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Rosa Castro Thomason

Inspection · 2024-08-12

Date
2024-08-12
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

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on August 12, 2024. The on-site inspection began at 8:45am and ended at 10:00am. The inspector reviewed compliance in the areas listed above. There were 13 children present (32 points) and 3 caregivers. The inspector reviewed 4 children?s records and 3 caregiver records on-site. This inspection included document review, tour of the facility, and observations. 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 30, 2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.036-B-1
Based on file review and interview, the provider did not obtain a sworn statement required for a household member.

Evidence:
Household member #1 did not have documentation of the sworn statement and provider confirmed it was not completed.
Plan of Correction: The household member completed the sworn statement during the inspection.
Standard 8VAC20-800-120-B
Based on file review and interview, the provider did not maintain caregiver records with the required information.

Evidence:
The record for Caregiver #1 (date of hire 8/5/24) was missing their address, verification of age, job title, emergency contact, 2 references, and documentation of education.
Plan of Correction: We will get the required documentation.
Standard 8VAC20-800-170-B
Based on file review and interview, the provider did not obtain a tuberculosis screening for each caregiver that was completed within 30 days prior to hire.

Evidence:
Caregiver #2 (date of hire 8/5/24) had a tuberculosis screening on file from 10/10/2023 and stated that was their last screening.
Plan of Correction: An appointment will be scheduled for a new TB screening.
Standard 8VAC20-800-180-A
Based on file review and interview, the provider did not obtain documentation of a tuberculosis screening for a caregiver every 2 years.

Evidence:
The tuberculosis screening for Caregiver #3 (date of hire 2020) expired on 7/22/24 and the caregiver confirmed they have not had another.
Plan of Correction: An appointment will be scheduled for a new TB screening.
Standard 8VAC20-800-200-A
Based on interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities.

Evidence:
Documentation of orientation for Staff #2 (date of hire 8/5/24) was not available and the provider confirmed it was not completed.
Plan of Correction: The orientation paperwork was signed during inspection. Additional training will be documented in the caregiver?s file.
View original record on Virginia Department of Social Services