Virginia
Sign in
Back
Linda Obando Quezada

Inspection · 2024-08-21

Date
2024-08-21
Complaint Related
No
Licensing Inspector
Diana DeSilva
(571) 596-3656
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
8VAC20-770 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, on-site monitoring inspection was initiated on 08/21/2024 and completed on 08/21/2024, as a part of the current licensure period. The on-site inspection began at 9:45am and ended at 11:15am. The inspector reviewed compliance in the areas listed above. There were 11 children present and 3 caregivers; the point total was 26. The inspector reviewed 3 children?s records and 3 staff records on-site on 08/21/2024. This inspection included document review and a tour of the facility.

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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 09/05/2024. A POC submitted after this date will not appear on the public website

Violations

7
Standard 22.1-289.035-B-1
Based on record review, provider did not obtain a sworn statement or affirmation disclosure prior to first day of employment.

Evidence:
1. Caregiver #2 was hired in February 2024.
2. The sworn statement or affirmation disclosure statement was completed in March 2024.
Plan of Correction: The caregiver has already gotten signature.
Standard 8VAC20-790-180-A
Based on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

Evidence:
1. Caregiver #1's TB Screening form expired in the beginning of August 2024.
2. Caregiver #3's TB Screening form expired in July 2024.
Plan of Correction: The appointment is ready for Wednesday September 4th to receive the TB vaccine. I will send the results when come back.
Standard 8VAC20-800-100-A
Based on review of 3 children records, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance.

Evidence:
All three children files were missing documentation of a physical exam and all three children haven been enrolled for over 2 years.
Plan of Correction: A form to update all children's records has already been sent parents. Request for physical exams too.
Standard 8VAC20-800-120-B
Based on record review, the assistant provider's record did not contain the required information.

Evidence:
Caregiver #3, hired in July 2022, did not have documentation that 1 of 2 required references were checked before employment.
Plan of Correction: Caregiver #3 has already get the 2nd reference what was requested.
Standard 8VAC20-800-40-A
Based on observation and record review, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

Evidence:
The provider is licensed for 10 children. However, there were 11 children in attendance at the family day home.
Plan of Correction: Apologies, I have never done this before. Today, 8/21/24, Child would only be at day care for half a day. Another child would take their space who entered daycare at 10am for few hours of adaptation before. Now I have clear information that one day or hours or minutes can not be attended to another child according to the limit of my license.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain the required information.

Evidence:
Child #2 was missing written parent authorization for emergency medical care.
Plan of Correction: Got the form already signed by the parent.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home.

Evidence:
1. Child #2 enrolled in February 2022 has no documentation of immunization records.
2. Child #3 enrolled in January 2022 has no documentation of immunization records.
Plan of Correction: A form to update all children's records has already been sent to parents. Request for immunization records too.
View original record on Virginia Department of Social Services