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Patricia Martinez

Inspection · 2025-01-22

Date
2025-01-22
Complaint Related
No
Licensing Inspector
Kristy Atanackovic
(804) 629-5032
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
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-800 Personnel
8VAC20-770 Background Checks
8VAC20-800 Household Members
20 Access to minor?s records
8VAC20-800 Physical Health of Caregivers and
Household members
22.1 Early Childhood Care and Education
8VAC20-800 Caregiver Training
54.1 Provider must be MAT certified to administer prescription medication.
8VAC20-800 Physical Equipment and Environment
63.2 Child abuse and neglect
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.

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 on 1/22/2025 and completed on 1/22/2025. The on-site inspection began at 12:15 pm and ended at 1:35 pm. The inspector reviewed compliance in the areas listed above. There were 9 children present and 3 caregivers; the point total was 35. The inspector reviewed 5 children?s records, 3 caregivers, and 4 household member(s) records on-site. This inspection included document review, a 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
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 1/31/2025. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

The findings from the most recent inspection, dated 7/23/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

Caregiver #3 did not have central registry search results during the inspection and has been employed for over 189 days.
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.

An updated TB screening for Household Member #1 was not completed and was overdue by 178 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of 16 clock hours of training annually.

Caregiver #1 obtained 2 hours of training hours in 2024.
Caregiver #2 obtained 9 hours of training in 2024.
Caregiver #3 obtained 6 hours of training in 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-250-A
Appliance cords shall be out of reach of children under five years of age.

A drawer of loose appliance cords was found in the children's bathroom, next to the toilet, and it was not out of reach of children under five.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Children's records are required to contain two emergency contacts and parent work phone numbers.

The record for Child #1 is missing 1 out of 2 emergency contact information and two parent work phone numbers. Child #1 was present during the inspection and had been in care for over 108 days.

The record for Child #3 is missing two parent work phone numbers. Child #3 was present during the inspection and had been in care for over 142 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided required information in writing.

The parents of Child #1 who has been in care for over 108 days was not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home, the policies for the administration of medications, and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.

The parents of child #3 who has been in care for over 142 days was not provided in writing the following required information: the policies for the administration of medications, and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.

The parents of Child #4 who has been in care for over 17 days and Child #5 who has been in care for over 407 days was not provided in writing the following required information: the policies for the administration of medications
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-750-A
When topical skin products such as diaper ointment are used the following requirements shall be met: The product shall be labeled with the child's name, if provided by the parent.

Child #6's diaper cream was not labeled with the child's name.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-80-C
The provider did not ensure that documentation of verifying children's proof of identity was completed.

There was no documentation of date documentation viewed and person viewing documentation for Children #1, 2, 3, 4, and 5 records.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-C
Documentation shall be maintained of emergency evacuation drills.

Documentation was not maintained for emergency evacuation for July, August, September, October, November, and December 2024.
Plan of Correction: Not available online. Contact Inspector for more information.