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Katherine Maldonado-Tapia

Inspection · 2024-06-04

Date
2024-06-04
Complaint Related
No
Licensing Inspector
Sarah Marbert
(703) 479-4678
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 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Nighttime Care
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced monitoring inspection was conducted today. There were 14 children present (including 3 resident children) for a total of 46 points with 3 caregivers.Children were observed playing outside, washing hands, eating lunch and preparing for rest time. 3 caregiver, 1 household member and 9 child records were reviewed. See Violation notice for non-compliances cited today. It is recommended that you review all records in preparation for your upcoming renewal inspection. If you have questions regarding this inspection, you may contact me a t (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov. Due to caseload adjustments, your next inspection will be with a different inspector. LI was present today from 10:42 AM - 12:50 PM.

Violations

6
Standard 8VAC20-800-180-A
Based on a review of caregiver records, caregivers did not obtain a current Tuberculosis (TB) screening result every two years.
Evidence:
Caregiver A's TB result was dated 1/28/22 (expired).
Caregiver B's TB result was dated 2/1/22 (expired).
Plan of Correction: Caregiver B has had a new test done, and it waiting on the results.
Caregiver A has an appointment scheduled to get a new test.
Standard 8VAC20-800-60-A
Based on a review of records, child records were not kept up-to-date.
Evidence:
Child #8's record was dated 9/20/22.
Child #10's record was dated 1/20/23.
Plan of Correction: I will have the records updated.
Standard 8VAC20-800-60-B
Repeat Violation
Based on a review of records, child records did not contain all required information.
Evidence:
Child #10's record was missing; parent work information, complete information for two emergency contacts.
Plan of Correction: I will have the parents update and complete the records.
Standard 8VAC20-800-70-B
Repeat Violation
Based on a review of records, child records did not contain written acknowledgment of all policies and procedures.
Evidence:
Missing information includes:
*Fee for care (Children #7, 9,11)
*Insurance declaration (Child #9)
Plan of Correction: I will have the records updated and completed.
Standard 8VAC20-800-90-C
Based on a review of records, child records did not contain documentation of updated immunizations.
Evidence:
There were no updated immunization records, every 6 months for children under two years of age. (Children # 10, 11)
Plan of Correction: I will ask the parents to provide updated shot records.
Standard 8VAC20-800-940-A
Based on observation the temperature was not maintained at or below 40 degrees in the refrigerator compartments and at or below 0 degrees in the freezer compartments.
Evidence:
The refrigerator temperature registered 48 degrees on the thermometer.
The freezer temperature registered 10 degrees on the thermometer.
Plan of Correction: The temperature will be turned down to make it colder.