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Soraya Mendez-Ramirez

Inspection · 2023-10-17

Date
2023-10-17
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
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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

A monitoring inspection was conducted on 11/17/2023 between the hours of approximately 9:45 am and 10:45 am. There were 12 children present, ranging in ages from 16 months and 4 years, with 2 caregivers supervising. Children observed while working in decorating pumpkins, toileting, reading books, and eating snack. The morning snack today consisted on pop tarts, apple juice, and banana slices.
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 5 staff/household member 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 the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations

6
Standard 8VAC20-770-60-C-2
Based on record review, Central Registry search (CRS) results were not obtained by the end of the 30th day of employment for one caregiver
Evidence:
1) On the date of inspection, the record for Caregiver #4 did not contain CRS results that had been requested by the provider. A copy of CRS results was available in the record but they were from a previous employer.
Plan of Correction: Done. Mailed one.
Standard 8VAC20-800-180-A
Based on record review, the provider did not ensure that caregivers and household members obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years.
Evidence:
1) The Tb screening form in the record for Caregiver #2 was dated 03/24/2021.
Plan of Correction: Have appointment on 10/23/23.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #1 did not contain the policy number of the child's medical insurance and the first date of attendance. 2) The record for Child #2 did not contain the first date of attendance.
Plan of Correction: Done. Wrote policy number. Wrote date of attendance.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface did not meet all requirements.
Evidence:
1) The diapering surface shall be nonabsorbent and washable - On the date of inspection, the diapering mat had a tear, making it not-nonabsorbent.
Plan of Correction: Purchased a new cover.
Standard 8VAC20-800-730-A
Based on observation and interview with the provider, medications for children in care were not stored separately from medications for household members and caregivers.
Evidence:
1) On the day of inspection, a bottle of Motrin pills was found among the children's medications. The provider stated that the pills were hers.
Plan of Correction: Corrected during inspection. The provider removed the bottle of pills.
Standard 8VAC20-800-730-D
Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1) On the date of inspection, children's medications were located in a drawer under the changing table. The drawer was not locked.
Plan of Correction: Done. Sent all medication home. Will not give medication at daycare.
View original record on Virginia Department of Social Services