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Delia Ochoa - Amini

Inspection · 2024-09-10

Date
2024-09-10
Complaint Related
No
Licensing Inspector
Ariel Hayes
(804) 629-7124
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site monitoring inspection was completed on 09/10/2024. The on-site inspection began at 10:40 am and ended at 11:45 am. The inspector reviewed compliance in the areas listed above. There were 4 children present and 2 staff. The inspector reviewed 4 children?s records and 2 caregiver records on-site. This inspection included:
?document review
?tour of the facility
?interviews
?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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 09/18/2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-A
REPEAT VIOLATION
Based on caregiver record review, the provider did not ensure all background checks were repeated every 5 years.
Evidence:
Caregiver #2 had a sworn disclosure statement that expired on 01/02/2024.
Caregiver #2 had an expired criminal history.
Plan of Correction: Volunteer caregiver #2 updated sworn disclosure. Volunteer caregiver #2 made appointment to update criminal record.
Standard 22.1-289.058
Based on observation and interview, the provider did not ensure the home was equipped with at least on e carbon monoxide detector.
Evidence:
1. There was no carbon monoxide detector available in the home during the inspection.
2. Caregiver #1 confirmed there was no carbon monoxide detector available.
Plan of Correction: Corrected.
Standard 8VAC20-800-100-A
REPEAT VIOLATION
Based on observation, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
Child #3 (date of enrollment 9/7/2023) did not have a physical on record during the inspection.
Plan of Correction: Documents for physical exam. Child #3 (granddaughter) went to Dr. office on 9/13/24. Vac. Records.
Standard 8VAC20-800-180-A
REPEAT VIOLATION
Based on a review of staff records, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening.
Evidence:
Caregiver #2 had a TB test that expired on 1/26/2024.
Plan of Correction: Volunteer caregiver #2 had TB test on 9/12/2024.
Standard 8VAC20-800-60-B
Based on a review of child records, the provider did not ensure child records contained all required information.
Evidence:
Child #1 and child #2 did not have the parents work address and phone number listed.
Plan of Correction: Corrected
Standard 8VAC20-800-760-A-1
Based on a review of the first aid kit, the provider did not ensure all required items were available.
Evidence:
There were no gloves available at the family day home.
Plan of Correction: Corrected
Standard 8VAC20-800-800-B
Based on observation, the provider did not review the emergency plan at least annually. The provider did not document in writing each review and update to the emergency plan.
Evidence:
The last documented review was 2/15/2023.
Plan of Correction: Corrected