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Fabiola Salinas

Inspection · 2025-01-16

Date
2025-01-16
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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. 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 renewal inspection was initiated and completed on 01/16/2025,
as a part of the licensure period.

The on-site inspection began at 9:40 am and ended at 11:25 am. The inspector reviewed compliance in the areas listed above.

There were 8 children present and 2 caregivers; the point total was 20. The inspector reviewed 4 children?s records and 4 caregiver/household members records on-site.

This inspection included document review and tour of the facility.

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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within 5 business days from today, which will be the close of business on 02/06/2025. A POC submitted after this date will not appear on the public website.

Violations

19
Standard 22.1-289.011-F
*REPEAT VIOLATION*
The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

The findings from the most recent inspection, dated 12/04/2024, were not posted in a
conspicuous place on the premises.
Plan of Correction: I displayed the correct paperwork on the board.
Standard 22.1-289.035-B-1
*REPEAT VIOLATION*
The provider is required to obtain a completed sworn statement every five years for all caregivers.

A sworn statement for Caregiver #3 was overdue for six days.
Plan of Correction: I make sure I have the document on file.
Standard 22.1-289.036-B-1
*REPEAT VIOLATION*
The provider is required to obtain a completed sworn statement every five years for all household members.

A sworn statement for Household Member #1 was overdue for six days.
Plan of Correction: I make sure I have the sworn statement.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH.
Plan of Correction: I show the inspector what I have and make sure she's received by text.
Standard 22.1-289.057-B
The program is required to submit results of potable water testing to VDH.

The program did not have evidence of submitting test results to VDH.
Plan of Correction: I scan the document and send it to VDH.
Standard 22.1-289.058
Child day programs shall be equipped with at least one carbon monoxide detector.

There was no carbon monoxide detector at the fdh.
Plan of Correction: I purchased one and put that on the daycare.
Standard 8VAC20-800-100-A
*REPEAT VIOLATION*
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There was no physical exam records available for Child #2, who was in care during the inspection and had been in care for 16 months. The physical exam in the record for Child #3 was dated nine months after the first date of attendance.
Plan of Correction: I told the parent I need the documentation asap.
Standard 8VAC20-800-170-A
*REPEAT VIOLATION*
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

There was no tuberculosis screening for Caregiver 2, who has been caring for children for 45 days.
Plan of Correction: I have the results.
Standard 8VAC20-800-200-A
*REPEAT VIOLATION*
The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

There was no documentation of Caregiver #2 and Caregiver #3 having received orientation. Caregiver #2 has been caring for children for 45 days and Caregiver #3 for two years and a half.
Plan of Correction: I put the documentation on the file.
Standard 8VAC20-800-320-B
Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

One unused electric outlet did not have a protective cover.
Plan of Correction: I covered all the outlets that day.
Standard 8VAC20-800-50-A
*REPEAT VIOLATION*
The family day home shall keep a written record of children in attendance each day.

At the time of entrance, 9:40 am, the attendance record for the day had not been completed. There were eight children present at that moment. Last time attendance was recorded was two days ago.
Plan of Correction: I corrected on that day.
Standard 8VAC20-800-560-A
*REPEAT VIOLATION*
A caregiver shall provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness of and responsibility for each child in care, including being near enough to intervene if needed.

At the time of entrance, Caregiver #2 was by herself caring for eight children. Caregiver #2 was sitting next to the tables area overseeing six children while they were completing worksheets. However, two toddlers, Child #3 and Child #4, were by themselves in an area that is not within sight of were Caregiver #2 was placed.
Plan of Correction: I make sure all the providers are in the right place at all times.
Standard 8VAC20-800-570-A
*REPEAT VIOLATION*
The provider shall ensure that a caregiver does not exceed 16 points.

At the time of entrance, Caregiver #2 was by herself caring for eight children, which totaled 20 points. The Provider has just arrived to the fdh at the same time as the inspector. The Provider stated that she was dropping off two children at school.
Plan of Correction: I ensure there are always one person for every 16 points.
Standard 8VAC20-800-60-A
*REPEAT VIOLATION*
An up to date record for each child enrolled shall be maintained by the provider.

There were no records for Child #5, Child #6 and Child #7. The Provider stated that these children attend the fdh for before and after school care.
Plan of Correction: I have the documentation already.
Standard 8VAC20-800-680-A
Caregivers shall wash their hands with liquid soap and warm running water after assisting a child with toileting.

Caregiver #1 was observed assisting Child #2 and Child # 8 with toileting. Caregiver #1 did not wash their hands after assisting each child.
Plan of Correction: I ensure we are washing our hands after we help a child using the potty.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after toileting.

Child #2 and Child #8 hands were not washed after toileting.
Plan of Correction: I ensure that the kids wash their hands after using the toiilet.
Standard 8VAC20-800-690-L
Toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use.

A toilet chair was used by both Child #2 and Child #8 . The chair was emptied but not cleaned and sanitized after each use.
Plan of Correction: I make sure it is done every time the child uses the potty training.
Standard 8VAC20-800-830-B
Shelter-in-place procedures shall be practiced a minimum of twice per year.

A second shelter-in-place emergency drill was not completed for the year 2024.
Plan of Correction: I have recorded the shelter in place.
Standard 8VAC20-800-940-A
*REPEAT VIOLATION*
Temperatures shall be maintained at or below 0?F in the freezer compartments.

The thermometer in the freezer compartment showed a temperature of 15?F.
Plan of Correction: I purchased a new thermometer.
View original record on Virginia Department of Social Services