up during the inspection.
Standard 8VAC20-800-540-A
Based on observation, the provider failed to ensure that Infant carrier seats shall be used according to the manufacturer's instructions.
Evidence:
1. When the inspector arrived at approximately 10:30 am child 4, age 5 months, was observed asleep in an infant carrier seat which had been placed inside of a crib.
2. The manufacturer's instructions for infant carrier seats recommend use for transportation purposes only and not as a sleeping space.
a. Placement of an occupied infant seat inside of a crib is a toppling hazard and increases risk of SIDS.
Evidence:
1. When the inspector arrived at approximately 10:30 am child 4, age 5 months, was observed asleep in an infant carrier seat which had been placed inside of a crib.
2. The manufacturer's instructions for infant carrier seats recommend use for transportation purposes only and not as a sleeping space.
a. Placement of an occupied infant seat inside of a crib is a toppling hazard and increases risk of SIDS.
Plan of Correction: The provider stated that sleeping infants will no longer be placed in crib while in an infant carrier seat. The child was removed from the carrier seat during the inspection and placed in the crib.
Standard 8VAC20-800-540-B
Based on observation, the provider failed to ensure that infant walkers shall not be used.
Evidence:
1. The inspector observed child 3, age 22 months, in an infant walker at approximately 11:40 am.
2. The caregivers present stated they were not aware that infant walkers were not allowed for use by children in the FDH.
Evidence:
1. The inspector observed child 3, age 22 months, in an infant walker at approximately 11:40 am.
2. The caregivers present stated they were not aware that infant walkers were not allowed for use by children in the FDH.
Plan of Correction: The infant walker was removed during the inspection.
Standard 8VAC20-800-60-A
Repeat Violation
Based on record review and interview, the provider failed to ensure that children's records contain all of the required elements.
Evidence:
1. The enrollment record for child 1 lacked documentation of the following required information:
a. Telephone number of one parent's place of employment;
b. Name, address and telephone number of a second designated emergency contact;
c. First date of attendance.
2. The enrollment record for child 2 lacked documentation of the following required information:
a. Telephone number of both parent's place of employment;
b. Policy number of child's medical insurance
Based on record review and interview, the provider failed to ensure that children's records contain all of the required elements.
Evidence:
1. The enrollment record for child 1 lacked documentation of the following required information:
a. Telephone number of one parent's place of employment;
b. Name, address and telephone number of a second designated emergency contact;
c. First date of attendance.
2. The enrollment record for child 2 lacked documentation of the following required information:
a. Telephone number of both parent's place of employment;
b. Policy number of child's medical insurance
Plan of Correction: The provider stated that missing information would be added to children's records.
Standard 8VAC20-800-680-A
Based on observation and interview, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water before feeding or helping children with feeding.
Evidence:
1. Caregiver 1 and caregiver 2 failed to wash their hands with liquid soap and warm running water before feeding an infant a bottle at approximately 12:15 pm and prior to serving lunch at approximately 12:35 pm.
2. The provider verified that caregiver 1 and caregiver 2 did not wash their hands prior to serving lunch or feeding an infant a bottle.
Evidence:
1. Caregiver 1 and caregiver 2 failed to wash their hands with liquid soap and warm running water before feeding an infant a bottle at approximately 12:15 pm and prior to serving lunch at approximately 12:35 pm.
2. The provider verified that caregiver 1 and caregiver 2 did not wash their hands prior to serving lunch or feeding an infant a bottle.
Plan of Correction: The provider stated that this was an oversight and that caregivers will always wash hands with soap and water going forward - before feeding and assisting children with feeding.
Standard 8VAC20-800-680-B
Based on observation, the provider failed to ensure that children's hands are washed with liquid soap and warm running water before eating.
Evidence:
1. Children did not wash their hands with liquid soap and warm running water before eating lunch.
2. The provider confirmed that children's hands were not washed with soap and water prior to eating lunch.
Evidence:
1. Children did not wash their hands with liquid soap and warm running water before eating lunch.
2. The provider confirmed that children's hands were not washed with soap and water prior to eating lunch.
Plan of Correction: The provider stated that this was an oversight and that children's hands will always be washed with soap and water going forward.
Standard 8VAC20-800-70-A
Repeat Violation
Based on record review, the provider failed to ensure before the child's first day of attendance, parents shall be provided in writing policies for administration of medication.
Evidence:
1. The written medication policy for the family day home, that is in all of the children's records, indicates that the provider will administer both prescription and nonprescription medications however, the provider lacks the required MAT certification to allow for the administration of both prescription and nonprescription medications.
2. The provider stated that she did not administer medication and that the medication policy in her parent agreement contract was incorrect/
Based on record review, the provider failed to ensure before the child's first day of attendance, parents shall be provided in writing policies for administration of medication.
Evidence:
1. The written medication policy for the family day home, that is in all of the children's records, indicates that the provider will administer both prescription and nonprescription medications however, the provider lacks the required MAT certification to allow for the administration of both prescription and nonprescription medications.
2. The provider stated that she did not administer medication and that the medication policy in her parent agreement contract was incorrect/
Plan of Correction: The provider stated that medication policies would be revised to notify each family that medication is not administered.
Standard 8VAC20-800-900-B
Based on observation, the provider failed to ensure that children shall not be allowed to drink while walking, running or playing.
Evidence:
1. A child under the age of two years was observed walking around the child care room while drinking out of a sippy cup at approximately 11:40 am.
Evidence:
1. A child under the age of two years was observed walking around the child care room while drinking out of a sippy cup at approximately 11:40 am.
Plan of Correction: The provider stated that children will be closely supervised to ensure they do not leave the table to walk around with sippy cups.
Standard 8VAC20-800-960-B
Based on observation, the provider failed to ensure that infants who cannot hold their own bottles shall be picked up and held for bottle feeding. Bottles shall not be propped.
Evidence:
1. At approximately 12:06 pm the inspector observed child 4, age 5 months, drinking from a bottle of formula that had been propped using a folded blanket.
a. Child 4 was sitting in an infant seat that was placed on the floor of the child care room.
2. When the inspector asked for the blanket to be removed - child 4 was not able to hold his own bottle.
Evidence:
1. At approximately 12:06 pm the inspector observed child 4, age 5 months, drinking from a bottle of formula that had been propped using a folded blanket.
a. Child 4 was sitting in an infant seat that was placed on the floor of the child care room.
2. When the inspector asked for the blanket to be removed - child 4 was not able to hold his own bottle.
Plan of Correction: The provider stated that all caregivers will be appraised of the requirement for infants to be held when bottle feeding unless the infant is able to hold his own bottle.
The baby was picked up and fed during the inspection.
The baby was picked up and fed during the inspection.