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Fabiola Salinas

Inspection · 2023-03-28

Date
2023-03-28
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 monitoring inspection was conducted on 03/28/2023 between the hours of approximately 12:45 pm and 1:45 pm. There were 11 children present, ranging in ages from 7 months to 4 years, with 3 caregivers supervising.
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 2 child records and 3 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

7
Standard 22.1-289.035-B-2
Based on record review and interview, the provider did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one Caregiver.
Evidence:
1) On the date of inspection, the results of a criminal history check was not available for review for Caregiver #3 (start date 03/27/2023). The provider stated that a fingerprint-based criminal history check for Caregiver #3 had not been requested.
Plan of Correction: The provider shall ensure that Caregiver #3 completes a fingerprint-based criminal history check.
Standard 8VAC20-770-60-B
Based on record review and interview, the provider did not ensure to obtain a completed Sworn Statement prior to first day of employment.
Evidence:
1) On the date of inspection, a completed Sworn Statement was not available for review for Caregiver #3 (start date 03/27/2023) . The provider stated that Caregiver #3 had not completed a Sworn Statement.
Plan of Correction: I provided the sworn statement form and it's been filled.
Standard 8VAC20-800-120-A
Based on record review, the provider did not maintain a record for each caregiver.
Evidence:
1) On the date of inspection, a record for Caregiver #3 was not available for review.
Plan of Correction: She just started working here.
*The provider shall ensure to have a complete record for Caregiver #3.
Standard 8VAC20-800-170-A
Based on record review and interview with the provider, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb)Screening.
Evidence:
1) On the date of inspection, a Tb screening report for Caregiver #3 (start date 03/27/2023) was not available for review. The provider stated that they don't have a Tb screening report for Caregiver #3.
Plan of Correction: Documentation will be provided.
Standard 8VAC20-800-70-A
Based on record review, the provider did not ensure to provide parents in writing the following all required information before the child's first day of attendance.
Evidence:
1) The record for Child #1 did not contain the Policies for the administration of medication and the Provisions of the family day home's emergency preparedness and response plan.
Plan of Correction: I gave parents all the paperwork it needs to fill out.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child may attend the family day home.
Evidence:
1) The record for Child #1 (start date 03/03/2023) did not contain an immunization report.
Plan of Correction: I asked for the missing documents.
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 did not have listed the substitutions for the day. The menu listed as lunch for the day: ground beef, mixed veggies, noodles, fruit and milk. On the date of inspection, the inspector observed that the children were eating chicken nuggets, potato tots, broccolli and mandarin oranges.
Plan of Correction: It was fixed at the moment.