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Mrs. Antonia Cruz

Inspection · 2024-11-14

Date
2024-11-14
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 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

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 11-14-2024 and completed on 11-19-2024. Inspection began at 11:05am and ended at 1:05pm. The inspector reviewed compliance in the areas listed above. There were 4 children present and 1 caregivers; the point total was 8. The inspector reviewed 4 children?s records and 1 caregiver and 3 household member records on-site and electronically completed on 11-19-2024. This inspection included document review, tour of the facility, interviews, observations and measurements.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on (11-27-24). A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.011-F
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. the results of the most recant inspection conducted on June 3, 2024 were not posted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-A
Provider did not ensure to obtain updated background checks as required every 5 years. Provider `s sworn statement is overdue by 6 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-B-1
Provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of any pending criminal charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth for all household members who are 18 and over. Household member #2 does not have a Swon Statement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
(Repeat Violation)
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no physical exam record available for Child #4, who was in care during the inspection and had been in care for over 11 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
(Repeat Violation)
Each provider and adult household member shall have a current report of Tuberculosis Screening (TB) form, every two years from the date of the first screening. department. Providers screening is overdue by 11 months and the household member #1 screenings overdue by more than 2 years
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Provider did not on to complete in addition to first aid training and CPR training, a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Provider only had available for review documentation for 7 hours of annual training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Children's records are required to contain all required information
1.Child #1 was missing the medical insurance policy number, the employment address, employment phone number for both parents listed, the address for one emergency contact listed and the second emergency contact name, phone number and address. The child was present during the inspection and had been in care for over two months.
2. Child #2 was missing the medical insurance policy number. The child was present during the inspection and had been in care for over one year.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-B
Before the child?s first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. '
1. Child #1?srecord, did not have written acknowledgment for the following required information: operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; whether or not there is liability insurance in force on the family day home operation, and provisions of the family day home?s emergency preparedness and response plan.
2. The parents of Children #1, Child #2 and Child#3 did not have written acknowledgment for the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately.
3. Child#1 had been in care for over two months, Child #2 in care for over one year and Child #3 in care for over 2 years .
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
(Repeat Violation)
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for Child #2 and Child #3 did not have a parent?s signature for an annual review. Child #2 had been in care for over a year and Child #3 had been in care for over two years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
(Repeat Violation)
Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #4, who was in care during the inspection and had been in care for over 11 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-920
When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The menu posted did not include a month or a date.
Plan of Correction: Not available online. Contact Inspector for more information.