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Norma Vidaurre

Inspection · 2024-10-01

Date
2024-10-01
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 Medication Administration
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 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on October 1, 2024. The on-site inspection began at 11:00 a.m. and ended at 12:15 p.m. The inspector reviewed compliance in the areas listed above. There were 11 children present and 2 caregivers; the point total was 34. The inspector reviewed 4 children?s records and 3 caregiver/household member(s) records on-site. The inspection included document review, tour of the family day home, 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on October 11, 2024. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.036-B-2
The family day home must obtain a completed national criminal background check for household members every five years.

The criminal background check for Household Member #1 expired 6 months ago.
Plan of Correction: I have scheduled background Checks for member #1 and am awaiting results
Standard 8VAC20-800-100-A
The provider shall 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.

The provider did not obtain documentation of a physical examination for Child #1, #3 and #4.
Child #1 has been enrolled for 7 weeks. Child #3 has been enrolled for 4 months. Child #4 has been enrolled for 6 months.
Plan of Correction: Parents have been informed to provide documentation of the children's examination and will be turning them in next week
Standard 8VAC20-800-180-A
The provider shall obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

Adult household member #1's most recent TB screening expired 7 months ago.
Plan of Correction: Results of screening were sent to the designated supervisor that has to look over the record.
Standard 8VAC20-800-240-A
Areas and furnishings of the family day home, inside, shall be maintained in a safe condition.

There were 3 areas of chipped paint on the wall in the nap room and 5 cribs with chipping paint.
Plan of Correction: Both walls and cribs will be replenished and renovated.
Standard 8VAC20-800-280
Potentially poisonous substances shall be stored in areas inaccessible to children.

A topical ointment was located in an unlocked drawer, accessible to children. A paint sample, disinfectant spray and disinfecting wipes were in an unlocked cabinet, accessible to children. Adhesive remover was in an unlocked closet, accessible to children.
Plan of Correction: These substances will be put away in a locked cabinet away from the children.
Standard 8VAC20-800-290
Sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

3 straight blades were in an unlocked drawer in the main daycare room, accessible to children.
Plan of Correction: The sharp objects are going to be moved into an area inaccessible to children
Standard 8VAC20-800-320-H
All flammable materials such as lighters shall be stored in an area inaccessible to children.

A lighter was stored in an unlocked cabinet, accessible to children.
Plan of Correction: The lighter will be put away in a locked cabinet away from the children.
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points.

There were 11 children present with 2 caregivers totaling in 34 points, exceeding the 32 point maximum for 2 caregivers.
Plan of Correction: Starting 10/03 we will have an additional caregiver. This will help us not exceed points.
Standard 8VAC20-800-60-B
A child's record shall contain the address of two designated persons to contact in care of an emergency, policy number of the child's medical insurance, and written authorization for emergency medical care.

Child #1's, who is currently enrolled, record did not contain an address for their second emergency contact. Child #2's, who is currently enrolled, record did not contain a policy number for the child's medical insurance or written authorization for emergency medical care.
Plan of Correction: Child #1 has provided information necessary to solve this. Child #2 has provided the information necessary to solve this.
View original record on Virginia Department of Social Services