Inspection · 2024-03-22
Date
2024-03-22
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
(757) 404-2322
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 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
Inspector Notes
An unannounced renewal inspection was conducted on 3/22/24 from 11:00am to 12:15pm. At the time of the inspection there were three children in care with the provider. The children were 16 weeks to 15 months of age for a total of 12 points in care. Children were observed sleeping and in highchairs having a snack. Equipment, emergency supplies, evacuation drills, and records for the provider and three children were reviewed. 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 interview.
Violations
11Standard 8VAC20-800-100-A
Based on record review and interview, it was determined the provider did not ensure that 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.
Evidence:
3.The records for child #2, and infant #3 did not contain documentation of a physical examination.
Evidence:
3.The records for child #2, and infant #3 did not contain documentation of a physical examination.
Plan of Correction: Provider will ensure that a physical examination is complete within 30 days of admission.
Standard 8VAC20-800-250-B
Based on observation and interview, it was determined the provider did not ensure that children are protected from materials that could be swallowed or present a choking hazard.
1.There was a AA battery laying on the floor in the kitchen. The battery was accessible to children.
2.The provider confirmed the battery was on the floor.
1.There was a AA battery laying on the floor in the kitchen. The battery was accessible to children.
2.The provider confirmed the battery was on the floor.
Plan of Correction: Provider will ensure that hazards are not in reach of children.
Provider swept the floor of hazards.
Provider swept the floor of hazards.
Standard 8VAC20-800-430-A
Based on observation and interviews, it was determined the provider did not ensure that children under two years of age, and children over two year of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.
Evidence:
1.Child #2,who was 15 months old, was observed sitting on the middle landing of a two-level staircase. There were no gates to prevent the child from accessing the stairs that led up or down. There were approximately 8 steps leading down the stairs and 8 steps leading up the stairs. The provider was not on the steps with the child.
2.The provider confirmed the child had access to the stairs.
Evidence:
1.Child #2,who was 15 months old, was observed sitting on the middle landing of a two-level staircase. There were no gates to prevent the child from accessing the stairs that led up or down. There were approximately 8 steps leading down the stairs and 8 steps leading up the stairs. The provider was not on the steps with the child.
2.The provider confirmed the child had access to the stairs.
Plan of Correction: Provider has installed a fence t the lower level of steps on 3-23-24
Provider will ensure that children do not have access to steps under the age of 2 years old.
Provider will ensure that children do not have access to steps under the age of 2 years old.
Standard 8VAC20-800-50-A
Based on record review and interview it was determined, the provider did not ensure that a written record of children in attendance each day was kept.
Evidence:
1.On the day of the inspection 3/22/24, there were no children documented as present on the daily attendance however, there were three children in care.
2.The provider confirmed the daily attendance was not completed.
Evidence:
1.On the day of the inspection 3/22/24, there were no children documented as present on the daily attendance however, there were three children in care.
2.The provider confirmed the daily attendance was not completed.
Plan of Correction: Provider will ensure attendance is taken within the hour of arrival.
Standard 8VAC20-800-520-A
Based on observation and interview, it was determined the provider did not ensure that cribs were provided for children from birth through 12 months of age.
Evidence:
1. Infant #1, a 4 month old, was observed sleeping alone in a bedroom on the provider?s bed.
2. Infant #3, a 9 month old, was observed alone in a 2nd bedroom on a full-size bed. The child had been sleeping in the bed, had awoken, and was beginning to move around on the bed.
1. The provider confirmed the two children were not sleeping in cribs.
2. The provider stated she only had one crib, but it was downstairs.
Evidence:
1. Infant #1, a 4 month old, was observed sleeping alone in a bedroom on the provider?s bed.
2. Infant #3, a 9 month old, was observed alone in a 2nd bedroom on a full-size bed. The child had been sleeping in the bed, had awoken, and was beginning to move around on the bed.
1. The provider confirmed the two children were not sleeping in cribs.
2. The provider stated she only had one crib, but it was downstairs.
Plan of Correction: Provider will ensure children are in appropriate cribs for Ages 0-12 months and cots for toddlers up. Provider will designate a sleeping area.
Correction done on 4-4 A crib was provided for child. Provider ordered crib on
3-22-24
Correction done on 4-4 A crib was provided for child. Provider ordered crib on
3-22-24
Standard 8VAC20-800-530-F
Based on observation and interview, it was determined the provider did not ensure that soft bedding of any kind was not used under or around infants including, but not limited to pillows, quilts, comforters, sheepskins, or stuffed toys.
Evidence:
1. Infant #1 was observed sleeping on top of a comforter on an adult bed with pillows around the infant.
2. Infant #3 had been sleeping and was observed waking up from a nap on an adult bed that had a comforter and pillows.
Evidence:
1. Infant #1 was observed sleeping on top of a comforter on an adult bed with pillows around the infant.
2. Infant #3 had been sleeping and was observed waking up from a nap on an adult bed that had a comforter and pillows.
Plan of Correction: The provider will ensure children are on appropriate bedding for a child a crib for infants 0-12 months and a cot for toddler up.Children we be provided a sleep supply and area the first day.
Provider purchased a crib for Child 1&2 and assigned a designated sleeping area.
Provider purchased a crib for Child 1&2 and assigned a designated sleeping area.
Standard 8VAC20-800-560-A
Based on observation and interviews, it was determined the provider did not ensure that direct care and supervision of each child was always provided; including being near enough to intervene if needed.
Evidence:
1.At the time of the inspector?s arrival the provider was sweeping on the first floor of the family day home. Infant #1 and infant #3 were on the 3rd floor of the family day home asleep on beds.
2.The provider could not hear or see the infants and was not near enough to intervene if needed.
Evidence:
1.At the time of the inspector?s arrival the provider was sweeping on the first floor of the family day home. Infant #1 and infant #3 were on the 3rd floor of the family day home asleep on beds.
2.The provider could not hear or see the infants and was not near enough to intervene if needed.
Plan of Correction: Provider will install cameras to monitor children at all times in order to see and hear children. Provide will ensure to stay in close proximity to children.
Camera installed on 3-23-24
Camera installed on 3-23-24
Standard 8VAC20-800-60-B
Based on record review and interview, it was determined the provider did not ensure that children?s records contain all the required information.
Evidence:
1.The record for infant #1, did not contain the date of enrollment, parent work phone numbers, name, address, and phone number of two emergency contacts, medical insurance policy number, written authorization for emergency medical care and documentation of previous childcare.
2.The record for child 2, did not contain the date of enrollment, parent work phone numbers, name, address and phone number of 2nd emergency contact, medical insurance name and policy number, written authorization for emergency medical care and documentation of previous childcare.
3.The record for infant #3 did not contain the date of enrollment, parent work phone numbers, medical insurance name and policy number, documentation of previous childcare, and written authorization for emergency medical care.
Evidence:
1.The record for infant #1, did not contain the date of enrollment, parent work phone numbers, name, address, and phone number of two emergency contacts, medical insurance policy number, written authorization for emergency medical care and documentation of previous childcare.
2.The record for child 2, did not contain the date of enrollment, parent work phone numbers, name, address and phone number of 2nd emergency contact, medical insurance name and policy number, written authorization for emergency medical care and documentation of previous childcare.
3.The record for infant #3 did not contain the date of enrollment, parent work phone numbers, medical insurance name and policy number, documentation of previous childcare, and written authorization for emergency medical care.
Plan of Correction: Provider will ensure that records are complete with information like immunization records, emergency contact, insurance information, work phone etc.
Correction on 3-24-24
Provider had parents update all information In record.
Child #2 immunization was put in the record.
Correction on 3-24-24
Provider had parents update all information In record.
Child #2 immunization was put in the record.
Standard 8VAC20-800-70-B
Based on record review and interview, it was determined the provider did not obtain a written acknowledgement from each parent to confirm receipt of all required information.
Evidence:
1.The records for infant #1, child #2 and infant #3 did not contain parental acknowledgement that the provider did or did not have liability insurance.
2.The records for infant #1, child #2 and infant #3 did not contain parental acknowledgement that the parent was informed of the family day homes emergency preparedness plan.
3. The provider confirmed the written acknowledgment was not in the records.
Evidence:
1.The records for infant #1, child #2 and infant #3 did not contain parental acknowledgement that the provider did or did not have liability insurance.
2.The records for infant #1, child #2 and infant #3 did not contain parental acknowledgement that the parent was informed of the family day homes emergency preparedness plan.
3. The provider confirmed the written acknowledgment was not in the records.
Plan of Correction: Provider corrected and had parents of children 2 and 3 to sign an acknowledgement of knowing FDH does not have limited liability insurance and
acknowledged the emergency evacuation plan.
acknowledged the emergency evacuation plan.
Standard 8VAC20-800-80-A
Based on record review and interview, it was determined the provider did not ensure that verification of the identity and age of the child was obtained.
1.The records for infant #1 and child #2 did not contain documentation that the provider viewed proof of identity and age.
2.The provider confirmed the documentation was not in the record.
1.The records for infant #1 and child #2 did not contain documentation that the provider viewed proof of identity and age.
2.The provider confirmed the documentation was not in the record.
Plan of Correction: Provider informed parents of the need of the information documentation was updated provider will ensure to get a copy or view the birth certificate fo age date of birth verification 3-24-2024
Standard 8VAC20-800-90-A
Based on record review and interview, it was determined the provider did not ensure that before the child attended the family day home, documentation was obtained that the child was adequately immunized according to the requirements of 31.1-46 A of the Code of Virginia.
Evidence:
1. The records for child #2, did not contain documentation that the child was adequately immunized.
2.The provider confirmed documentation of adequate immunizations were not in the record.
Evidence:
1. The records for child #2, did not contain documentation that the child was adequately immunized.
2.The provider confirmed documentation of adequate immunizations were not in the record.
Plan of Correction: Provider obtained immunization on 3-24-2024.