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Irma Puza

Inspection · 2023-11-20

Date
2023-11-20
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 on November 20, 2023 between the hours of 10:00 am through 11:30am. At the time of entrance, eight children (27pts) were in care with two caregivers. The inspector reviewed six children's records, two caregiver's records and one household member's record. Children were observed during morning snack, playing with toys, coloring, reading books, and engaged in group activities. Areas of non-compliance are identified on the violation notice. Repeat violations were found and are identified within this report.

If you have any questions about this inspection, please contact karen.dickens@doe.virginia.gov.

Violations

8
Standard 22.1-289.035-A
Based on record review and interview, the family day home did not update central registry record check every five years.
Evidence:
1. Caregiver #2's record (Date of hire-09/16/2016) did not contain documentation of an updated central registry results. Documentation of the central registry results was dated 11/1/2018 and expired on 11/1/2023.
2. Caregiver #1 stated that Caregiver #2's central registry results were not obtained due to them having difficulty with the online portal system.
Plan of Correction: The provider will complete a central registry search for Caregiver #2 and submit the results to the licensing inspector.
Standard 8VAC20-800-100-A
Repeat Violation

Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance.
Evidence:
1. Child #1's record (Start date-05/08/2023) did not contain documentation of a physical examination.
Plan of Correction: The provider will ask the parents for a copy of the most recent physical examination and document the record.
Standard 8VAC20-800-180-A
Repeat Violation

Based on record review and interview, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form.
Evidence:
1. Household Member #1's record did not contain documentation of a current Report of Tuberculosis Screening form. Documentation of a Report of Tuberculosis form was dated 12/02/2020.
2. Caregiver #1 confirmed that Household Member #1 did not obtain a current Tuberculosis Screening.
Plan of Correction: The household member has an appointment today for a tb screening. The provider will email the tb results to the licensing inspector by the end of the week.
Standard 8VAC20-800-60-B
Repeat Violation

Based on record review, children's records did not contain required information.
Evidence:
1. Child #1's, Child #2's, and Child #3's records did not contain the name, address, and phone number of a second emergency contact.
Plan of Correction: The provider will ask each parent to provide the name, address, and phone number of a second emergency contact.
Standard 8VAC20-800-680-A
Based on observation, caregivers did not wash their hands with soap and warm running water after contact with body fluids and before feeding children.
Evidence:
1. Caregiver #1 wiped Child #4's nose and did not wash their hands with soap and warm running water.
2. Caregiver #2 did wash their hands with soap and warm running water before feeding Child #1, Child #2, and Child #4.
Plan of Correction: Caregivers will ensure to wash their hands after coming in contact with bodily fluids and before feeding children. Handwashing procedures will be reviewed.
Standard 8VAC20-800-680-B
Based on observation, caregivers did not ensure that children's hands were washed with liquid soap and warm running water before eating.
Evidence:
1. Child #1's, Child #2's and Child #4's hands were not washed with liquid soap and warm running water before eating.
Plan of Correction: Caregivers will ensure that children's hands are washed with soap and warm running water before eating. Caregivers will be review handwashing procedures.
Standard 8VAC20-800-750-A
Repeat Violation

Based on documentation review and interview, the family day home did not obtain written authorization for diaper creams and topical skin products.
Evidence:
1. Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 have diaper creams on site at the family day home, but written parent authorization was not obtained for each.
2. Caregiver #1 confirmed that Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 did not have written parent authorization of diaper creams and topical skin products.
Plan of Correction: Parents will be given authorization forms for diaper creams and they will complete the form for each child.
Standard 8VAC20-800-90-A
Based on record review and interview, the provider did not obtain documentation that a child had been adequately immunized before the first day of attendance.
Evidence:
1. Child #4's record (Start date-11/20/2023) did not contain immunization records.
2. Caregiver #1 confirmed that Child #4 did not have immunization records before the child's first day of attendance.
Plan of Correction: Today was the child's first day of attendance at the family day home. The parent stated that they would bring the immunization records at the end of the day.
View original record on Virginia Department of Social Services