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Maria Arevalo

Inspection · 2022-05-05

Date
2022-05-05
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
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
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An in-person monitoring inspection was conducted on May 5, 2022. There were 3 children present, ranging in ages from 9 months to 3 years old, with 2 staff 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 3 child records and 2 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@doe.virgina.gov

Violations

13
Standard 8VAC20-770-60-B
Based on observation, an employee did not have completed sworn statement.

Evidence: Caregiver 2 did not have a completed sworn statement. (Start date 12/10/2021)
Plan of Correction: I will do the background check immediately.
Standard 8VAC20-770-60-C-2
Based on record review and observation, the provider did not obtain a central registry report within 30 days for caregiver.

Evidence: Caregiver 2 does not have a central registry background check completed within 30 days of hire. (Date of hire 12/10/2021)
Plan of Correction: I will do the background check right away.
Standard 8VAC20-800-100-A
Based on record review, the provider did not 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 and 2 do not have documentation of a physical examination within 30 days after the first day of attendance. (Child 1 and 2, Start date: 11/8/2021)
Plan of Correction: I will tell the parents to bring me a doctor's physical
Standard 8VAC20-800-120-B
Based on record review, the assistant's record was not complete.

Evidence: The assistant's record is missing one reference.
Plan of Correction: I will get the other reference.
Standard 8VAC20-800-240-A
Based on observation, areas and furnishings of the family day home were not maintained in a safe condition.

Evidence: In the area behind the stair well, there were several power tools accessible to children.
Plan of Correction: We will clean up the area and make it safe. Provider and household member started to remove items at time of inspection.
Standard 8VAC20-800-50-A
Based on interview, the family day home did not keep a written record of attendance each day.

Evidence: The provider stated attendance was not taken for the day.
Plan of Correction: I will take attendance everyday.
Standard 8VAC20-800-530-F
Based on observation, soft bedding was used under and around an infant while sleeping.

Evidence: Child 3 was observed with 1 blanket under him and 3 other blankets in the crib with the child.
Plan of Correction: I will make sure not to put blankets with the babies.
Standard 8VAC20-800-540-B
Based on observation, infant walkers were being used.

Evidence: One infant walker was in use by Child 1 and a second infant walker was observed though not in use.
Plan of Correction: Walkers were removed from the home at the time of inspection.
Standard 8VAC20-800-60-B
Based on record review, the child's record did not contain all the required information.

Evidence: Child 1 is missing child's emergency contacts, parent work and contact information, doctor's name and phone number, insurance policy name and number, first day of attendance, and any known allergies/medical concerns.
Plan of Correction: I will tell the parents and get the information
Standard 8VAC20-800-70-A
Based on record review, the parents were not provided in writing all the information required.

Evidence: The provider stated the parent was provided the files but has not returned the signed documentation regarding policies including but not limited to check in check out procedures, discipline policy, termination policy, fees, holidays and substitute provider.
Plan of Correction: I will give the parents the information.
Standard 8VAC20-800-830-A
Based on record review, emergency evacuation drills were not practices monthly.

Evidence: The provider stated emergency evacuation drills were conducted monthly but there is no documentation to support.
Plan of Correction: I will write down the drills.
Standard 8VAC20-800-960-D
Based on observation, infant formula was not prepared according to manufacturer's instructions.

Evidence: An opened bottle of infant formula was observed on a counter. Manufacturer's instructions state once opened the formula must be refrigerated.
Plan of Correction: Formula was placed in fridge.
Standard 8VAC20-800-960-K
Based on observation, baby food was served from the original container.

Evidence: Caregiver 2 was observed feeding children from the orginal container.
Plan of Correction: We will put the food in another bowl.
View original record on Virginia Department of Social Services