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Marilis Guiterrez-Chacon

Inspection · 2025-03-13

Date
2025-03-13
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

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.
8VAC20-790 Special Services
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or
fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on 03/13/2025, as a part of the licensure period. The on-site inspection began at 11:15a.m. and ended at 12:50p.m.. The inspector reviewed compliance in the areas listed above. There were 8 children present, 1 child belonging to the provider and 2 caregivers; the point total was23 The inspector reviewed 5 children?s records and 2 caregiver's and 1 household member record on-site. This inspection included: document review, tour of the home, interviews, and observations.

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.

Violations

6
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #2 was overdue by 2 months.
Plan of Correction: I could not access to the background portal. I will create a new email and log onto the portal and request the central registry.
Standard 8VAC20-800-60-B
Repeat
Children's records are required to contain parental employment addresses and phone numbers, emergency contact addresses and medical insurance policy numbers.

The record for Child #2 was missing the employment information for both parents and addresses for both emergency contacts and the medical insurance policy number. The child was present during the inspection and had been in care for 11 months.
Plan of Correction: All information has been obtained for the record.
Standard 8VAC20-800-680-A
Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.

Staff #1 did not wash their hands after diapering a child.
Plan of Correction: I will wash hands with soap and water and not use hand sanitizer.
Standard 8VAC20-800-690-D
Repeat:
The diapering surface shall be cleaned and sanitized after each use.

The diaper surface was not cleaned and sanitized after Staff #1 changed a child's diaper.
Plan of Correction: I will obtain two spray bottles, one for soap and water and one for bleach and water and will do the two step process rather than use Clorox wipes.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

An emergency evacuation procedure was not practiced during the months of January and February.
Plan of Correction: A fire drill will be completed by the end of this month and every month. I will be sure to document the drills.
Standard 8VAC20-800-960-E
Bottles shall be labeled with the child's full name and the date, if more than one infant is in care.
There were 2 infants that were present during the inspection that are fed with bottles. The bottles were not dated.
Plan of Correction: All bottles will be dated every day.
View original record on Virginia Department of Social Services