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Irma Puza

Inspection · 2024-04-24

Date
2024-04-24
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 on April 24, 2024 between the hours of 9:15 am through 10:30am. There were a total of 9 children (27 points) observed with three caregivers. A total of six children's files and four staff/household member's files were reviewed. The children were engaged in the following: toy play, breakfast, 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 8VAC20-770-60-B
Based on record review and interview, an employee of a family day home did not complete a sworn statement or affirmation.
Evidence:
1. Caregiver #3's record (Date of hire 01/02/2024) did not contain documentation of a completed sworn statement or affirmation.
2. Caregiver #1 confirmed that Caregiver #3 did not complete a sworn statement or affirmation.
Plan of Correction: The caregiver will complete a Sworn Statement immediately.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the family day home does not have a central registry finding within 30 days of employment.
Evidence:
1. Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of a central registry finding within 30 days of employment.
2. Caregiver #1 confirmed that a central registry search was conducted, but the results have not returned.
Plan of Correction: The provider will follow up with the Office of Background Investigations for the results of the Central Registry.
Standard 8VAC20-800-120-B
Based on record review, required records were not kept for each staff person.
Evidence:
1. Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of verification of age, name, address and telephone number of a person to be notified in an emergency, and documentation of two or more references as to character and reputation as well as competency checked before employment.
Plan of Correction: The provider will document the caregiver's record with the required information.
Standard 8VAC20-800-140-B-3
Based on record review and interview, the provider did not obtain current certification in cardiopulmonary resuscitation(CPR).
Evidence:
1. Caregiver #1's record did not have documentation of current CPR certification. Caregiver #1 CPR expired on 01/23/2024. Caregiver #1 confirmed that CPR certification was expired.
Plan of Correction: A class has been scheduled for the caregiver.
Standard 8VAC20-800-140-B-4
Based on record review and interview, the provider did not obtain current certification in first aid.
Evidence:
1. Caregiver #1's record did not have documentation of current first aid certification. Caregiver #1's first aid certification expired on 01/23/2024. Caregiver #1 confirmed that certification in first aid was expired.
Plan of Correction: A class has been scheduled for the caregiver.
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 form every two years.
Evidence:
1.Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of a current TB Screening.
2. Caregiver #1 confirmed that Caregiver #3 did not have a current TB screening available at the time of the inspection.
3. Household Member #1 did not have documentation of a current TB screening. Household Member #1's TB screening expired in 12/02/2020.
4. Caregiver #1 confirmed that Household Member #1 did not have documentation of a TB screening at the time of the inspection.
Plan of Correction: The caregiver and household member will make appointments for a Tb screening.
Standard 8VAC20-800-200-C
Based on record review, documentation of the orientation was not signed and dated by the provider and the assistant.
Evidence:
1. Caregiver #3's record (Date of hire-01/02/2024) did not have documentation of orientation.
Plan of Correction: The caregiver will complete the orientation and the record will be documented.
Standard 8VAC20-800-70-A
Based on record review, parents were not provided required information before the child's first day of attendance.
Evidence:
1. Child #2's record (Start date-08/14/2023) did not have documentation of provisions of the family day home's emergency preparedness and response plan.
Plan of Correction: The parents will be given a copy of the provisions of the emergency preparedness plan to sign and document the record.
View original record on Virginia Department of Social Services