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Natalia Gonzalez

Inspection · 2023-09-08

Date
2023-09-08
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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
8VAC20-770 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

A monitoring inspection was conducted on 09/08/2023. There were a total of 12 children (29 points) observed with 1 caregiver from approximately 9:05 am - 9:30 am. An additional caregiver arrived at approximately 9:30 am through the end of the inspection. The children were engaged in the following: Spanish class, napping, and playing with toys. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 8 child records and 2 caregiver/household member records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

If you have any questions about this inspection, please contact the inspector at Ariel.Hayes@doe.virginia.gov or 804-629-7124.

Violations

11
Standard 8VAC20-800-140-B-3
Based on a review of caregiver records, the provider did not ensure current certification in cardiopulmonary resuscitation (CPR) issued within the past two years and current certification in first aid.
Evidence:
Caregiver #1 and Caregiver #2 had CPR and first aid certifications that expired on 6/19/2023.
Plan of Correction: We already have the CPR and Firs Aid.
Standard 8VAC20-800-180-A
Based on a review of caregiver records, the provider did not obtain a current Report of Tuberculosis Screening form, every two years from the date of the first screening for one caregiver.
Evidence:
Caregiver #1 had a TB test dated 8/31/2021 which expired on 8/31/023.
Plan of Correction: Caregiver #1 already have the TB Test.
Standard 8VAC20-800-240-A
Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe and operable condition.
Evidence:
The wooden play structure outside had one missing step on the bottom of the ladder and a broken step at the top of the ladder.
Plan of Correction: I had the last step removed to prevent the little ones from climbing up. I have a handyman fixing it.
Standard 8VAC20-800-50-A
Based on observation, the provider did not ensure the family day home had a written record of children in attendance each day.
Evidence:
Attendance was not available on 09/08/2023 and the week prior, 09/01/2023-09/07/2023.
Plan of Correction: Now we use attendance.
Standard 8VAC20-800-570-A
Based on observation, the provider did not ensure that each caregiver does not exceed 16 points.
Evidence:
The inspection arrived at approximately 9:05 am and observed 12 children for a total of 29 points with Caregiver #2. Caregiver #2 was alone with the children until Caregiver #1 arrived to the family day home at approximately 9:30 am.
Plan of Correction: The babies were slepping and I have an emergency the other provider was late, I will no longer leave the children without replacement.
Standard 8VAC20-800-60-B
Based on a review of child records, the provider did not ensure that 3 children's records contained all of the required information.
Evidence:
Child #1 (date of enrollment 7/26/2021) was missing 1 emergency contact, results of the health examination for the child as required by 8VAC20-800-100, proof of the child's age and identity as required in 8VAC20-800-8 and immunization records for the child as required by 8VAC20-800-90.
Child #2 and Child #3 (date of enrollment 9/4/2023) were missing proof of the child's age and identity as required in 8VAC20-800-8 and immunization records for the child as required by 8VAC20-800-90.
Plan of Correction: I ask the parents of child number 1 to fill and sign de forms. Child number 3 already bring all the papers. The immunization record. Child 2&3 already bring the immunization records.
Standard 8VAC20-800-690-L
Based on observation, the provider did not ensure that when toilet chairs are used they are emptied promptly, cleaned and sanitized after each use.
Evidence:
Two toilet chairs in the bathroom had urine in them.
Plan of Correction: Now we are sure to clean the potty's after each use.
Standard 8VAC20-800-70-B
Based on a review of child records, he provider did not ensure the 2 records contained the parent's written acknowledgment of the receipt of the information.
Evidence:
Child #2 and Child #3 (date of enrollment 9/4/2023) were missing the parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70.
Plan of Correction: Parents are sign and bring all the missing sign.
Standard 8VAC20-800-700-B
Based on a review of medication and documentation, the provider did not ensure medication had written authorization.
Evidence:
Child #3 did not have written authorization for emergency medication.
Plan of Correction: Parents are sign and bring all the missing sign.
Standard 8VAC20-800-830-C
Based on a review of documents, the provider did not ensure documentation was maintained of monthly emergency evacuation drills.
Evidence:
The last documented emergency evacuation drill was dated 6/19/2023. No drills were documented for August and September 2023.
Plan of Correction: We miss august but we are going to do for September.
Standard 8VAC20-800-960-E
Based on observation, the provider did not ensure bottles were labeled with the child's full name and the date when more than one infant was in care.
Evidence:
1 of 3 sets of bottles did not contain the child's name. 2 of 3 sets of bottles did not contain the date.
Plan of Correction: Now we put the name and date every morning.
View original record on Virginia Department of Social Services