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Fabiola Salinas

Inspection · 2025-03-12

Date
2025-03-12
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 focused inspection was initiated and completed on 03/12/2025, as part of the provisional license period.

The on-site inspection began at 9:00 am and ended at 10:45 am. The inspector reviewed compliance in the areas listed above.

There were 9 children present and 2 caregivers; the point total was 23. The inspector reviewed 6 children?s records and 6 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 03/24/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-1
*REPEAT VIOLATION*
The provider is required to obtain a sworn statement or affirmation every five years for all caregivers.

A sworn statement for Caregiver #3 was overdue for two months.
Plan of Correction: The required Sworn Statement for Caregiver #3 has been signed and is now added to the file. We remain committed to compliance and will ensure timely completion of all future documentation.
Standard 8VAC20-800-180-A
*REPEAT VIOLATION*
The provider shall obtain for each caregiver a current Report of Tuberculosis (Tb) Screening form every two years.

The Tb screening form in the record for Caregiver #3 was overdue by seven months.
Plan of Correction: We acknowledge the cited violation regarding the overdue Tb screening form for caregiver #3. We would like to confirm that the required Tb screening has been completed, and the updated form is now on file. We remain committed to maintaining compliance with all health and safety regulation.
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 #3 having received orientation training. Caregiver #3 has been caring for children for two years and a half.
Plan of Correction: The required orientation training for Caregiver #3 has been completed, and documentation is now on file. We are committed to ensuring that all staff receive timely training and proper record-keeping.
Standard 8VAC20-800-60-B
An up to date record for each child enrolled shall be maintained by the provider.

The record for Child #1, who has been in care for six months, did not contain the name address and phone number of a second emergency contact.
Plan of Correction: The missing second emergency contact information for Child #1 has been obtained and added to the file. We are committed to maintaining up-to-date records and strengthen our procedures to ensure timely documentation.
Standard 8VAC20-800-780-B
*REPEAT VIOLATION*
Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.

The annual review of the information was overdue for 13 months in Child #3's record and by one month in Child #4's record.
Plan of Correction: The annual review of emergency contact information, as required, has been completed, and the parents' signed acknowledgement is now on file. We remain committed to ensuring compliance will all documentation requirements.
View original record on Virginia Department of Social Services