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Mrs. Antonia Cruz

Inspection · 2023-08-29

Date
2023-08-29
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 Early Childhood Care and Education
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 8/29/2023. There were 2 daycare children and one household child present with the licensee supervising.The point total was 6. 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 4 child records and 4 caregiver / Household member records were reviewed. The inspection started at 2:20 pm and concluded at 4:10 pm.

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 22.1-289.036-C
Based on a review of records and interview, the licensee did not undergo a background check prior to employment and every 5 years thereafter.
Evidence:
The record for caregiver #1 contains the most recent documentation of results of a central registry search which is dated 6/29/2018 - more than 5 years ago.
The licensee was unable to locate documentation that a more recent search of the central registry had been conducted.
Plan of Correction: The licensee will request an updated Cent4ral Registry report for caregiver #1 within 10 days and send a copy of the request to the inspector. The results will be forwarded to the inspector and filed in the caregiver's record upon receipt.
Standard 8VAC20-800-60-B
Based on a review of records and interview, the licensee was unable demonstrate that each enrolled child's record contains all of the required information and documentation.
Evidence:
The record for child #1 who enrolled for care on 2/21/2023 did not contain the policy number for the parent's hospitalization plan.
Plan of Correction: The licensee will request this information form the parent today and ask the parent to document in writing by the end of the week if she is unable or unwilling to provide this information.
Standard 8VAC20-800-780-B
Based on a review of records and interview, the licensee was unable demonstrate that each child's record is reviewed annually with the child's to ensure that the emergency contact information required in 8VAC20 800 60 B 2 to ensure the information is correct with the parent's signed acknowledgment of the review.

Evidence:
The records for child #3 (enrolled 11/30/2018) and child #4 (enrolled 1/11/2022) did not have documentation that the records had been reviewed by the parents and updated for any changes to the emergency information, as applicable, annually.
Plan of Correction: The licensee will request that the parent of child #3 and child #4 review and update their children's records for any changes to the emergency information, and sign that the record was reviewed within 10 days and, again, annually.
View original record on Virginia Department of Social Services