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Rossmary Acosta Escate

Inspection · 2021-09-07

Date
2021-09-07
Complaint Related
No
Licensing Inspector
Jessica Eason
(804) 629-7489
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 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Child abuse and neglect

Inspector Notes

Inspection Summary
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A monitoring inspection was initiated and concluded on September 7th, 2021.. The provider was contacted by telephone and a virtual inspection was conducted. There were 5 children present, ranging in ages from 8 months old to 2 years, 11 months, with 1 caregiver 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 and 4 caregiver's and household member records were reviewed.
If you have any questions, please contact me at Tanya.johnson@doe.virginia or call me at 703.371.5038.

Violations

5
Standard 22VAC40-111-100-A
Based on a review of children's records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
Child #1's record does not contain documentation of a physical by the 30th day of attendance.
Plan of Correction: I will ask parents for physical record.
Standard 22VAC40-111-60-A
Based on a review of children's records, the provider failed to obtain all required documentation.

Evidence:
Child #2's records did not contain documentation of the address of employment for one parent.
Child #2's records did not contain documentation of an address for one of the emergency contacts.
Child #2's records did not contain documentation of the name and policy number of the child's medical insurance.
Plan of Correction: I will ask the parents to provide the information.
Standard 22VAC40-111-760-A
Based on an inspection, the provider failed to have all required emergency supplies were available on site.

Evidence:
The following items were missing from the first aid kit - 2 triangular bandages and a first aid manual.
Plan of Correction: I will get the bandages and a first aid manual.
Standard 22VAC40-111-830-A
Based on a review of evacuation drill logs, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

Evidence:
The provider failed to complete an emergency evacuation drill for the month of July or August 2021.
Plan of Correction: I will practice a fire drill each month.
Standard 22VAC40-111-90-A
Based on a review of children's records, the provider failed to obtain documentation of immunizations on the first day of attendance.

Evidence:
Child #1's records did not have documentation of immunizations on the first day of attendance. Child's first day of attendance was 09/25/2019.
Plan of Correction: I will require that all children have proof of immunizations on the first day of attendance.
View original record on Virginia Department of Social Services