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Liliana Torres Serpa

Inspection · 2025-03-20

Date
2025-03-20
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
8VAC20-800 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 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
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 completed on 03/20/2025, as a part of the provisional licensure period. The on-site inspection began at 10:30 am and ended at 11:30 am. The inspector reviewed compliance in the areas listed above. There were 6 children present and 2 caregivers; the point total was 13. The inspector reviewed 6 children?s records and 2 caregiver 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 04/02/2025. A POC submitted after this date will not appear on the public website

Violations

14
Standard 22.1-289.020
A copy of the provisional license shall be prominently displayed by the provider at each public entrance of the subject facility and shall be printed in a clear and legible size and style.

The copy of the provisional license was posted behind the door to the family day home. When the door is open the license is blocked from view.
Plan of Correction: Display a copy of my provisional license at each public entrance of the facility.
Standard 22.1-289.035-B-1
Providers must obtain a completed sworn disclosure statement prior to the employee's first day of employment.

Caregiver #2, who had been working with the children for one month, did not have a completed sworn disclosure statement.
Plan of Correction: Keep a sworn disclosure statement for my employee at all times.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Caregiver #2, who had been working with children for one month, did not have a completed national criminal background check.
Plan of Correction: Have a completed national criminal background check for my employee.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

Caregiver #2, who has been working with children for 1 month, did not have a central registry search requested.
Plan of Correction: Request a central registry search.
Standard 8VAC20-800-120-A
REPEAT VIOLATION

The provider shall maintain a record for each caregiver.

Caregiver #2 did not have a record for review.
Plan of Correction: Keep records of caregivers at all times.
Standard 8VAC20-800-170-A
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 working with children for one month.
Plan of Correction: Obtain a current tuberculosis screening from caregiver at the time of hire prior to coming in contact with the children.
Standard 8VAC20-800-200-A
The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

Caregiver #2 has been working with the children for 1 month and did not orientation training.
Plan of Correction: Give new hire employee's an orientation training.
Standard 8VAC20-800-280
Potentially poisonous substances, such as cleaning agents, shall be stored away in areas inaccessible to children.

Disinfectant wipes were on a lower table by the bathroom within reach of children.
Plan of Correction: Be certain that potentially poisonous substances such as cleaning agents shall be stored away from children each.
Standard 8VAC20-800-30-C
The provider shall be of good character and reputation.

Caregiver #1 mislead inspectors by not providing factual details to specific questions that were asked about caregiver #2 and additional adults in the home.
Plan of Correction: Before next inspection happens I must provide details to specific questions that will be asked.
Standard 8VAC20-800-50-C
Information contained in a child's record shall be privileged and confidential. The provider shall not distribute or release information in a child's record without written consent of the child's parent.

The supplemental page from the inspection on 12/13/2024 was posted in the family day home reveling confidential information.
Plan of Correction: Do not distribute or release information in a childs records without written consent of the childs parent.
Standard 8VAC20-800-680-A
Caregivers shall wash their hands with liquid soap and warm running water after diapering.

Caregiver #1 did not wash their hands with liquid soap and warm running water after diapering child #5.
Plan of Correction: Make sure to wash my hands with liquid soap and warm running water after diapering.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering.

Child #5 did not have their hands washed with liquid soap and warm running water after their diaper change.
Plan of Correction: Ensure that children wash their hands with liquid soap and warm running water after their diaper change.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each use.

The diapering surface was not cleaned and sanitized after the diaper change of child #5.
Plan of Correction: Make sure to clean and sanitize the diaper cleaning station before every use.
Standard 8VAC20-800-920
When meals or snacks are provider by the family day home, the menu for the current one-week period shall be dated.

The menu posted ended on 3/17/2025. The remainder of the week was not posted.
Plan of Correction: Ensure that there is a menu for meals and snacks for the current one week period.
View original record on Virginia Department of Social Services