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Liliana Torres Serpa

Inspection · 2024-12-10

Date
2024-12-10
Complaint Related
No
Licensing Inspector
Ariel Hayes
(804) 629-7124
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
8VAC20-770 Background Checks
8VAC20-800 Household Members
20 Access to minor?s records
8VAC20-800 Physical Health of Caregivers and
Household members
22.1 Early Childhood Care and Education
8VAC20-800 Caregiver Training
54.1 Provider must be MAT certified to administer prescription medication.
8VAC20-800 Physical Equipment and Environment
63.2 Child abuse and neglect
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition

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 completed on 12/10/2024. The on-site inspection began at 10:30 am and ended at 12:00 pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 2 caregivers; the point total was 17 pts. The inspector reviewed 4 children?s records and 3 caregiver/household member(s) records on-site. This inspection included document review, tour of the facility, interviews, 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 (5) business days from today, which will be the close of business on 12/18/2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-770-40-D-5
A person 14 years of age and older who is living in the home must have a search of the
central registry.

Household member #1 is over 14 years old and did not have a search of the central registry on record.
Plan of Correction: Make sure that one household member has central registry on record.
Standard 8VAC20-800-120-A
The provider shall maintain a record for each caregiver.

Caregiver #2 did not have a record available.
Plan of Correction: Before caregiver #2 begins working. Must have a record of her.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of sixteen clock hours of training annually.

Caregiver #1 did not have any annual training hours documented.
Caregiver #2 had 12.5 annual training hours documented.
Plan of Correction: Keep that document on record at all times.
Standard 8VAC20-800-540-A
Infant feeding or activity tables, shall be used according to the manufacturer's instructions. When occupied by a child, a safety strap shall be used and securely fastened.

Two children were observed sitting in an infant feeding table without straps on.
Plan of Correction: Each time that I use the feeding tables I must strap on the children when they sit down.
Standard 8VAC20-800-60-A
REPEAT VIOLATION

The provider shall maintain an up-to-date record for each enrolled child.

Child #2 was enrolled for 8 days and did not have a complete record available.
Plan of Correction: Must recive children only when they have all documentation.
Standard 8VAC20-800-60-B
A child's record shall contain the following information: Address and telephone number of each custodial parent's place of employment.

Child #4 did not have the work phone number and work address for one custodial parent's place of employment.
Plan of Correction: Make sure I recive the work phone number and work address for one custodial parents place of employment.