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Narda Acosta

Inspection · 2022-03-30

Date
2022-03-30
Complaint Related
No
Licensing Inspector
Lynette A Storr
(703) 309-9153
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

22VAC40-111 Administration
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
8VAC20-770 Background Checks for Child Day Programs and Family Day Systems
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts and documents review.

A monitoring inspection was initiated on 3/30/2022 and concluded on 3/30/2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 4 children present, with 1 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records, 2 household member records and 1 staff record were reviewed.
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.

If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@doe.virginia.gov

Violations

4
Standard 8VAC20-800-180-A
Based on record review, the provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form, every two years from the date of the last screening.

Evidence:
Staff #1's record contains a TB screening that was last updated on 1/13/2020.
Household member #1's record contains a TB screening that was last updated on 12/30/2019.
Plan of Correction: Staff #1 and household member #1 have an appointment for their TB test.
Standard 8VAC20-800-60-B
Based on record review, children's records did not all contain required information

Evidence:
Child #1's record is missing a second emergency contact.
Plan of Correction: Parents will provide second emergency contact. Provider already requested it.
Standard 8VAC20-800-70-A
Based on review of children's records, the provider does not have documentation that parents were provided in writing required information before the child's first day of attendance.

Evidence:
Child#1's record is missing provisions of the family day home's emergency preparedness and response plan and a signed copy of the Liability Insurance Declaration form.
Plan of Correction: Both forms were given to parents to be signed and kept in record.
Standard 8VAC20-800-90-C
Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for a child under the age of two years.

Evidence:
Child #2's record contains an immunization record that was last updated on 7/8/2021.
Plan of Correction: Provider requested an up-to-date immunization record.