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Enma Rivas

Inspection · 2024-07-25

Date
2024-07-25
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

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on July 25, 2024, as a part of the licensure period. The on-site inspection began at 9:15am and ended at 11:15am. The inspector reviewed compliance in the areas listed above. There were 8 children present (21 points) and 3 staff. The inspector reviewed 8 children?s records and 4 staff records on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, and authorization forms), tour of the home, 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 6, 2024 . A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-800-120-B
Based on record review, the provider did not ensure caregiver records contained the required information.
Evidence:
-The records for Staff #2 (date of hire 3/25/24) and Staff #3 (date of hire 1/16/24) did not contain the name, address, and telephone number of a person to be notified in an emergency.
-The records for Staff #2 and Staff #3 did not contain documentation that two or more references were checked before employment. The provider stated that only one was checked, but not documented.
Plan of Correction: I will obtain and place the required information in their files.
Standard 8VAC20-800-210-A
Based on record review and provider interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Evidence:
There was no record of training and the provider stated they have not completed training.
Plan of Correction: I will work on completing the required trainings for the remainder of the year.
Standard 8VAC20-800-230-A
Based on record review, the provider did not maintain written documentation of each caregiver?s applicable education and programmatic experience.

Evidence: There was no documentation of education and experience on record for Staff #2 and Staff #3.
Plan of Correction: I will print the required information for their files.
Standard 8VAC20-800-50-A
Based on record review, the family day home did not keep an accurate written record of children in attendance each day.

Evidence: The daily attendance for 7/26/2024 was already completed with arrival and departure times for 9 children.
Plan of Correction: Moving forward, I will keep an accurate record of daily attendance.
Standard 8VAC20-800-780-B
Based on record review, the provider did not review with the parent the emergency contact information required and obtain the parent?s signed acknowledgment for the review.

Evidence:
-The last update for Child #1 (date of enrollment 1/5/22), was 12/28/21.
-The last update for Child #5 (date of enrollment 11/28/22), was 3/24/23.
-The last update for Child #6 (date of enrollment 12/5/22), was 9/20/22.
-The last update for Child #7 (date of enrollment 2/14/22), was 2/14/22.
Plan of Correction: I will get the information by the end of next week.
View original record on Virginia Department of Social Services