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Ms. Silvia Burgos Moncada

Inspection · 2025-02-18

Date
2025-02-18
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
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 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
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 renewal inspection was initiated and completed on 2/18/25.

The on-site inspection began at 10:35 and ended at 12:05 pm. The inspector reviewed compliance in the areas listed above. There were 9 children present and 2 caregivers, with a 3rd caregiver arriving during the inspection, the point total was 18. The inspector reviewed 6 children?s records and 6 caregiver/household member(s) records on-site.
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

6
Standard 22.1-289.035-B-2
National Fingerprint background checks must be obtained prior to employment.

Staff # 1 did not have a fingerprint background check prior to employment, staff # 1 has been employed for one day.
Plan of Correction: I will get the background check.
Standard 22.1-289.036-B-3
Central Registry Requests must be made prior to employment.
There has no documentation to show that a request for a central registry search for staff # 1 was made prior to employment. Staff #1 has been employed for one day.
Plan of Correction: I will get the background check.
Standard 8VAC20-800-220-A
To safety perform medication administration practices whenever the family day home has agreed to administer medication shall be performed by a caregiver who is satisfactorily completed Medication Administration Training.
Three children were present with medications on site and neither of the two caregivers present had Medication Administration Training.
Plan of Correction: We will make sure a MAT certified person is always present when children with medications are on site.
Standard 8VAC20-800-60-B
A child's record shall contain certain information to include physician and emergency contact information at the time of enrollment.

Child #2 enrolled 10 months ago and there was no physician information nor emergency contact information on file.
Plan of Correction: I will get the information for the child's file.
Standard 8VAC20-800-620-G
Within 30 days of a child's enrollment, the provider shall provide the department's representative a written recommendation for the level of staffing necessary to care for and supervise a child with special needs.
There was no written recommendation from the provider to the department to address the level of staffing to care for child # 1. A document outlining the behavioral and emotional needs of child #1 was given to the caregiver 2 months prior. .
Plan of Correction: I will fill out the form and send it to my Inspector.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly.
There was no documentation that emergency evacuation procedures was practiced for January 2025.
Plan of Correction: I will make sure to document the drills.
View original record on Virginia Department of Social Services