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Rossmary Acosta Escate

Inspection · 2023-04-21

Date
2023-04-21
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

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
20 Access to minor?s records
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced monitoring inspection was conducted April 21, 2023 between 10:15am and 12:25pm. There were 7 children present with one (1) caregiver supervising for a total of 16 points within the supervision guidelines. The children were observed playing outside, eating snack, diapering and toileting procedures, handwashing, eating lunch and playing with other age-appropriate toys and materials. Positive interactions were observed during this inspection. The inspector reviewed compliance in the areas administration, physical plant, staffing and supervision, programing, medication, evacuation drill logs, menu, first aid supplies, attendance, child and caregiver records, and emergency procedures. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the programs. If you have any questions regarding this inspection, contact sheila.nelson@ doe.virginia.gov

Thank you for your cooperation.
Sheila Nelson
License Inspector
Virginia Department of Education
Office of Child Care Health & Safety
Division of Early Childhood Care & Education
804-629-7489

Violations

9
Standard 22.1-289.035-B-2
Based on record review and interview, the provider did not obtain a criminal history check prior to the 1st day of service.
Evidence:
1. The record for volunteer/caregiver #3 was not available to review.
2. The volunteer/caregiver acknowledged a criminal history check had not been completed.
3. The provider acknowledged the criminal history check was not completed.
Plan of Correction: I will schedule an appointment this week.
Standard 8VAC20-770-60-B
Based on record review and interview, a sworn statement was not completed prior to 1st day of service.
Evidence:
1. The record for volunteer/caregiver #3 was not available for review.
2. The provider acknowledged the sworn statement was not completed.
Plan of Correction: I will have paperwork done this week.
Standard 8VAC20-800-200-A
Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilies.
1. There is no documentation that the provider had completed the orientation for caregiver #2 and volunteer/caregiver #3.
2. The provider acknowledged orientation had not been completed.
Plan of Correction: I will have it done by 4/26/23.
Standard 8VAC20-800-230-A
Based on record review, the provider did not maintain a written documentation of each caregiver's applicable education and programmatic experience.
Evidence: 1. Caregiver #2 does not have documentation to review. 2. Volunteer/caregiver #3 does not have a record to review.
Plan of Correction: I will have caregiver bring the information to me.
Standard 8VAC20-800-330-A
Based on observation and interview, a landline telephone, excluding a cordless or cell phone, was not operable during the family day home's hours of operation.
Evidence: The landline telephone line is not working (no dial tone and no in-coming or out-going calls are available).
2. The provider confirmed the telephone line is not working.
Plan of Correction: I scheduled appointment for 4/25/23 and repairman is coming.
Standard 8VAC20-800-60-A
Based on record review, it was determined the provider did not maintain individual record for each child enrolled in care.
Evidence:
1. Child #2 and Child #7 do not have required documentation on file to review.
2. There is no documentation of parent's name, home address or place of employment.
3. There is no emergency contacts and phone numbers.
4. Documentation of any known or suspected allergies are not listed..
5. There is no documentation of the name of the parent's hospitalization plan and number.
6. There is no parent's signed authorization for the child's emergency medical treatment.
Plan of Correction: I will give paperwork to parents and have them fill it out.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface was not cleaned with soap and water after each use.
1. Caregiver #2 sprayed the diapering surface with a bleach solution after changing Child #2 and Child #8.
2. There is no soap & water available to clean the diapering surface.
3. The provider acknowledged they were only using a bleach solution after diapering.
Plan of Correction: I did not understand I had to use soap & water and bleach solution. I will start cleaning first and then sanitize with bleach solution. I will train my assistant too.
Standard 8VAC20-800-90-C
Based on record review, the family day home did not obtain documentation of additional immunizations for a child.
Evidence:.
1. Child #2 (DOB 4/11/21) did not have documentation of additional immunizations. The last documentation was dated 9/7/22.
2. Child #7 (DOB 10/12/2020) did not have documentation of additional immunizations. The last documentation was dated 8/3/21.
Plan of Correction: I will tell parents I need updated shot record.
Standard 8VAC20-800-920
Based on observation, when meals or snacks are provided by the family day home, the menu for the current one-week was not given to parents or posted or placed in an area accessible to parents.
Evidence:
1. Menu was posted in the facility.
2. The provider acknowledged the menu was not posted and it was not given to parents.
Plan of Correction: I will post my menu.
View original record on Virginia Department of Social Services