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Miriam Medina

Inspection · 2025-02-06

Date
2025-02-06
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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 and completed on 2/6/2025. The on-site inspection began at 1:55pm and ended at 3:05pm. The inspector reviewed compliance in the areas listed above. There were 12 children present and 4 caregivers; the point total was 34. The inspector reviewed 5 children?s records and 5 caregiver/household members
records on-site on 2/6/2025. 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

4
Standard 22.1-289.035-B-3
Each employee is required to authorize the family day home to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515.

Caregiver #1 and Caregiver #2 did not have documentation of the results of a central registry background check on file at the time of the inspection.
Plan of Correction: I will make sure we send the background checks on time and will get the results for these background checks.
Standard 8VAC20-800-180-A
The provider is required to obtain, for each caregiver and adult household member ,a current Report of Tuberculosis Screening formevery two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Caregiver #1 had a TB screening on file that expired less than one month ago.
Household Member #1 and Household member #2 had a TB screening on file that expired less than one month ago.
Plan of Correction: We will make an appointment to get our TB screenings completed.
Standard 8VAC20-800-60-B
**REPEAT VIOLATION**
A complete child record is required for each child in care.

Child #2 did not have a completed child record on file at the time of the inspection.
Plan of Correction: I will ask the parent for the child's record to be completed today.
Standard 8VAC20-800-90-C
**Repeat Violation**
The family day home is required to obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements.

Child #3's last documented immunizations on file were obtained 18 months ago.
Child #5's last documented immunizations on file were obtained 17 months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services