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Marta Alejos

Inspection · 2024-03-06

Date
2024-03-06
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

8VAC20-800 Administration
8VAC20-820 HEARINGS PROCEDURES.

8VAC20-800 Personnel
8VAC20-770 Background Checks

8VAC20-800 Household Members
20 Access to minor?s records

8VAC20-800 Physical Health of Caregivers and Household members
22.1 Early Childhood Care and Education

8VAC20-800 Caregiver Training
54.1 Provider must be MAT certified to administer prescription medication.
8VAC20-800 Physical Equipment and Environment
63.2 Child abuse and neglect

8VAC20-800 Care of Children
8VAC20-790 Introduction

8VAC20-800 Preventing the Spread of Disease
8VAC20-790 Administration

8VAC20-800 Medication Administration
8VAC20-790 General Qualifications

8VAC20-800 Emergencies
8VAC20-790 Building or Home Maintenance

8VAC20-800 Nutrition
8VAC20-790 Supervision and Ratio Requirements

8VAC20-800 Transportation
8VAC20-790 Programs

8VAC20-800 Nighttime Care
8VAC20-790 Special Care Provisions & Emergencies

Inspector Notes

An unannounced renewal inspection was conducted on March 6, 2024, from 9:00am-12:00pm. At the time of entrance, one child was in care with one caregiver present. The inspector reviewed five children?s records and four caregivers/household members records. Children were observed during tummy time, playing with toys, and engaging with the provider . Areas of non-compliance are identified on the violation notice. If you have any questions about this inspection, please contact the Licensing Inspector, Karen Dickens at karen.dickens@doe.virginia.gov.

Violations

5
Standard 8VAC20-800-100-A
Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance.
Evidence:
1. Child #1's record (Start date-01/02/2024) did not contain documentation of a physical examination.
2. Caregiver #1 confirmed that documentation of a physical examination was not obtained prior to the child's attendance or within 30 days after the first day of attendance.
Plan of Correction: The provider has contacted the parent to obtain the physical examination.
Standard 8VAC20-800-240-A
Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1. The red children's chair located in the living room area of the family day home had a five inch tear in the seat exposing the foam cushion.
Plan of Correction: The provider discarded the chair and will purchase a new one.
Standard 8VAC20-800-50-A
Based on documentation review and interview, the family day home did not keep a written record of children in attendance each day.
Evidence:
1. The family day home did not have a written record of children in attendance to review at the time of the inspection.
2. Caregiver #1 confirmed that attendance had not been taken.
Plan of Correction: The provider completed the attendance at the time of the inspection.
Standard 8VAC20-800-830-A
Based on documentation review and interview, the emergency evacuation procedures were not practiced with all caregivers and children in care during all shifts that children are in care.
Evidence:
1. Documentation of the emergency evacuation drill for the month of February was missing from the log sheet.
2. Caregiver #1 confirmed that an emergency evacuation drill for the moth of February was not conducted.
Plan of Correction: The provider will conduct an extra emergency evacuation in March to make up for the missed drill in February.
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 the first date of attendance.
Evidence:
1.Child #1's record (Start date-01/02/2024) did not contain documentation that the child has been adequately immunized.
2.Caregiver #1 confirmed that immunization records had not been obtained from the parent before the first date of attendance.
Plan of Correction: The provider contacted the parent to obtain the immunization records.