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Merri Crittle

Inspection · 2025-04-01

Date
2025-04-01
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
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

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 4/1/2025 and completed on 5/16/2025. The on-site inspection began on 4/1/2025 at 10:25 a.m. and ended at 2:00 p.m. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers on 4/1/2025; the point total was 14 . The inspector reviewed 6 children?s records and 6 caregiver/household member(s) records on-site on 4/1/2025 and 4/8/2025 and additional documentation was viewed electronically on 4/14/2025.

This inspection included document review, tour of the facility, interviews, observations and measurements

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

5
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and the
program did not have evidence of the implementation of the required testing plan.
Plan of Correction: The provider contacted the Lead Testing Program via email on April 10, 2025 in order submit a plan for having water testing completed. The provider will follow up with lead testing results and further contact with the Lead Testing Program to provide required documentation to her licensing inspector.
Standard 8VAC20-800-120-B
(repeat violation) Providers are required to maintain a record for each caregiver containing all required documentation to include the name address and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment (and if taken via telephone the firms contacted and the signature of person making the call).
Staff #3 and Staff #5, who have worked in the family day home for almost one year, did not have emergency contact information documented in their records.
The record for staff #2, who has been employed for almost 1 year, did not contain complete documentation of a telephone reference taken, to include the firms contacted and the signature of the person making the call.
The record for staff #3, who has been employed for almost 1 year, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
The record for staff #4, who has been employed for over 10 months, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
The record for staff #5, who has been employed for almost 1 year, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction: Many components of the staff records kept in the family day home had to be disposed of after an incident / accident that resulted in them becoming soiled and unsanitary. The provider is in the process of re-gathering replacement documents to file back in the records and plans to have records complete within 2 weeks. Records are now being stored in a manner to ensure that they are less vulnerable to being accidentally ruined.
Standard 8VAC20-800-60-B
(repeat violation) Children's records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; and the Parent s signed acknowledgement of the receipt of the information required by 8VAC20 800 70 (Program's medication policy, whether the program maintains a current liability insurance policy, provisions for the program's emergency response plan).
The record for child #2 was missing one emergency contact's address and parent acknowledgement of the Program's medication policy, whether the program maintains a current liability insurance policy and provisions for the program's emergency response plan. Child #2 was present during the inspection and had been enrolled for over 2 weeks.
The record for child #3 was missing name, address and telephone number for one of two emergency contacts and parent acknowledgement of the Program's medication policy, whether the program maintains a current liability insurance policy and provisions for the program's emergency response plan. Child #3 was present during the inspection and had been enrolled for over 7 months.The only documentation available for child #5 who was present during the inspection was proof of the child's identity and an immunization record.
Plan of Correction: Many of the children's records kept in the family day home had to be disposed of after an incident / accident that resulted in the many papers being soiled and unsanitary. The provider is in the process of re-gathering replacement documents to file back in the records and plans to have records complete within 2 weeks. Records are now being stored in a manner to ensure that they are less vulnerable to being accidentally ruined.
Standard 8VAC20-800-80-A
Within seven business days of the child's first day of attendance, the provider is required to obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.
There was not documentation to demonstrate that name and location of previous day care programs was obtained for child #2 who had been in care for over 2 weeks.
There was not documentation to demonstrate that proof of identity had been viewed for child #6 who had been in care for over 3 weeks.
Plan of Correction: Child #2's proof of identity and documentation of previous schools were part of the paper records kept in the family day home that had to be disposed of after an incident / accident that resulted in the many papers being soiled and unsanitary. The provider is in the process of re-gathering replacement documents to file back in the records and plans to have records complete within 2 weeks. Records are now being stored in a manner to ensure that they are less vulnerable to being accidentally ruined.
Standard 8VAC20-800-880
When family day homes provide meals or snacks, they must follow the most recent, age appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
Children were observed being served chicken nuggets and water for lunch at the onset of the inspection. The provider stated that she had already served them a choice of bananas or oranges for their fruit component while she was preparing lunch plates for the remaining portion of the meal. During the course of lunch, the children were not served milk and were not served a vegetable with their lunch, as required by USDA.
Plan of Correction: The provider stated that she has many children with sensitive digestion requiring accommodations, and whose eating habits are not developed so she tries to offer them food that they will eat. The provider will ask parents to obtain physician's orders for the children who require special diets due to allergies or sensitivities and will work with the menu to try to include as many familiar preferred foods as possible while also including the other required food components, ensuring that USDA requirements for meals served are met.
View original record on Virginia Department of Social Services