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Alicia Villagra

Inspection · 2024-02-06

Date
2024-02-06
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
8VAC20-800 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

A monitoring inspection was conducted on 02/06/2024 between the hours of approximately 9:45 am and 11:00 am. There were 12 children present, ranging in ages from 4 months to 4 years (28 points), with 2 caregivers supervising. Ratios were incompliance. Children were observed solving puzzles, tracing, coloring and watching instructional videos.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. There were no medication on site today. A total of 3 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

7
Standard 22.1-289.011-F
Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program.
Evidence:
1) On the date of inspection, the findings of the most recent inspection of the facility (08/2023) were not posted.
Plan of Correction: Most recent inspection findings will be posted.
Standard 22.1-289.035-B-4
Based on record review, the provider did not ensure did not ensure that out-of-state Central Registry search results are obtained every five years for employees.
Evidence:
1) The most recent out-of-state Central Registry search request results available in the record for Caregiver #2 were dated 04/13/2018.
Plan of Correction: Staff #2 will complete a new Central Registry search.
Standard 8VAC20-800-100-A
Based on record review, the provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.
Evidence:
1) The record for Child #2 (start date 12/26/2023) did not contain the results of a physical examination.
Plan of Correction: Child #2's parents brought the physical exam.
Standard 8VAC20-800-280
*REPEAT VIOLATION*
Based on observation, potentially poisonous substances and supplies, were not stored away in areas inaccessible to children.
Evidence:
1) On the date of inspection, the following items were observed in the cabinet under the sink in the bathroom of the care area. The cabinet was unlocked. - a bottle of bubbles solution, a bottle of glass cleaning solution (Windex)
2) The following items were observed on shelves that were not high enough for them to be inaccessible to children: one bottle of hand sanitizer, a container of Clorox wipes and a can of Lysol spray.
Plan of Correction: Bathroom cabinet is now closed. Cleaning supplies will be stored elsewhere.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #2 did not contain the phone number of one custodial parent's place of employment
2) The record for Child #3 did not contain the name, office address and telephone number of the child's physician.
3) The records for Child #1 and Child #3 did not contain the first date of attendance.
4) The record for Child #3 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately, and proof of the child's age and identity.
Plan of Correction: These records are now updated to include this missing information.
Standard 8VAC20-800-70-B
Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of required information.
Evidence:
1) The record for Child #2 did not contain a written acknowledgement of having received required information regarding the family day home.
Plan of Correction: Child #2's record now contains the written acknowledgement.
Standard 8VAC20-800-830-A
Based on documentation review, emergency evacuation procedures were not practiced monthly.
Evidence:
1) On the date of inspection, the 2024 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of January 2024.
Plan of Correction: January's fire drill is now posted on the log.
View original record on Virginia Department of Social Services