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Luisa Cottle

Inspection · 2024-09-19

Date
2024-09-19
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.
8VAC20-770 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

An unannounced on-site monitoring inspection was initiated and completed on September 19, 2024. The on-site inspection began at 10:35 AM and ended at 12:10 PM. The inspector reviewed compliance in the areas listed above. There were 8 children present and 2 caregivers; the point total was 25. The inspector reviewed 5 children's records and 2 caregiver records on-site. This inspection included document review, 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

Violations

6
Standard 8VAC20-800-680-A
Caregivers shall wash their hands with liquid soap and warm running water before feeding or helping children with feeding, and after contact with any body fluids.

Caregiver #2 did not wash their hands before helping children with feeding, and after diapering children.
Plan of Correction: I will reinforce to my assistant to wash her hands. She knows this is important. Caregiver was given instructions on proper handwashing during the inspection.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering.

Caregiver #2 did not have Child #1, #2, #4 wash their hands after diapering.
Plan of Correction: My assistant knows this must be done. I will reinforce the steps in washing children's hands.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each use.

Caregiver #2 did not clean and sanitize the diapering surface after diapering Child #1, #2, and #4.
Plan of Correction: The diapering surface will be cleaned and sanitized after each use.
Standard 8VAC20-800-780-B
Repeat violation: Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

Records for children #1, and #2, did not have a parent?s signature for an annual review of the emergency contact information. Child #1 and Child #2 had been in care for over a year.
Plan of Correction: I will have the parents review the emergency contact information today and sign the paper that they have reviewed the information.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

The record for Child #4, who was in care during the inspection, and had been in care for three (3) weeks, did not have documentation of immunization.
Plan of Correction: I will tell the parents today when they pick up their child, I must have the immunizations by the end of the month.
Standard 8VAC20-800-90-C
Repeat Violation: Documentation of additional immunizations is required once every six (6) months for children under the age of two years.

Child #2, age 22 months, last immunization documentation was over seven (7) months ago.
Plan of Correction: I will tell the parents again today that I must have the immunization and the physical by the end of the month.
View original record on Virginia Department of Social Services