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Hilda Bustamante

Inspection · 2023-10-26

Date
2023-10-26
Complaint Related
No
Licensing Inspector
Kristy Atanackovic
(804) 629-5032
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
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
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 monitoring inspection was conducted on 10/26/2023 from 9:30 am-10:25 am. There were 9 children supervised by 3 direct caregivers. The home, 3 caregiver records, 5 children?s records, 1 household member record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed during carpet play, tabletop activities and, arts and crafts. Areas of non-compliance are identified in the Violation Notice. Please submit your plan of correction within 5 business days for it to be included on the website. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov.

Violations

3
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 a child's attendance or within 30 days after the first day of attendance.

Evidence: There was no documentation of a physical examination completed by or under the direction of a physician prior to or within 30 days of child #1's first day of attendance. The start date for child #1 is 7/19/2021.
Plan of Correction: November the children had appointment for physical next week
Standard 8VAC20-800-180-A
REPEAT VIOLATION

Based on record review and interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years.

Evidence: Caregiver #2 tuberculosis test expired on 10/22/2023.
Plan of Correction: November 20/23
Standard 8VAC20-800-320-G
Based on documentation review and interview, the provider did not ensure that wood-burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices were properly installed, maintained, and cleaned as needed.

Evidence: The provider has not had its wood-burning fireplace inspected on an annual basis.
Plan of Correction: Search company for cleaning chimney and make appointment.
View original record on Virginia Department of Social Services