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Ruth Moscoso

Inspection · 2023-01-05

Date
2023-01-05
Complaint Related
No
Licensing Inspector
Laura Lunceford
(571) 835-5058
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 11:05am and 12:30pm. There were 11 children present with the Provider and 1 assistant for a total of 29 points within the supervision guidelines. The children were observed playing freely, watching a Disney movie, washing hands and eating lunch (macaroni and cheese, green beans, grapes and milk). A complete inspection of the physical plant, children and staff records, fire drill log, attendance and emergency procedures were observed during this inspection. The provider is not trained to administer medication and confirmed that there were no medications kept on site. 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 whitney.mcgrath@ doe.virginia.gov.

Violations

5
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening for each household member every two years.
Evidence: Household member #2's most recent TB screening is dated 12/3/2020.
Plan of Correction: I will ask them to get it done if it hasn't been done already.
Standard 8VAC20-800-210-A
Based on record review and interview, caregivers did not obtained a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.
Evidence: Caregiver #1 and Caregiver #2 have documentation of 12.5 hours of training completed in 2022. Caregivers confirmed that they did not obtain 16 hours.
Plan of Correction: We will have to look into more online trainings to do because we can't find in-person trainings.
Standard 8VAC20-800-750-A
Based on observation and interview, requirements for topical skin products were not met.
Evidence: A tube of diaper ointment was observed on the diaper changing station without a child's name on it. Caregivers confirmed the diaper ointment belonged to Child #1.
Plan of Correction: Corrected during the inspection.
Standard 8VAC20-800-90-C
Based on record review, the family day home did not obtain documentation of additional immunizations every six months for children under two years old.
Evidence:
1. Child #1 (14 months) most recent immunizations are dated from when the child was 2 months old.
2. Child #5 (15 months) most recent immunizations are dated from when the child was 4 months old.
Plan of Correction: I will talk to the parents today and request the updated records.
Standard 8VAC20-800-920
Based on observation and interview, requirements were not met when meals or snacks are provided by the family day home.
Evidence: The provider stated that they provide food for the children in care. There is no menu posted.
Plan of Correction: I will have my family member help me to create a menu on the computer to post.
View original record on Virginia Department of Social Services