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Norma Vidaurre

Inspection · 2023-03-08

Date
2023-03-08
Complaint Related
No
Licensing Inspector
Tameika King
(804) 629-7486
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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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 renewal inspection was conducted on 03/08/2023 between the hours of approximately 10:00 a.m. and 12:20 p.m. At the start of the inspection, there were 15 children, totaling 41 points, present with 2 assistants. The provider arrived at approximately 10:08 a.m. The Family Day Home exceeded their licensed capacity of 12 children. The caregivers were also over on points for approximately 8 minutes. The children were observed napping, playing outside, and engaging in free play. Positive interactions were observed during this inspection. A complete inspection of the physical plant, caregiver and children records, fire drill log, menu, attendance and emergency procedures was completed during this inspection. A walk-through of the home was also conducted. 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. Thank you for your cooperation. If you have any questions, please e-mail me at tameika.king@ doe.virginia.gov.

Violations

7
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child?s attendance or within 30 days after the first day of attendance.

Evidence:
1. Child #2?s (start date: 04/04/2022) record did not contain documentation of physical examination.
2. Child #3?s (start date: 10/04/2021) record did not contain documentation of physical examination.
3. Child #4?s (start date: 10/04/2021) record did not contain documentation of physical examination.
Plan of Correction: I will talk to the mothers today.
Standard 8VAC20-800-210-A
Based on record review and caregiver interview, not all caregivers obtained a minimum of sixteen clock hours of training annually.

Evidence:
1. Caregiver #3 stated that Caregiver #2 (start date: 01/07/2007) did not complete any training in 2022.
2. Caregiver #3 had 8.5 hours of training in 2022.
Plan of Correction: We will do this year.
Standard 8VAC20-800-40-A
Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

Evidence: The provider?s maximum licensed capacity is 12. At the time of inspection, there were 15 children present.
Plan of Correction: I will only have 12 kids now.
Standard 8VAC20-800-570-A
Based on observation, the provider did not ensure that a caregiver did not exceed 16 points.

Evidence:
1. From approximately 10:00 a.m. to approximately 10:08 a.m. there were 15 children present, between the ages of 6 months and 3 years old, totaling 41 points.
2. Child #1 was 7 months of age; Child #15 was 9 months of age; Child #7 was 15 months of age; Child #10 was 18 months of age; Child #2 and #11 were 19 months of age; Child #3 was 21 months of age; Child #4 was 22 months of age; Child #5, #6, #12, and #13 were two years of age; Child #9 and #14 were 3 years of age; and Child #8 was 4 years of age.
3. There were 2 caregivers, Caregiver #1 and Caregiver #2, present at the time.
4. Caregiver #2 stated that Caregiver #3 had just left to get milk.
Plan of Correction: I will not leave past points.
Standard 8VAC20-800-70-A
Based on record review, parents were not provided all required written information before the child?s first day of attendance.

Evidence:
1. The provider did not indicate whether or not there is liability insurance on the paperwork provided to the parents of Child #1 (start date: 01/03/2023), Child #2 (start date: 04/04/2022) and Child #3 (start date: 10/04/2021).
2. Provisions of the family day home?s emergency preparedness and response plan was not provided to the parents of Child #1, Child #2, Child #3 and Child #4 (start date: 10/04/2021). The form was located in the files, but was not completed.
Plan of Correction: I will fix it today.
Standard 8VAC20-800-800-A
Based on record review and caregiver interview, the family day home does not have a written emergency preparedness and response plan.

Evidence: Caregiver #3 stated that there was no emergency preparedness plan.
Plan of Correction: I will do it by Monday.
Standard 8VAC20-800-90-C
Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence:
1. Child #3?s (age: 21 months) most recent immunization record was dated 09/29/2021.
2. Child #4?s (age: 20 months) most recent immunization record was dated 08/30/2021.
Plan of Correction: I will talk to the mothers today.
View original record on Virginia Department of Social Services