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Maria Encinas-Arevalo

Inspection · 2025-02-28

Date
2025-02-28
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
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
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
22.1 Potable Water Lead Testing
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was conducted 2/28/2025 from 11:15am - 1:15pm. There were 8 children and 3 caregivers present during the time of the inspection; totaling 20 points. The inspector reviewed 3 child records, 3 caregiver records, and 1 household record onsite. The inspection included document review, interviews, observations, and a tour of the facility.

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 March 17, 2025. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-A
The family day home is required to have caregivers undergo a background check every 5 years.

The sworn statement re-check for caregiver #1 was 8 weeks overdue.
The central registry re-check for caregiver #1, #2, and #3 was 21 days overdue. The provider did not have documentation that re-checks were requested.
Plan of Correction: Central registry form will be sent for all caregivers to the VA Dept. of Social Services.
Standard 22.1-289.036-A
The family day home is required to have household members undergo a background check every five years.

The central registry re-check for Household Member #1 was 21 days overdue.
The sworn statement re-check for Household Member #1 was 8 weeks overdue.
Plan of Correction: Central registry form will be sent to the VA Dept. of Social Services.
Standard 8VAC20-800-210-A
REPEAT VIOLATION
Caregivers shall obtain a minimum of 16 clock hours of training annually.

Documentation of 2024 training was not available to review.
Plan of Correction: Caregivers have signed up for trainings to take place in March and continue in April.
Standard 8VAC20-800-50-A
REPEAT VIOLATION
The provider shall keep a written record of children in attendance each day.

The provider did not take written attendance on February 18-28, 2025.
Plan of Correction: Attendance has been updated. Attendance will be marked every morning.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

The emergency plan posted was dated February 7, 2023.
Plan of Correction: Emergency plan to be reviewed, updated, and signed.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

The immunization record for Child #1 was not obtained until 3 weeks after their first day of attendance.
Plan of Correction: Reminders to be placed to obtain documentation of immunizations from parents.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every 6 months for children under the age of 2 years.

Child #2, age15 months, had immunizations dated more than 9 months ago.
Child #3, age 16 months, had immunizations dated more than 12 months ago.
Plan of Correction: Parents to be reached out to provide updated immunizations for child #2 and #3.
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 and list any substituted food.

The menu posted was dated January 2025. The provider stated the menu is not followed and meal substitutions were not listed.
Plan of Correction: Meals to be posted on the refrigerator along with list of meal substitutions.
View original record on Virginia Department of Social Services