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Narda Acosta

Inspection · 2024-11-14

Date
2024-11-14
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

8VAC20-800 Administration
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
8VAC20-790 Special Services
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 11/14/2024, as part of the licensure period. The on-site inspection began at 12:45pm and ended at 1:50pm. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 caregiver; the point total was 8. The inspector reviewed 3 children?s records and 4 caregiver/household members' 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.

Violations

6
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for Household Member #1 was not completed and is overdue by three months.
Plan of Correction: Provider will have household member schedule TB screening today.
Standard 8VAC20-800-340-C
The bathroom shall contain liquid soap.

The family day home bathroom did not contain liquid soap.
Plan of Correction: Provider will purchase and have available liquid hand soap in the bathroom.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.

There were no attendance records on the date of inspection. The provider did not take written attendance on November 11/12-11/14, 2024.
Plan of Correction: Provider will document daily attendance.
Standard 8VAC20-800-60-B
A child's record shall contain name and policy number of the child's medical insurance.

Child #1's record did not contain insurance policy number.
Plan of Correction: Provider will request policy number at pick up.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly.

No documentation of evacuation drill practice in October, Date of last drill 9/22/2024.
Plan of Correction: Provider will ensure and document evacuation drill practice monthly.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years. '

Child #3, 29 months old, and has been attending for over a year, last documented immunization was over 10 months ago.
Plan of Correction: Provider will request updated immunization record at pick up.
View original record on Virginia Department of Social Services