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Ghidiani Sanchez

Inspection · 2022-06-23

Date
2022-06-23
Complaint Related
No
Licensing Inspector
Alyssa Simons
(571) 423-6392
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

Areas of Standards 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
8VAC20-820 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 6/22/22. There were 6 children present, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 child records and 3 caregivers 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.

Contact sheila.nelson@doe.virginia.gov or call 804-629-7489 if you have any questions
regarding this inspection.

Violations

7
Standard 22.1-289.058
Based on interview, the family day home is not equipped with at least one carbon monoxide detector.

Evidence: Carbon Monoxide detector was not observed. Upon discussion with provider, it was confirmed there was not a carbon monoxide detector installed in the home. This was previously cited at the last inspection on 3/24/2022.
Plan of Correction: I will purchase Carton monoxide detector.
Standard 8VAC20-800-280
Based on observations, potentially poisonous substances, cleaning agents, disinfectants, and deodorizers, were not stored away in areas inaccessible to children.

Evidence:
1. Hazard materials labeled "keep out of reach of children" were accessible to children in an unlocked cabinet in bathroom.
2. Deodorizer was located on a counter making it accessible to children.
Plan of Correction: I will move either move the chemicals out of reach of children.
Standard 8VAC20-800-320-B
Based on observations, child-resistant protective covers were not installed on unused electrical outlets and surge protector.

Evidence:
1. Electrical outlet did not have a child-resistant protective cover.
2. Surge protector had 2 outlets that did not have protective cover.
Plan of Correction: I will cover the electrical outlets with protective covers.
Standard 8VAC20-800-480-D
Based on observations, equipment used by children was not being used in accordance with the manufacturer's instructions.

Evidence:
1. 3 children were observed in highchairs without the straps being used.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-800-830-D
Based on record review and interview, documentation of emergency evacuation procedures, drills were not maintained.

Evidence: The emergency evacuation procedures log did not have April and May drills documented. The provider stated she did complete the drills but forgot to document them.
Plan of Correction: I did the drills so I will document the dates.
Standard 8VAC20-800-90-C
Based on record review, the family day home did not obtain documentation of additional immunizations once every 6 months for children under the age of two years.

Evidence:
1. One child's file did not contain an updated immunization record.
2. Record for child #1 (age 18 months), did not have an updated immunization record every 6 months for children under 2 years of age.
Plan of Correction: I will have parents bring in updated immunization.
Standard 8VAC20-800-920
Based on observations, meals and snacks provided by the family day home did not meet the requirements to list any substituted food.

Evidence:
1. Children were observed eating peanut butter & jelly sandwich and watermelon instead of what was posted on the menu.
2. Posted menu was chicken, rice, mixed vegetables, fruit
3. The substitutions were not documented on the menu.
Plan of Correction: I will write substituted food on menu going forward.
View original record on Virginia Department of Social Services