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Mary Ugarte

Inspection · 2024-07-31

Date
2024-07-31
Complaint Related
No
Licensing Inspector
Ariel Hayes
(804) 629-7124
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
8VAC20-770 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 completed on 07/31/2024. The on-site inspection began at 12:40 am and ended at 2:00 pm. The inspector reviewed compliance in the areas listed above. There were 9 children present and 3 staff. The inspector reviewed 5 children?s records and 3 staff records on-site. This inspection included:
?document review
?tour of the facility
?interviews

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 8/7/2024. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-800-780-B
Based on a review of child records, the provider did not obtain all required annual updates.
Evidence:
Child #2 had an annual update that expired 05/30/2024.
Child #3 had an annual update that expired 02/17/2023.
Plan of Correction: We corrected and updated the child's records. For child 2 and 3.
Standard 8VAC20-800-830-C
Based on a review of documentation, the provider did not maintain documentation of emergency evacuation drills.
Evidence:
The last documented emergency evacuation drill was 4/15/2024.
Plan of Correction: We corrected the violation and have placed the documentation of emergency evacuation drills in the facility.
Standard 8VAC20-800-960-E
Based on observation, the provider did not ensure bottles were labeled with the child's full name and date, if more than one infant is in care.
Evidence:
1 out of 3 bottles was not labeled with the child's full name.
3 out of 3 bottles were not dated.
Plan of Correction: We corrected the violation. We have created new labels with full names and dates.
View original record on Virginia Department of Social Services