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Miriam Medina

Inspection · 2024-08-13

Date
2024-08-13
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, on-site monitoring inspection was completed on 8/13/2024. The on-site inspection began at 10:25am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 12 children present (37 points) and 4 staff. The inspector reviewed 5 children?s records and 4 staff records on-site on 8/13/2024. This inspection included document review, tour of the facility, 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.

Violations

5
Standard 8VAC20-800-540-A
Based on observation, all feeding or activity tables were not used according to the manufacturer's instructions when occupied by a child and a safety strap was not securely fastened.

Evidence:
1. An infant (under 16 months) was observed in a bumbo seat that had a safety strap, but the safety strap was not securely buckled.
Plan of Correction: The infant was buckled securely during the inspection. We will make sure we buckle them.
Standard 8VAC20-800-60-A
Based on a review of children's records, 3 out of 5 records were not up-to-date record.

1. Child #2's last annual update of emergency information was on 7/12/2023.
2. Child #4's last annual update of emergency information was on 8/4/2023.
3. Child #6's last annual update of emergency information was on 6/4/2022.
Plan of Correction: I will ask the parents to sign the annual update today.
Standard 8VAC20-800-60-B
Based on a review of children's records, 1 out of 12 children did not have a record containing the required information.

Evidence:
1. Child #1 did not have a child file on site with the required information at the time of the inspection.
Plan of Correction: I will ask the parents for the papers today.
Standard 8VAC20-800-90-C
Based on a review of children's records, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements.

Evidence:
1. Child #6 (2 years old) had not had updated immunizations obtained by the family day home since 5/5/2022.
Plan of Correction: I will ask the parents for the immunization record today.
Standard 8VAC20-800-960-E
Based on observation, all bottles were not labeled with the child's full name and the date.

Evidence:
1. In the kitchen area, 3 bottles were observed to have no name and no date for the day. There was more than one infant in care at the time of the inspection.
Plan of Correction: We will make sure we label the bottles with name and date moving forward.
View original record on Virginia Department of Social Services