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Miryam Galarza

Inspection · 2024-08-19

Date
2024-08-19
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 8/19/2024, as a part of the licensure period. The on-site inspection began at 11:06am and ended at 1:15pm. The inspector reviewed compliance in the areas listed above. There were 4 children present and 1 caregiver; the point total was 14. The inspector reviewed 4 children?s records, 2 caregiver records, and 2 household member records on-site. This inspection included document review, tour of the home, interviews, 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.

Violations

6
Standard 8VAC20-800-120-A
Based on record review and interview, the provider did not maintain a record for each caregiver.

Evidence:
1. The provider stated Caregiver #2 was not present but is currently employed by the provider.
2. The provider did not have a record available for review for Caregiver #2.
3. The provider stated she gave the record to the provider to complete missing information.
Plan of Correction: Provider will maintain the caregiver's record in the family day home.
Standard 8VAC20-800-30-B
Based on record review and observation, the provider did not ensure compliance with the home's policies regarding medication.

Evidence:
1. The provider did not obtain written authorization to administer prescription and non prescription medication for one child.
2. The provider did not ensure medication is in it's original container.
Plan of Correction: The provider will obtain authorization to administer the medication signed by the parent and physician.
Standard 8VAC20-800-50-A
Based on record review, the family day home did not keep a written record of children in attendance each day.

Evidence:
1. Attendance was not documented on the date of the inspection.
2. The last documented record of children in attendance was dated 8/14/2024.
Plan of Correction: The provider will maintain documentation of attendance daily.
Standard 8VAC20-800-730-D
Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. The provider was in possession of medication for Child #3. The medication was located in the child's belongings, not in a locked place.
Plan of Correction: The provider will ensure all medication is in a locked container
Standard 8VAC20-800-750-A
Based on observation, requirements for topical skin products were not met.

Evidence:
1. Two topical skin products were not labeled with the child's name.
2. The provider stated the parents had provided a new container and they had not yet been labeled.
3. Written authorization for one topical skin product was not obtained annually from the parent of Child #3. The authorization expired on 8/08/2023.
Plan of Correction: Topical skin products were labeled with the childrens' name.
Standard 8VAC20-800-800-B
Based on record review, the provider did not review the emergency plan at least annually and document in writing each review to the plan.

Evidence:
1. The last documented review of the emergency plan was dated 5/10/2023.
Plan of Correction: The provider will review the emergency plan.
View original record on Virginia Department of Social Services