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Maria Araujo

Inspection · 2024-08-28

Date
2024-08-28
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
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 monitoring inspection was conducted on 08/28/2024 as a part of the licensure period. The inspector reviewed compliance in the areas listed above. There were 11 children present and 3 caregivers; the point total was 32.

The inspector reviewed 4 children?s records and 4 staff records on-site. This inspection included * document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), tour of the facility, and interviews.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were 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 5 business days from today, which will be the close of business on 09/11/2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-800-120-B
Based on record review, caregivers' records did not contain all required information.
Evidence:
1) The record for Staff #4 did not contain the name address and telephone number of a person to be notified in an emergency.
Plan of Correction: Already done.
Standard 8VAC20-800-320-G
Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually to verify that the devices are properly installed, maintained, and cleaned as needed.
Evidence:
1) The most recent fireplace inspection was dated 05/02/2023.
Plan of Correction: Scheduled appointment for 09/05/2024.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
Three out of four records reviewed were missing information as follows:
1) The record for Child #1 was missing the telephone number of each custodial parent's place of employment, and name, address and telephone number of an additional designated person to contact in case of an emergency if the parent cannot be reached.
2) The record for Child #2 was missing the telephone number of one custodial parent's place of employment.
3) The record for Child #3 was missing the telephone number of one custodial parent's place of employment, and the policy number of the child's medical insurance.
Plan of Correction: Already done.
Standard 8VAC20-800-780-B
Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent's signed acknowledgment of the review.
Evidence:
1) The most recent review of the emergency information in the record for Child #4 was dated 03/09/2023.
Plan of Correction: Already done.
Standard 8VAC20-800-800-B
Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented.
Evidence:
1) The most recent review of the Emergency Preparedness Plan documented by the provider was dated 07/17/2023.
Plan of Correction: Already done.
View original record on Virginia Department of Social Services