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Mrs. Antonia Cruz

Inspection · 2022-06-08

Date
2022-06-08
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
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

A monitoring inspection was initiated and concluded on 6/8/2022. At the time of the inspector's arrival, there were 3 children present, ranging in ages from 1 to 5 years old with the licensee supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 4 staff records were reviewed.

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.

Violations

3
Standard 8VAC20-770-40-D-5-a
Based on a review of records and interview, the licensee was unable to demonstrate that each person residing in the home obtains a search of the Child Protective Services central registry check within 30 days of turning 14 years old.

Evidence:
Four provider / household member records were reviewed.
The record for household member #4, who turned 14 years old more than 30 days ago, did not contain the results of a search of the central registry.
The licensee stated that wit was an oversight and she had not yet requested a central registry report for household member #4.
Plan of Correction: The licensee will request for a search of the central registry which will be sent out for household member #4 within 10 days.
Copies of the request and payment and/or results of the central registry search for household member #4 will be forwarded to the inspector within 10 days of the inspection on 6/8/2022.
Standard 8VAC20-800-100-A
Based on a review of records and interview, the licensee was unable to demonstrate that 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 is obtained for each enrolled child.
Evidence:
Three children's records were reviewed.
The records for child #2 whose enrollment date was documented as 1/11/2022 and child #3 whose enrollment date was documented as 3/2/2021 did not contain the results of a physical examination.
The licensee confirmed that this documentation was not available at the time of the inspection.
Plan of Correction: The licensee stated that she believes she may have this documentation but is unable to locate it. She will search for the physical exams for child #2 and child #3 but will contact the children's parents to request another copy by the end of next week if she is unable to locate them.
Standard 8VAC20-800-350-E
Based on measurements taken with a digital thermometer during the inspection, the licensee did not ensure that hot water at taps available to children shall be maintained within a range of 105?F to 120?F.
Evidence:
The hot water temperature from the hot water tap located at the handwashing sink in the restroom that children utilize during care measured 126 degrees Fahrenheit with a digital thermometer on the day of the inspection.
Plan of Correction: The licensee stated that she will continue to carefully monitor children as they use the handwashing sink and will always adjust the water temperature for them to ensure it is not too hot. The licensee will research options for ensuring the water does not reach a temperature above 120 degrees Fahrenheit and will make these adjustments by the end of the month.
View original record on Virginia Department of Social Services