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Irma Puza

Inspection · 2023-04-11

Date
2023-04-11
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 monitoring inspection was conducted today between the hours of 9:30 am through 10:45 am. There were a total of seven children (16 points) observed with three caregivers. A total of six children's files and six staff/household member's files were reviewed. The children were engaged in the following: toy play, circle 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

8
Standard 22.1-289.035-B-2
Based on record review and interview, a criminal history check was not conducted every five years.
Evidence:
1. Caregiver #1's record contained an expired fingerprint results report. Caregiver #1's record contained a fingerprint results reports dated 12/02/2020. Caregiver #1 confirmed that a new fingerprint search had not been conducted at the time of the inspection.
Plan of Correction: The provider will schedule an appointment with Fieldprint to get new fingerprint results.
Standard 22.1-289.036-B-2
Based on record review and interview, a criminal history check was not conducted for a household member every five years.
Evidence:
1. Household Member #1's record contained an expired fingerprint results report. The report was dated 04/02/2018. Caregiver #1 confirmed that a new criminal history check had not been conducted at the time of the inspection.
Plan of Correction: The household member will schedule an appointment with Fieldprint to get new fingerprint results.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
Child #2's record (Start date-02/03/2023) did not contain documentation of a physical examination.
Plan of Correction: The provider will contact the parents to get a copy of the child's health examination.
Standard 8VAC20-800-180-A
Based on record review and interview, the provider did not obtain for each caregiver and adult household member a current report of Tuberculosis(TB) Screening.
Evidence:
1. Caregiver #1's record contained a TB screening that was expired. The TB screening was dated 12/02/2020. Caregiver #1 confirmed that a subsequent TB screening had not been completed at the time of the inspection.
2. Household Member #1's record contained a TB screening that was expired. The TB screening was dated 12/02/2020. Caregiver #1 confirmed that Household Member's subsequent TB screening had not been completed at the time of the inspection.
Plan of Correction: The provider and the household member have appointments already scheduled for the tb screenings.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain required information.
Evidence:
1. Child #1's record (Start date-02/01/2023) did not contain the name, address, and phone number for a second emergency contact.
Plan of Correction: The provider will get a second emergency contact and document the record.
Standard 8VAC20-800-750-A
Based on observation and interview, four of four diaper creams did not have written parent authorization.
Evidence:
1. Four of four containers of diaper cream did not have written parent authorization for Child #3, #4, #5, and #6.
2. Caregiver #1 confirmed that Child #3, #4, #5, and #6 did not have written parent authorization for the diaper creams.
Plan of Correction: The provider will give the parents the diaper cream authorization form to complete.
Standard 8VAC20-800-830-C
Based on record review and interview, documentation was not maintained of emergency evacuation drills.
Evidence:
1. Documentation of emergency evacuation drills were not maintained for the months of January, February, and March.
2. Caregiver #1 confirmed that the evacuation drills for the months of January, February, and March were completed, but the documentation was not completed.
Plan of Correction: The provider will document the evacuation drill log to reflect the dates of the January, February, and March drills.
Standard 8VAC20-800-960-E
Based on observation, bottles were not labeled with the child's full name and date.
Evidence:
1. Three bottles of breast milk were located in the refrigerator without a child's name or current date.
Plan of Correction: The bottles will be dated with the child's full name and date.
View original record on Virginia Department of Social Services