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Marta Alejos

Inspection · 2022-03-09

Date
2022-03-09
Complaint Related
No
Licensing Inspector
Karen Dickens
(571) 423-6978
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors

Inspector Notes

An unannounced renewal inspection was conducted today between the hours of 9:30 am through 10:45 am. There were a total of two children (4 points) observed with one caregiver. A total of two children's files and five staff/household member's files were reviewed. The children were engaged in the following: toy play, coloring, puzzles, bathroom breaks, diapering, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice.
Thank you for your cooperation today. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations

6
Standard 8VAC20-770-40-D-4-a
Based on record review, the provider did not obtain a Central Registry Results for household members.
Evidence:
1. Household Member #2's record did not contain documentation of a current Central Registry finding. The Central Registry results in the record was dated 01/03/2017 and expired on 01/03/2022.
2. Household Member #4's record did not contain documentation of a completed Central Registry search.
Plan of Correction: The provider will re-submit the Central Registry and send the results to the Licensing Inspector.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain 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:
1. Child #2's first date of enrollment was 01/13/2020. Child #2's record did not contain results from a physical examination.
Plan of Correction: I will get a physical examination document from the doctor's office and document the record.
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Evidence:
1. Household Member #3's record did not contain documentation of a subsequent Tuberculosis (TB)Screening. The TB screening in the record was dated 03/24/2017 and expired on 03/24/2019.
Plan of Correction: The Household Member has an appointment for a TB screening tomorrow. Once the results are sent, I will document the file and send results to the Licensing Inspector.
Standard 8VAC20-800-50-A
Based on observation, the family day home did not keep a record of the children in attendance.
Evidence:
1. At the time of the inspection, there were two children in attendance. Documentation of attendance for the children in care was not taken for the 03/09/2022.
Plan of Correction: Attendance will be taken when the children arrive to the daycare.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface was not cleaned and sanitized after each use.
Evidence:
1. Caregiver #1 changed the diaper of a child in care. After the diaper change, Caregiver #1 washed their hands and the child's hands, but did not clean and sanitize the diapering surface after use.
Plan of Correction: I will clean and sanitize the diapering surface after each use.
Standard 8VAC20-800-800-A
Based on record review and interview, the family day home did not have a written emergency preparedness and response plan.
Evidence:
1. The family day home did not have documentation of a written emergency preparedness plan. Caregiver #1 stated that the plan was completed, but could not locate the plan.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services