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Hilda Bustamante

Inspection · 2025-08-06

Date
2025-08-06
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 8/6/2025 and completed on 8/6/2025. The on-site inspection began at 10:45 am and ended at 11:36 am. The inspector reviewed compliance in the areas listed above. There were 12 children present and 3 caregivers; the point total was 34. The inspector reviewed 5 children?s records and 4 caregiver/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 8/12/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-A
REPEAT VIOLATION

The family day home is required to have employees undergo a background check every five years.

The most recent central registry check for Staff #3 is overdue by nine months.
Plan of Correction: Call OBI to continue insisting on a response to the documents already sent.
Standard 8VAC20-800-110-B
The physical examination and immunizations received shall be signed by a licensed physician, the physician's designee, or an official of a local health department.

The physical exam and immunization records available for Child #1 were missing a physician's signature. Child #1 has been in care for seven months.

The physical exam available for Child #2 was missing a physician's signature. Child #2 has been in care for over 14 months.
Plan of Correction: The parents will make appointments with the pediatrician at the end of the month I will have the result.
Standard 8VAC20-800-530-B
Cribs when being used by infants shall have a tight-fitting bottom cover.

Six cribs did not have a tight-fitting bottom cover.
Plan of Correction: Buy a smaller size
Standard 8VAC20-800-60-B
A child's record shall contain the name and policy number of the child's medical insurance.

Child #4?s record is missing the policy number of the child?s medical insurance. Child #4 has been in care for over four months.

Child #5?s record is missing the name and policy number of the child?s medical insurance. Child #5 has been in care for a month.
Plan of Correction: Ask parents to fill out the policy number
Standard 8VAC20-800-920
REPEAT VIOLATION

The menu for the current one-week period shall be dated.

The menu posted was dated July 1- 11, 2025.
Plan of Correction: I corrected it the same day
View original record on Virginia Department of Social Services