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Claudia Tramontana

Inspection · 2023-01-24

Date
2023-01-24
Complaint Related
No
Licensing Inspector
Pamela Sneed
(804) 629-2691
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
?8VAC20-800 Transportation
?8VAC20-800 Nighttime Care
?8VAC20-820 THE LICENSE.
?8VAC20-820 THE LICENSING PROCESS.
?8VAC20-820 HEARINGS PROCEDURES.
?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
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced monitoring inspection was conducted at 1:30pm. Observed 8 children = 21 points with the Provider + Assistant #1. Ratios and supervision were in compliance. Children were napping during the inspection. Each child brings their own food daily. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. The backyard play space was well maintained, fenced, and offered a variety of play options. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Violations

5
Standard 22.1-289.036-A
Based on records reviewed, it was determined that caregivers did not obtain background checks within 5 years of the previous completed checks.

Evidence:

1. Provider-The previous sworn disclosure statement was completed 8/1/17; the previous criminal record check was completed 9/1/17; and the previous child abuse + neglect search was completed 9/14/17. To-date these checks have not been updated.
2. Assistant #1-The previous criminal record check was completed 9/15/17; and the previous child abuse + neglect search was completed 9/14/17. To-date these checks have not been updated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Based on records reviewed, it was determined that 2 of 4 children?s records did not include a physical exam within the first 30-days of attendance.

1. Child #1-Child began attending in June 2021 and to-date no physical exam on-file.
2. Child #12-Child began attending in September 2022 and to-date no physical exam on-file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on records reviewed, it was determined that 1 of 4 children?s records did not include required information.

Evidence:

1. Child #11-There was no documentation of parents home + work information, emergency contacts, medical insurance, emergency medical authorization, medicine policy, emergency plan, and notice of liability insurance.
2. Child #12-The parents wrote that the child has an allergy and requires an emergency medication, but the provider reported that she had no medication for the child, nor is there a written emergency action plan on-file should an allergic reaction occur.
Plan of Correction: The child?s record will be completed. In the future, it will be done at the time of enrollment.

The provider will discuss with parents and obtain the required written documentation. If medication is required, the provider will obtain MAT certification prior to receiving the medication. The inspector will send an allergy action plan template.
Standard 8VAC20-800-70-A
Based on records reviewed, it was determined that 1 of 4 children?s records did not include required information. Evidence: Child #1-There was no signed documents that the parents have received the policies listed on the Information for Parents form. An unsigned blank copy of the form was in the child?s record.
Plan of Correction: The provider said she would complete the form and have the parents sign it.
Standard 8VAC20-800-80-A
Based on records reviewed, it was determined that 1 of 4 children?s records did not include required information. Evidence: Child #12-There was no documentation that the child?s proof of identity was verified.
Plan of Correction: The provider said she would verify and document in the record.
View original record on Virginia Department of Social Services