8VAC20-850 PROVIDER REGISTRATION AND GENERAL PROCEDURES 8VAC20-850 HEALTH AND SAFETY CHECKLIST. 20 Access to minor?s records 22.1 Background Checks Code; storage of firearms 63.2 Child Abuse and Neglect 8VAC20-770 Background Checks for Child Day Programs and Family Day Systems 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
Technical Assistance:
The provider's own children and children residing in the home do not count in the capacity (total number) of children but they do count in the total points. Children who do not reside in the home and/or who are not the the provider's own children do count as children in care when they are present during hours of operation and are being cared for by the provider - and these children do count in the total capacity. Voluntary Registered homes are assigned a capacity of four or fewer children in care at any given time.
Comments:
A renewal inspection was initiated on 4/13/2022 and concluded on 4/18/2022. There were 3 daycare children present, ranging in ages from 14 months old to 4 years old, and two additional children under the care of the provider who were not enrolled in the program. There was I caregiver supervising the children. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and two provider / household member records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Based on a review of records and interview, the provider did not ensure that each adult (18 years of age or older) living in the home of the registered family day home provider has documentation of the results of a Search of Central Registry in her record. Evidence: The requested documentation provided to the inspector at the time of the inspection and several follow-up emails where the provider supplied additional documentation, did not contain Results of a Search of the Central Registry for Household Member #2. The Provider confirmed that she was unable to locate the results of a Search of the Central Registry for Household Member #2.
Plan of Correction:
The provider stated that she would contact the office of background investigations to inquire as to whether this documentation is available and if not, submit a new request for a Search of the Central Registry within 10 days.
Standard #:
8VAC20-850-110-C
Description:
The provider did not meet the following criteria on the health and safety checklist at the time of the monitoring visit:
1. The provider did not keep a copy of the physical examination results obtained on each child before or within 30 days of attendance. Evidence: The records for Child #1 and Child #3, who were both present during the inspection and had been enrolled for more than 30 days, did not contain the results of a physical examination. The provider conformed that she did not have this documentation.
2. The provider did not have proof of adequate immunization received on the date of admission (or prior to admission) for each child. Evidence: The record for Child #3 who was present during the inspection did not contain documentation of any immunizations. The provider conformed that she did not have this documentation.
3. The provider did not ensure that the number of children receiving care, other than her own children and children residing in the home, is not more than four at any one time. Evidence: There were 5 children present during the inspection on 4/13/2022. The provider stated that two of the children present were left in the care of her daughter who resides in the home. However, her daughter was not present in the home at the time and these two children were included in the group being cared for by the provider.
4. The provider did not ensure that required documentation was available for all of the children in care: Evidence: Child #4 and Child #5, who the provider stated are not enrolled, but who were in her care during the inspection, did not have did not have a record or any documentation. The provider stated that she did not have any documentation for Child #4 and Child #5 because they were not enrolled in her VR home but had been left in her care by Household Member #2 who had been watching them until she took her own child to an appointment. Child #4 and Child #5 did not have any documentation to include a medical release form from each family to permit emergency care or the names and phone numbers of one or more persons besides the family who may be contacted in case of an emergency. In addition, she did not have proof of child #4 or Child #5's identity and age, documentation of previous child day care programs and schools the child has attended or documentation that proof of identity was reviewed and the date of review. The provider stated that she did not know the last names or ages for Child #4 or Child #5.The provider confirmed that she did not have any written documentation for Child #4 or Child #5.
5. The provider did not ensure that her dog, residing in the home, had current rabies shots. Evidence: The rabies documentation for the dog living in the home and present in the home during the inspection expired 2/24/2022. The provider confirmed that she did not have more current rabies documentation for her dog.
6. The provider did not ensure that any adult (18 years of age or older), including any adult household member, who comes in contact with children or will provide care to children has a tuberculosis (TB) test or screening and background check. Evidence: The record for Household member #2 who resides in the home and was present briefly during the inspection contained Tuberculosis screening results which expired 7/17/2021. The Provider confirmed that this individual does currently reside in the home and that she did not have more recent documentation of a Tuberculosis screening for Household Member #2.
Plan of Correction:
1. The provider stated that she will contact the parents today to obtain the following documentation within 2 weeks: results of a physical examination for child #1 and Child #3.
2. The provider stated that she will contact the parents today to obtain the following documentation within 2 weeks: Immunization documentation for child #3.
3. and 4. The provider stated that, effective immediately, she will ensure that children who are not enrolled in her program and not residing in her home are not left in her care during hours of operation and that no more than 4 children will be permitted in care at any given time during the hours of operation of the Voluntary Registered Family Day Home. Children who are cared for by the provider during hours of operation for her Voluntary Registered Home will have a record containing the required documentation.
5. The provider stated that she will contact her dog's veterinarian this week to make an appointment to obtain an updated rabies vaccination and documentation of such.
6. The provider stated that she will have household member #2 obtain an updated Tuberculosis screening within 2 weeks and provide documentation of such for her record.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
Find this content at:
http://www.dss.virginia.gov/facility/search/cc.cgi