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Marquaye Benjamin

Inspection · 2024-12-02

Date
2024-12-02
Complaint Related
No
Licensing Inspector
Rene Old
(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.

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced , on-site monitoring inspection was initiated on 12/02/2024 and completed on 12/02/2024. The on-site inspection began at 11:00 am and ended at 12:55 pm. The inspector reviewed compliance in the areas listed above. There were 7 children present and 3 caregivers; the point total was 22. The inspector reviewed 8 children's records and 4 caregiver/household member records on-site.

The inspection included:
*Document Review
*Tour of the child care areas of home to include the kitchen area
*Interviews
*Observations

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.

Violations

6
Standard 8VAC20-800-60-A
Systemic Deficiency

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

The enrollment records did not contain all of the required elements as noted below:
a. A second emergency contact and medical insurance policy number for child 1.
b. A phone number and address for the second emergency contact for child 2.
c. A work phone number for one parent, second emergency contact and parent signature for completion of enrollment form for child 3.
Plan of Correction: The provider stated that all missing information would be obtained and added to children's records.
Standard 8VAC20-800-70-A
Systemic Deficiency

Before the child's first day of attendance, parents shall be provided in writing the following information:

The written parent agreement lacked the following required information as noted below:
a. Amount of time per week that an adult assistant is scheduled to care for the child and the name of the adult assistant was not indicated in the record of child 2,4,5,6 and 7.
b. Policies for administration of medication for child 2, 7 and 8.
c. The written medication policy in the file of child 3 conflicts with current medication policy as indicted by the provider.
Plan of Correction: The provider stated that all missing information would be obtained and added to children's records.
Standard 8VAC20-800-90-C
The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

Written documentation of updated immunizations were not on file for child 2 , 5 and 7. These children were in care during the inspection.
Plan of Correction: The provider stated that updated immunization records would be requested.
Standard 8VAC20-800-920
Menus. When meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted or placed in an area accessible to parents.

The menu for the current week beginning 12/2/2024 was not posted.
Plan of Correction: The provider stated that the current menu will be posted on the parent board.
Standard 8VAC20-800-960-E
Bottles shall be labeled with the date, if more than one infant is in care.

Bottles for child 1 and child 2 were not dated.
Plan of Correction: The provider stated that bottles will be dated going forward.
Standard 8VAC20-800-960-J
Solid foods shall be fed with a spoon.

Infant cereal had been added to the bottle of child 7. The provider fed this bottle of thickened formula to child 7 while in care on the morning of the inspection.
Plan of Correction: The provider stated parents will be notified that cereal can not be added to bottles.