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Tatiana Fernandez Quisbert

Inspection · 2025-02-03

Date
2025-02-03
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
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 monitoring inspection was initiated and completed on February 3, 2025, as a part of the licensure period. The on-site inspection began at 8:45 a.m. and ended at 10:00 a.m. The inspector reviewed compliance in the areas listed above. There were 7 children present and 2 caregivers; the point total was 24. The inspector reviewed 5 children?s records and 4 caregiver/household members records on-site. This inspection included document review, tour of the home, and observations. 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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on February 10, 2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-800-100-A
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.

The record for Child #1, who had been in care over four months, did not contain documentation of a completed physical exam.
Plan of Correction: I will get the physical record from the parents.
Standard 8VAC20-800-60-B
Children's records are required to contain written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately.

The record for Child #3 was missing the written authorization for emergency medical care. The child was present during the inspection and had been in care for over five months.
Plan of Correction: I will have the parent complete the authorization.
Standard 8VAC20-800-960-C
The provider shall ensure high chairs with safety waist and crotch straps are fastened according to the manufacturer?s instructions for children under 12 months of age who are not held while being fed.

Child #2, 8 months old, was in a high chair eating breakfast without safety straps fastened.
Plan of Correction: I will be sure to utilize the straps whenever a child is using the high chairs.