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Enma Rivas

Inspection · 2025-02-19

Date
2025-02-19
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
8VAC20-770 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 monitoring inspection was initiated and completed on February 19, 2025, as a part of the licensure period. The on-site inspection began at 10:00 a.m. and ended at 11:00 a.m. The inspector reviewed compliance in the areas listed above. There were 8 children present and 3 caregivers; the point total was 18. The inspector reviewed 5 children?s records and 4 caregiver/household member(s) records on-site. This inspection included document review, 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on February 26, 2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-800-120-B
The provider must maintain a record for each assistant that contains the name, address, and telephone number of a person to be notified in an emergency.

The record for Assistant #1, employed for 11 months, and Assistant #2, employed for over 1 year, did not include information for an emergency contact.
Plan of Correction: The emergency contact information will be obtained and documented.
Standard 8VAC20-800-60-B
Children's records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

The record for Child #2, enrolled for over 5 months, did not contain the addresses of two emergency contacts. The record for Child #3, enrolled for over 4 months, did not contain the addresses of one emergency contact. The record for Child #5, enrolled for over 5 months, did not contain the addresses of two emergency contacts.
Plan of Correction: The addresses for the emergency contacts will be documented.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years.

Child #4, 20 months old, last documented immunization record was over 14 months ago and was overdue by over 8 months.
Plan of Correction: Updated immunization records will be obtained.
View original record on Virginia Department of Social Services