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Alicia Villagra

Inspection · 2022-08-17

Date
2022-08-17
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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.
63.2 Child abuse and neglect

Inspector Notes

A renewal inspection was conducted on 08/17/2022 between the hours of approximately 9:50 am and 11:25 am. There were 7 children present, ranging in ages from 9 months to 5 years, with 2 staff supervising. Children were observed while doing crafts, working with puzzles, playing with blocks and transitioning to outside play.

The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A walkthrough of the entire physical space of the family day home was conducted. There were no
medications on site today. A total of 4 child records and 2 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations

6
Standard 8VAC20-770-40-D-1-a
Based on record review and interview, it was determined that the provider did not ensure that Central Registry search results are obtained every five years..
Evidence:
1) The most recent Central Registry search request results available in the record for Staff #1 were dated 02/13/2017. A new Central Registry search request was due on 02/14/2022.
Plan of Correction: The provider shall request the Central Registry search within 10 days and provide the inspector with documentation of the request. The provider will follow up with OBI within 30 days for the results.
Standard 8VAC20-800-210-A
Based on record review, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1) On the date of inspection, the record for Staff #1 contained documentation of having completed the following number of training hours: For the year 2021, four hours and for the year 2022, sixteen hours.
Plan of Correction: Moving forward, the provider shall ensure that the required number of annual training hours is completed.
Standard 8VAC20-800-280
Based on observation and interview with the provider, potentially poisonous substances, were not stored in areas inaccessible to children.
Evidence:
1) The following materials were observed inside the cabinet under the sink of the care area bathroom: bacterial soap, hand sanitizer, shampoo bottle. The cabinet was not locked, making it accessible to the children. 2) A spray bottle with an unknown substance was observed on the floor of the shower of the bathroom. The provider stated that the bottle contained Lysol disinfectant solution.
Plan of Correction: The provider shall move the substances away from children's reach.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #1 did not contain the address of one custodial parent's place of employment and the first date of attendance. The record for Child #4 did not contain the policy number of the child's medical insurance.
Plan of Correction: The provider shall request the parents to provide the missing information.
Standard 8VAC20-800-70-A
Based on record review, parents were not provided in writing required information from the family day home, before the child's first day of attendance.
1) The record for Child #1 (start date unknown) did not contain documentation of the parents being provided with information on whether or not there is liability insurance as required by ? 22.1-289.050 of the Code of Virginia.
Plan of Correction: The provider shall provide the parents of Child #1 the information, request the signed acknowledgement and include in the record.
Standard 8VAC20-800-920
Based on interview with the provider and documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements.
Evidence:
1) The menu available for review was not dated for the current one-week period.
Plan of Correction: The provider will ensure that menu for the one-week period is dated.
View original record on Virginia Department of Social Services