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Fabiola Salinas

Inspection · 2023-01-11

Date
2023-01-11
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
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

A renewal inspection was conducted on 01/11/2023 between the hours of approximately 12:30 pm and 2:35 pm. There were 15 children present, ranging in ages from 7 months to 4 years, with 2 staff supervising. A second visit was conducted on 01/24/2023 to take measurements to the play structure in the backyard. On this date, there were 13 children present. On both dates the provider was caring for more children than her approved capacity, which is 12 children.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 child records and 2 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations

12
Standard 8VAC20-800-210-A
Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1) On the date of inspection, certificates in the record for Staff #2 documented having completed only 5 of the required 16 hours of annual training.
Plan of Correction: Moving forward, I will ensure that all caregivers complete all 16 annual training hours.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances, materials and supplies were not stored away in areas inaccessible to children.
Evidence:
1) Cleaning agents (Lysol cleaner, Lysol spray, Lysol wipes, spray bottle with vinegar, soap and water mixture) were stored in a cloth organizer hanging on the wall. These cleaning agents were within children's reach.
2) A bottle of Clorox bleach was observed outside, sitting on the floor next to the glass sliding door that gives access to the backyard.
3) Paint cans and yard equipment were observed inside the shed located in the play area on the backyard. The door to this shed did not have a locking mechanism.
Plan of Correction: I put the cleaning materials on the bathroom out of the reach of the kids and I put a lock on the shed.
Standard 8VAC20-800-40-A
Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.
evidence:
1) The approved capacity of the current license is 12 children. On the date of inspection, there were 14 children under care. At one point, there were 15 children under care.
Plan of Correction: I changed all that. (I canceled children.)
Standard 8VAC20-800-50-A
Based on documentation review, the family day home did not keep a written record of children in attendance each day.
Evidence:
1) On the date of inspection, there was no attendance record for the day and the week available for review.
Plan of Correction: I take care of that already. (I am completing the attendance record)
Standard 8VAC20-800-500-B
Based on observation, the highest climbing platform on outdoor climbing equipment or top of a slide did not meet all requirements. *The highest climbing rung or platform on outdoor climbing equipment or top of a slide shall not exceed six feet for school age children and four feet for preschool children.
Evidence:
1) The play structure in the backyard of the family day home has two platforms at different heights. On 01/24/2023 the lower platform measured 55.5 inches (4.5 ft) and the higher platform measured 83 inches (6.91 ft). On the visit of 01/11/2023, the inspector observed children between the ages of 23 months and 4 years playing on this structure.
Plan of Correction: I will not take the kids out until I fix the equipment.
Standard 8VAC20-800-500-D
Based on observation, outdoor play equipment did not meet all requirements: Ropes, loops, or any hanging apparatus that might entrap, close, or tighten upon a child shall not be used.
Evidence:
1) The play structure in the backyard of the family day home has a net and a loose rope intended for the children to climb to the lower platform. Children in care were observed using this net/rope to climb.
Plan of Correction: I will not take the kids out untik I fix the equipment.
Standard 8VAC20-800-520-A
Based on observation, cribs were provided for children older than 12 months of age.
Evidence:
1) On the date of inspection, two of four children sleeping in cribs were older than 12 months of age and did not present any developmental issue/reason to not be ready to sleep on a cot or rest mat. (Child #11- 17 months and Child #6 - 2 years)
Plan of Correction: I put them on the cots.
Standard 8VAC20-800-530-F
Based on observation, soft bedding was used around infants.
Evidence:
1) On the date of inspection, four children sleeping in cribs were observed using blankets. Two of these children were infants. (Child # 5 - 10 mos and Child #13 - 11 mos)
Plan of Correction: I purchased a sleeping bag for the kids.
Standard 8VAC20-800-570-A
Based on observation, the provider did not ensure that a caregiver does not exceed 16 points.
Evidence:
1) On the date of inspection, there were two caregivers supervising the children (7 months to 4 years). The total points was 37. The fdh was 5 points over.
Plan of Correction: I cancel children.
Standard 8VAC20-800-60-A
Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child.
Evidence:
1) On the date of inspection, there were no records for Child #3, Child #8 and Child #14.
Plan of Correction: The records were updated.
Standard 8VAC20-800-920
Based on documentation review, the menu for meals and snacks provided by the family day home for the current one-week period did not meet all requirements.
Evidence:
1) The menu posted was not dated for the current one-week period.
2) The menu did not have listed the substitutions for the day.
Plan of Correction: The menu is on the board and it said may change the menu some days. Is posted.
Standard 8VAC20-820-120-E-2
Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program.
Evidence:
1) On the date of inspection, the findings of the most recent inspection of the facility (08/29/2022) were not posted as required.
Plan of Correction: I put in the board.
View original record on Virginia Department of Social Services