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Miriam Medina

Inspection · 2022-07-20

Date
2022-07-20
Complaint Related
No
Licensing Inspector
Shahana Green
(571) 423-6735
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 renewal inspection was conducted today between 12:45pm and 2:00pm. There were 14 children (31 points) present with the Provider and 2 assistants. The children were observed being held and taking a nap. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, evacuation drill log, menu and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice.
Thank you for your cooperation. If you have any questions, please e-mail me at shahana.green@doe.virginia.gov.

Violations

3
Standard 8VAC20-800-180-A
Based on a review of household member records, the Provider did not obtain a subsequent report of tuberculosis screening every two years from the date of the first
screening or more frequently as recommended by a physician or the local health
department.

Evidence:
1. Household Member #2's most recent tuberculosis screening was dated 3/7/2020.
Plan of Correction: I will make an appointment for the screening.
Standard 8VAC20-800-40-A
Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

Evidence:
1. There were 14 children receiving care in the family day home during the start of the inspection.
Plan of Correction: Two children are leaving and were here only for an emergency. I will only have 12 children.
Standard 8VAC20-800-780-B
Based on a review of children's records, 2 out of 4 children did not have acknowledgement of the review of the annual review of emergency contact information required to ensure the information is correct.

Evidence:
1. Child #1's (doe: 1/4/2018) last annual update of emergency contact information was on 7/7/2020.
2. Child #2's (doe: 1/4/2018) last annual update of emergency contact information was on 7/7/2020.
Plan of Correction: I will ask the parents to review and sign it today.
View original record on Virginia Department of Social Services