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June Lee

Inspection · 2024-07-24

Date
2024-07-24
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
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 House
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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

An unannounced, on-site monitoring inspection was initiated on July 24, 2024, and completed on July 24, 2024, as a part of the conditional licensure period. The on-site inspection began at 9:50 am and ended at 11:40 am. The inspector reviewed compliance in the areas listed above. There were three children (and four resident children) present and one caregiver; the point total was nine. The inspector reviewed three children?s records and one staff record. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), interviews, and 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/26/2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-800-240-A
Based on observation, the provider did not ensure all areas of the home, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence:
In the main room where children were in care, a bed frame and headboard were leaning against the wall. The provider stated it was too heavy for her to remove. The headboard and frame posed a risk of falling on a child in care as it was a heavy, unstable piece of furniture.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-330-A
Based on interview, the provider did not have a landline telephone available, operable, and
accessible during the family day home?s hours of operation.

Evidence:
On August 15, 2024, the inspector observed a cordless phone operating in the family day home. The provider stated she did not have a landline telephone in the home but did have service for one.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on review of three children?s records, the provider did not obtain all required information for each child?s record.

Evidence:
1. The record of child #2, enrolled 06/17/2024, did not include the following information:
Name, home address, and telephone number of each parent who has custody; Name, address and telephone number of each custodial parent?s place of employment; name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation; name and policy number of the child?s medical insurance, if applicable; names of persons other than the custodial parents who are authorized to pick up the child; chronic physical problems, pertinent developmental information, and any special accommodations needed; proof of the child?s age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80; and written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately.
2. The record of child #3, enrolled 06/17/2024, did not include the name, address, and phone number for one emergency.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-770
Based on observations and interview, the provider did not maintain a working portable battery-operated weather band radio, and extra batteries to be kept in a designated area, that?s available to caregivers at all times.

Evidence:
A portable weather band radio was on site, however there were no batteries for the radio. The provider stated she did not have extra batteries for the radio.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
Based on interview, the provider did not ensure the emergency evacuation procedures were practiced monthly with all caregivers and children in care.

Evidence:
The first day of care for children was June 17, 2024. There was no documentation of an evacuation drill for the month of June 2024. The provider stated an evacuation drill had not been conducted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on record review and interview, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home.

Evidence:

1. The record of child #3, enrolled 06/17/2024, did not contain documentation of immunizations, exceeding the first day of attendance.
2. The provider acknowledged the record did not have documentation of immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.