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Ms. Mercedes Martell

Inspection · 2024-10-24

Date
2024-10-24
Complaint Related
No
Licensing Inspector
Anansa Archer-Hicks
(703) 537-6757
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 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 10/24/24. The on-site inspection began at 2:55pm and ended at 4:10pm. The inspector reviewed compliance in the areas listed above. There were eight children present and three caregivers; the point total was 22. The inspector reviewed three children?s records and caregiver records on-site. This inspection included document review, 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/8/24. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.036-B-1
The provider is required to obtain a completed sworn statement prior to the employee's first day of employment.

There were no sworn statements on record for Caregiver B, who had been employed for more than two weeks, or for Caregiver C, who had been employed for more than one month.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-B-2
2 The provider must obtain documentation of the results of a fingerprint-based, national criminal background check prior to the employee's first day of employment.

Caregiver B, who had been employed for more than two weeks, and Caregiver C, who had been employed for more than one month, did not have the results of a national criminal background check on record for the provider.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-B-3
The provider must request a search of the central registry prior to the employee's first day of employment.

Caregiver B, who had been employed for more than two weeks, and Caregiver C, who had been employed for more than one month, did not have a central registry search requested.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Providers must maintain a record for each caregiver that contains required documentation.

The record for Caregiver B, who had been employed for more than two weeks, and the record for Caregiver C, who had been employed for more than one month, did not contain references or documentation of orientation training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
The provider shall obtain from each caregiver at the time of hire a current tuberculosis (TB) screening form documenting the absence of TB in a communicable form.

The TB screening on record for Caregiver B was dated more than two weeks after employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
(Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening.

The TB screening on record for Caregiver A was more than six months past due.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-900-B
Children shall not be allowed to eat or drink while lying down.

A toddler was observed in their crib with a bottle. Several other children were observed to have bottles or sippy cups with them in their sleeping location, which is considered a choking hazard.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services