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Gissela Medina Maldonado

Inspection · 2022-03-31

Date
2022-03-31
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
8VAC20-770 Background Checks for Child Day Programs and Family Day Systems
20 Access to minor?s records
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures

Inspector Notes

This renewal inspection was initiated by licensing staff and concluded on 03/31/2022, between the hours of 10 am to 12:30 pm. There were 6 children present (15 points), ranging from toddler to preschool-age, with 2 caregivers 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 8 children records, and 2 staff records were reviewed.

Information gathered during the inspection determined that there were (6) six non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the program.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations

6
Standard 8VAC20-800-100-A
Based on review, 3 of 8 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

Evidence -
1. On the date of inspection (03/03/2022), the following children were without documentation of a physical examination of file at the FDH: Child #7 (start date - 02/28/2022), and Child #8 (start date - 02/28/2022).
2. Both Child #7 and Child #8 were in attendance on the date of inspection.
Plan of Correction: A physical will be obtained from the parent of each child and placed on file.
Standard 8VAC20-800-120-B
Based on review, 1 of 2 staff records did not contain all of the required information.

Evidence -
1. On the date of inspection (03/31/2022), Staff #2 did not have the documentation of two or more references on file at the FDH.
2. The start date for Staff #2 was listed as 03/01/2022.
Plan of Correction: At least 2 references for Staff #2 will be documented and placed on file.
Standard 8VAC20-800-500-B
Based on observation, the highest platform on outdoor climbing equipment exceeds six feet for school age children and four feet for preschool children.

Evidence -
1. On the date of inspection (03/31/2022) preschool children were observed using a slide from a top platform that stood over six feet from surface.
2. This was the upper left platform of the playground structure.
3. Child #2, and Child #7 (both preschool age were observed using this slide.
Plan of Correction: See Plan of Correction for standard #500-C.
Standard 8VAC20-800-500-C
Based on observation, the stationary outdoor playground equipment was installed over a hard surface.

Evidence -
1. On the date of inspection (03/31/2022), the stationary outdoor play equipment located in the backyard of the Family Day Home was installed over a hard surface.
2. This hard surface consisted of wood decking found installed on outdoor steps or back yard decks.
3. Due to the pandemic and the nature of virtual inspections, this was the first inspection that was conducted on site since the Family Day Home has been licensed and a closer look to the outdoor equipment was administered.
Plan of Correction: The stationary outdoor playground equipment shall be off limits to the children in care until an acceptable resolution can be established.
Standard 8VAC20-800-60-B
Based on review, 5 of 8 children's files indicated that not all of the required information was on file.

Evidence -
1. Name, home address, and telephone number for each custodial parent (Child #4, Child #5, Child #7, and Child #8).
2. The place of employment and work phone number for the custodial parent (Child #4, Child #5, Child #7, and Child #8).
3. Information for two emergency contacts (Child #4, Child #5, Child #7, and Child #8).
4. Medical insurance information (Child #5, the policy number only for Child #6, Child #7; and Child #8).
5. The Information for Parents form (Child #7, and Child #8).
6. Written authorization for emergency medical care (Child #4, Child #5, Child #7, and Child #8).
Plan of Correction: A Child Record form will be completed for all children in care and kept on file.
Standard 8VAC20-800-70-A
Based on review, 2 of 8 children files indicated that not all of the required signed documentation was contained in each child's file.

Evidence -
1. On the date of inspection (03/31/2022), the following documentation was not available for review: the Policy for the Administration of Medications form (Child #7, and Child #8); the Provisions of the Emergency Preparedness and Response Plan form (Child #7, and Child #8); and the Liability Insurance Declaration form (Child #7, and Child #8).
2. These forms were missing from the files of these two children.
Plan of Correction: All forms will be completed and placed on file.
View original record on Virginia Department of Social Services