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Enma Rivas

Inspection · 2023-08-14

Date
2023-08-14
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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 Background Checks Code, Carbon Monoxide
?54.1 Provider must be MAT certified to administer prescription medication.
?63.2 Child abuse and neglect
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced renewal inspection was conducted today between the hours of 9:45 am through 11:30 am. There were a total of 8 children (18 points) observed with two caregivers. A total of six children's files and three staff/household member's files were reviewed. The children were engaged in the following: toy play, outdoor time, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations

6
Standard 22.1-289.036-A
Repeat
Based on record review and interview, the provider did not update criminal history record reports every five years for an applicant and adult household member.
Evidence:
1. Household Member #1's record did not contain documentation of an updated criminal history record report. Household Member #1's record contained documentation of a criminal history record report dated 07/05/2018.
2. Staff #1's record did not contain documentation of an updated criminal history record report. Staff #1's record contained documentation of a criminal history record report dated 06/28/2018.
3. Staff #1 confirmed that updated criminal history record checks were not completed at the time of the inspection for them and Household Member #1.
Plan of Correction: The provider has made appointments with the fingerprinting facility to obtain an updated criminal history check s for the household member and self. The provider will make a spreadsheet with due dates indicating when background checks are expired to ensure compliance with the repeat checks every five years.
Standard 22.1-289.036-B-2
Based on record review and interview, the provider did not obtain a Criminal History Records check for an adult household member.
Evidence:
1. Household Member #2's(18 years old) record did not contain documentation of a Criminal History Records check.
2. Staff #1 confirmed that Household Member #2 did not complete a Criminal History Records at the time of the inspection.
Plan of Correction: The provider has made an appointment with the fingerprinting facility to submit to fingerprinting. Once the results have been returned, the provider will email the Licensing Inspector the results.
Standard 8VAC20-800-170-A
Based on record review and interview, the provider did not obtain a current Report of Tuberculosis(TB) Screening for each adult household member.
Evidence:
1. Household Member #2's record did not contain documentation of a current Report of Tuberculosis Screening after turning the age of 18.
2. Staff #1 confirmed that Household Member #2 did not obtain a TB Screening after turning the age of 18 to date.
Plan of Correction: The Household Member made an appointment with a physician to get a TB screening.
Standard 8VAC20-800-210-A
Based on documentation review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1. Staff #1 did not obtain a minimum of sixteen clock hours of training annually. Staff #1's record contained documentation of three hours of the minimum sixteen hours.
2. Staff #1 confirmed that three hours of training was obtained for the year.
Plan of Correction: The provider is signed up for upcoming trainings that will complete the minimum required 16 hours of training.
Standard 8VAC20-800-60-B
Repeat

Based on record review, children's records did not contain required information.
Evidence:
1. Child #5's record (Start date-01/03/2022) did not contain documentation of the review of the child's emergency contact information.
Plan of Correction: The provider will have the parents to review the emergency contact information in the record and document.
Standard 8VAC20-800-70-A
Based on record review, the provider did not provide required written information for parents before the child's first day of attendance.
Evidence:
1. Child #1's record (Start date-01/09/2023) did not contain documentation of Provisions of the family day home's emergency preparedness and response plan and whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation.
Plan of Correction: The provider has emailed the parents the missing documents in the record for review and signatures. The provider will document the record once returned.
View original record on Virginia Department of Social Services