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Hilda Bustamante

Inspection · 2025-02-13

Date
2025-02-13
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
8VAC20-820 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
8VAC20-800 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.

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 monitoring inspection was initiated on 2/13/2025 and completed on 2/13/2025. The on-site inspection began at 9:38 am and ended at 10:35 am . The inspector reviewed compliance in the areas listed above. There were 11 children present and 3 caregivers; the point total was 32. The inspector reviewed 5 children?s records, 3 caregiver records, and 1 household member's records on-site. This inspection included document review, a tour of the home, interviews, 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 2/27/2025. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for Staff #2 was overdue by three months.
Plan of Correction: Check with central registry check
Standard 8VAC20-800-100-A
REPEAT VIOLATION

The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

No physical exam records were available for Child #2, who had been in care for over one month.

No physical exam records were available for Child #4, who had been in care for over eight months.
Plan of Correction: Child #2 I asked his parents and they brought the physico. Child 4 I ask for his physico
Standard 8VAC20-800-50-A
Providers must keep a written record of children in attendance each day.

The provider did not take written attendance on February 12-13, 2025.
Plan of Correction: I update the record of children
Standard 8VAC20-800-80-A
REPEAT VIOLATION

The provider did not ensure that documentation of verifying children's proof of identity was completed.

There was no documentation of the date documentation viewed and the person viewing documentation for Child #1 record.
Plan of Correction: Child #1 I ask for her birth certificate and signed.
Standard 8VAC20-800-830-C
Documentation shall be maintained for emergency evacuation drills.

The emergency evacuation drill was not documented for January 2025.
Plan of Correction: update
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for Child #2, who had been in care for over one month.
Plan of Correction: Update
Standard 8VAC20-800-920
The menu for the current one-week period shall be dated.

The menu for the current one-week period was not dated for the current week. The menu that was posted was dated September 2024.
Plan of Correction: The menu for the month of febraury was posted