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Yesenia Morales

Inspection · 2022-01-12

Date
2022-01-12
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22.1 Background Checks Code; carbon monoxide detectors

Inspector Notes

A renewal inspection was initiated on 01/12/2022 and concluded on 01/13/2022. There were 6 children present (17 points), with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical environment and equipment, care of children, preventing the spread of disease, medication administration, emergencies and nutrition. A total of 2 child records and 3 caregiver/household member 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.

Violations

3
Standard 22.1-289.036-A
Based on record review, the provider did not obtain a sworn statement of affirmation and a copy of the results of a search of the central registry for each household member every five years.

Evidence:
1. The sworn statement in the record for household member #1 was dated 11/4/21.
2. The central registry check results in the record for household member #1 was dated 12/8/16.
3. The central registry check results in the record for household member #2 was dated 6/27/16
Plan of Correction: The Provider will submit documentation to the department that the required checks were submitted within 10 days.
Standard 8VAC20-800-100-B
Based on record review, the physical exam obtained for Child #1 was not conducted within required time frames.

Evidence:
1. Child #1 was 7 months old at the first date of attendance.
2. The physical in the record for Child #1 was dated 2/3/2021, more than 3 months prior to attendance.
Plan of Correction: We will request an updated physical.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child's first day.

Evidence:
1. The immunizations in the record for Child #1 (start date 9/7/21) were dated 11/22/21.
Plan of Correction: Immunizations were obtained and documented in the file.