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Marilis Guiterrez-Chacon

Inspection · 2021-10-27

Date
2021-10-27
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care

Inspector Notes

A Monitoring inspection was initiated today. This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. The provider was contacted by Facetime and a virtual inspection was conducted. There were a total of 5 children present with 2 staff. 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 all staff and 1 household were reviewed. Information gathered using the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Feel free to contact me if you need any assistance at: lisa.hudson@doe.virginia.gov.

Violations

4
Standard 22VAC40-111-180-A
Based on staff review, subsequent TB screenings were not obtained.
Evidence:
Staff #1's last documented TB screening was dated July 2019.
Plan of Correction: TB screening will be completed.
Standard 22VAC40-111-210-A
Based on staff record review, Staff #1 did not complete the required 16 hours of annual training.
Evidence:
Staff #1 received 12 hours of documented training this year.
Plan of Correction: All staff will have 16 hours of annual training ongoing.
Standard 22VAC40-111-60-B
Based on child record review, one child record did not contain all required information.
Evidence:
Child #1's record did not have a second emergency contact, insurance policy number and the authorization for emergency care was signed after the child was enrolled.
Plan of Correction: I will obtain the second reference and policy number. All new children will have all information completed before they begin.
Standard 22VAC40-111-690-D
Based on observation and staff interview, the diapering surface is not properly sanitized.
Evidence:
Provider stated that sanitizing wipes are used to sanitize the diaper surface after each use. Soap and water and then bleach and water solution is required.
Plan of Correction: I will make a spray bottle of soap and water and another of bleach and water for the diaper surface.
View original record on Virginia Department of Social Services