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Ms. Sandra Juarez

Inspection · 2023-11-09

Date
2023-11-09
Complaint Related
No
Licensing Inspector
Beth Velke
(804) 629-8302
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 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

An unannounced renewal inspection was conducted on 11/9/2023. There were 6 children (12 points) directly supervised by 2 caregiver(s) The home, 2 caregiver records, 6 child's records, 4 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were household medications on site today. Children were observed waking up from nap, preparing for and eating snack, playing freely outside and inside the play room. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@doe.virginia.gov) or (540) 340-2672.

Violations

4
Standard 8VAC20-800-110-B
Based on review, the provider did not ensure that physical examinations and immunizations are signed by a licensed physician, the physician's designee, or an official of a local health department.
Evidence: reviewed 6 children's records and found that Child 2 did not have documentation of a signed physical exam and immunization record, and Child 4 did not have documentation of a signed immunization record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
Based on review, the provider did not ensure that subsequent TB screenings were obtained ever two years or more frequently as recommended by a physician, and in accordance with the requirements in 170 (must be signed by a physician, physician's designee, or an official of the local health department).
Evidence: reviewed Household Member 3's record and found that the TB screening was a screenshot on a cell phone with no signature.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-730-D
Based on observation, the provider did not ensure that medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: observed that there were medications (Gabapentin and Aspirin) for household members in an unlocked bathroom cabinet, and a number of prescription medication bottles and over the counter medications on a top shelf of a dining cabinet, near the children's eating area and kitchen, that was not locked, and accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-80-A
Based on review, the provider did not ensure that they obtained documentation of proof of id within 7 business days.
Evidence: reviewed 6 children's records and found that Child 5 did not have documentation of reviewing or obtaining proof of identity.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services